The amendment will update the Plan to reflect changes to the payment methodology for services in facilities not publicly owned and publicly operated as authorized in House Bill 5001, 2014-15 General Appropriations Act, Specific Appropriation 240, as follows: 1. $37,218,964 is provided to buy back intermediate care facilities rate reductions, effective on or after October 1, 2008. 2. Reimbursement rates for intermediate care facilities will be set July 1 of each year. 3. Editorial and technical changes to remove obsolete language and reorganize existing language.