The purpose of the proposed rule is to incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan) payment methodology, effective January 1, 2008. In compliance with Senate Bill 2-C, 2007-08 Special Appropriations Act, Specific Appropriation 105 and Section 12, effective January 1, 2008, the Florida Title XIX Inpatient Hospital Reimbursement Plan will be amended as follows: 1. An additional Medicaid Trend Adjustment shall be applied to achieve a recurring annual reduction of $68,640,064. 2. Effective January 1, 2008 and ending June 30, 2008, the Medicaid Trend Adjustment shall be removed for all certified trauma centers and hospitals defined in Section 408.07(45), Florida Statutes. The aggregate Medicaid Trend Adjustment found in item 1 above shall be reduced by up to $12,067,473. 3. In reducing hospital inpatient rates, rural hospitals and hospitals with twenty thousand (20,000) or more combined Medicaid managed care and fee-for-service inpatient days shall not have their inpatient rates reduced below the final rates that are effective on the prior June 30 of each year. The 2002 Financial Hospital Uniform Reporting System (FHURS) data shall be used to determine the combined inpatient Medicaid days. 4. Grammatical corrections throughout the Title XIX Inpatient Hospital Reimbursement Plan.