The purpose of the proposed rule is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan (the Plan) payment methodology, effective July 1, 2008. 1. Section IV. J.3. of the Title XIX Long-Term Care Reimbursement Plan has been modified as follows: As part of the operating component, interim rate adjustments shall be granted to reflect increases in the cost of premiums for general or professional liability insurance policies and payments into qualifying self-insurance funds as defined in CMS 15-1, 2162, if the change in cost of premiums and payments to the provider is at least $5,000 and would cause a change of one percent or more in the provider’s current total per diem rate. 2. Section IV. J.4. of the Title XIX Long-Term Care Reimbursement Plan has been modified to include a reference to Section IV. J.3 above.