The purpose of the amendment to Rule 59G-6.020 is to incorporate by reference the Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XL, effective July 1, 2013. The rule will update the Plan to reflect changes authorized in Senate Bill 1500, 2013-14 General Appropriations Act, Specific Appropriation 208, and Senate Bill 1502, Section 6, 2013-14 Implementing Bill. The changes include the criteria for certain hospitals to adjust their prior Medicaid inpatient trend adjustment, adjustments for inpatient reimbursement limitations, the methodology for a Diagnosis Related Group (DRG) based reimbursement system, the elimination of the methodology for cost based hospital reimbursement, special Medicaid payments to Winter Haven Hospital, and a reconciliation of transitional DRG payments. Finally, the implementation of the Statewide Medicaid Residency Program as established in Senate Bill 1520, which creates s.409.909, Florida Statutes.