The purpose of this rule amendment is to incorporate by reference Update July 2007 to the Florida Medicaid Nursing Facility Services Coverage and Limitations Handbook and Update July 2007 to the Florida Medicaid Provider Reimbursement Handbook, Institutional 021. The handbooks were updated to revise Medicaid’s payment methodology for nursing facility Medicare Part A coinsurance. In accordance with the General Appropriations Act for 2007-2008, Medicaid will no longer pay the Medicare Part A coinsurance for nursing facility services if the Medicare payment equals or exceeds what Medicaid would have paid if it had been the sole payer. The Florida Medicaid Provider Reimbursement Handbook, Institutional 021, update also includes a correction to third party liability policy and clarification of the patient responsibility policies. The effect of the rule amendment to Rule 59G-4.200, F.A.C., will be to incorporate by reference in rule update July 2007 to the Florida Medicaid Nursing Facility Services Coverage and Limitations Handbook and update July 2007 to the Florida Medicaid Provider Reimbursement Handbook, Institutional 021.