The altruistic side of me says enroll, but altruism doesn't pay the bills, so I say don't bother. I deal with Medicaid in my remote work for podiatrists, and it is nothing but a nightmare from start to finish. So much so that almost all of them pulled out of Medicaid once they had been practicing for a few years. My feeling is if you are an established practice, leave the Medicaid money (what there is of it for reimbursement, which is awful) to the new docs starting out.