Medicare Financial Management Manual (Pub. 100-06), Ch. 5 § 100.1
Monthly Limitation - (Rev. 5, 08-30-02)
100.1 - Monthly Limitation - (Rev. 5, 08-30-02)
A1-1416.1, B1-4414.1
The letter-of-credit specifies a maximum amount of funds that the bank may draw during
each month. The ceiling amount on the letter-of-credit is established at a sufficiently high
level to provide for fluctuations in monthly disbursement patterns and is based upon
benefit payments estimated by CMS and the contractor. The unused portion of the letter-
of-credit is revoked at the end of each month, and the full monthly ceiling amount is
automatically renewed at the beginning of each month. There is no carryover of any
unused ceiling amount. Each month stands by itself.