You should have a texture for the terrain (grass or rock or whatever ) it should have a proper size liek: 128 * 128 or 256 * 256 or 512 * 512 pixels etc. Then in MED you go to the skin editor and load the texture.
you can, but you gotta locate the file, then in photoshop or paint dupliicate it a few times, else it'll be stretched all over the terrain, than save it and use it in MED