The purpose of the amendment to Rule 59G-6.045 is to incorporate by reference the Title XIX Intermediate Care Facility for the Mentally Retarded and Developmentally Disabled Reimbursement Plan for Facilities not Publicly Owned and not Publicly Operated (Formerly Known as ICF-MR/DD Facilities) (the Plan), effective October 1, 2013. The rule 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 ICF 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 and the deletion of language related to vacancy interim rates.