42 CFR § 403.754 - Monitoring expenditure level.
---
identifier: "/us/cfr/t42/s403.754"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 403.754 - Monitoring expenditure level."
title_number: 42
title_name: "Public Health"
section_number: "403.754"
section_name: "Monitoring expenditure level."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "A"
subchapter_name: "GENERAL PROVISIONS"
part_number: "403"
part_name: "SPECIAL PROGRAMS AND PROJECTS"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302 and 1395hh."
cfr_part: "403"
---
# 403.754 Monitoring expenditure level.
(a) *Tracking expenditures.* Starting in FFY 1999 CMS begins monitoring Medicare payments to RNHCIs.
(b) *Carry forward.* The difference between the trigger level and Medicare expenditures for a FFY results in a carry forward that either increases or decreases the unadjusted trigger level described in § 403.750(d). In no case may the carry forward exceed $50,000,000 for an FFY.