To incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan (the Plan) payment methodology, effective January 1, 2008. 1. Effective January 1, 2008, an additional Medicaid Trend Adjustment shall be applied to achieve a recurring annual reduction of $75,182,326. 2. All language regarding the use of a low occupancy adjustment is being removed. 3. In Section I.B. and V.B 16, a clarification has been made to add the term “indirect” to patient care and remove the term “direct care.” 4. Grammatical corrections throughout the Title XIX Long-Term Care Reimbursement Plan.