Rule 59G-6.030 updates the Title XIX Outpatient Hospital Reimbursement Plan to reflect changes authorized in House Bill 5001, 2012-13 General Appropriations Act, Specific Appropriation 198, which provides for hospital buy backs, exemptions from ceilings, and a reimbursement rate reduction. Additionally, no changes to providers’ rates will be allowed after October 31 of each year, and references to the Bureau of Medicaid Program Analysis have been changed to the Bureau of Medicaid Program Finance. The methodology used to calculate the upper payment limit (UPL) has been added as an appendix to the Plan.