The purpose of this rule amendment is to incorporate by reference Update July 2007 to the Florida Medicaid Provider General Handbook. The handbook was 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 Provider General Handbook update also includes the revised policy that Medicaid will pay for Medicare Part B deductibles and coinsurance on services that are not covered by the Medicaid Program and the full Medicare Part A coinsurance for inpatient hospital stays for recipients who are eligible as Qualified Medicare Beneficiaries or Qualified Medicare Beneficiary Pluses. The update also changes references from the UB-92 to the UB-04 claim form. The effect of the rule amendment to Rule 59G-5.020, F.A.C., will be to incorporate by reference in rule update July 2007 to the Florida Medicaid Provider General Handbook.