The purpose of the amendment to Rule 59G-6.010 is to incorporate by reference the Title XIX Long-Term Care Reimbursement Plan (the Plan), effective July 1, 2012. The rule will update the Plan to reflect changes authorized in House Bill 5001, 2012-13 General Appropriations Act, Specific Appropriation 224, which mandates a nursing home rate reduction. Definitions of rate setting and legislative unit costs have been added along with the addition of Appendix D which provides the methodology of the nursing home upper payment limitation (UPL) methodology.