Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 36 No. 44, November 5, 2010 issue of the Florida Administrative Weekly.

The Title XIX Long-Term Care Reimbursement Plan, Version XXXVIII, has been amended as follows:

1. Page 32, new sub-subparagraph b. will read as follows: Effective July 1, 2010 a minimum weekly average of certified nursing assistant and licensed nursing staffing combined of 3.9 hours of direct care per resident per day will be in effect.

2. Page 35 Section C The MTA is applied to all components of the prospective per diem determined in V.B.17. Below are all the recurring and non recurring cut that are included in the Medicaid Trend Adjustment.

3. Page 35 Section C – a correction to the spelling of the word Medicaid.

4. Page 55 The previous Section H has been corrected as new Section I.