The amendment will update the Plan to reflect changes authorized in Senate Bill 1500, 2013-14 General Appropriations Act, Specific Appropriation 208, and Section 6, Senate Bill 1502, 2013-14 Implementing Bill. The changes include the criteria for certain hospitals to adjust their prior Medicaid inpatient trend adjustment, adjustments for inpatient reimbursement limitations, the methodology for a Diagnosis Related Group (DRG) based reimbursement system, the elimination of the methodology for cost based hospital reimbursement, special Medicaid payments to Winter Haven Hospital, a reconciliation of transitional DRG payments, the methodology of the upper payment limit (UPL) demonstration, a detailed description of the protocol used to determine certified public expenditures (CPEs) for state-owned psychiatric hospitals, the repeal of the Community Hospital Education Act as established in s. 381.0403, F.S., and the implementation of the Statewide Medicaid Residency Program as established in Senate Bill 1520, which creates s.409.909, Florida Statutes.