The amendment will update the Plan to reflect changes authorized in Senate Bill 1500, 2013-14 General Appropriations Act, Specific Appropriation 238, which authorizes a buy back for Intermediate Care Facilities and a recurring methodology for reimbursement rates effective October 1, 2013. Other changes include the deletion of language allowing for an extension of time for a provider to file cost reports, the deletion of language related to vacancy interim rates, the addition of language related to the fines and penalties for facilities not paying their quality assessment pursuant to the requirements of 409.9083, Florida Statutes, the addition of the methodology used to calculate the upper payment limit (UPL), the addition of definitions, the replacement of “mentally retarded and developmentally disabled” with “individuals with intellectual disabilities,” and a revision of the rule title to Payment Methodology for Services in Facilities Not Publicly Owned and Not Publicly Operated (Facilities Formerly Known as ICF-MR/DD Facilities); Quality Assessment Sanctions.