The purpose of this rule amendment is to incorporate by reference update September 2006 to the Florida Medicaid Physician Services Coverage and Limitations Handbook. The handbook update contains the policies and forms for the Recipient Assignment Program (R.A.P.). The 2004 Florida Legislature mandated that the Florida Medicaid Program implement a program to prevent excessive and inappropriate utilization of Medicaid goods and services by recipients in the MediPass and fee-for-service programs. The new program, referred to as the Recipient Assignment Program (R.A.P.), is similar to managed care in regard to the assignment of health care services to a primary care physician (PCP). The accepting PCP will act as a case manager or “gatekeeper” for coordination of the recipient’s non-emergency medical services. Certain services are exempt from management by the PCP. The effect will be to incorporate by reference in rule update September 2006 to the Florida Medicaid Physician Services Coverage and Limitations Handbook. In the Notice of Rule Development published in Vol. 31, Number 52, December 30, 2005, issue of the Florida Administrative Weekly, we stated that the effective date of the update was January 2006. We changed the effective date to September 2006.