The purpose of this rule amendment is to incorporate by reference update April 2008 to the Florida Medicaid County Health Department Clinic Services Coverage and Limitations Handbook. The handbook was updated to add the range of codes for billing administration of vaccines to Medicaid recipients from birth to 18 years of age and to add immunization codes for rabies vaccine; tetanus and diphtheria vaccine, preservative free; and an “unlisted vaccine.” The update also corrects the code for tetanus, diphtheria, acellular pertussis vaccine. The effect will be to incorporate by reference in the rule update April 2008 to the Florida Medicaid County Health Department Clinic Services Coverage and Limitations Handbook.