Medicare Financial Management Manual (Pub. 100-06), Ch. 5 § 100.2
Amending Letter-of-Credit
100.2 - Amending Letter-of-Credit
(Rev. 236, Issued: 06-13-14, Effective: 06-02-14, Implementation: 07-15-14)
All requests for new or amended Letters Of Credit, whether considered routine or
emergency, must be submitted no later than 6 business days prior to the calendar date of
the actual need. All requests must be sent via email to DFSE@cms.hhs.gov; the
appropriate Regional Office (RO) contacts should also be copied on the request.
Conditions requiring new LOCs include but are not limited to:
• A new MAC joins the Medicare program;
• A MAC assumes a new workload from another MAC;
•
A complete or partial change in MAC’s name;
•
A change in the name of the MAC’s servicing bank; or
•
A change in the Federal Reserve Bank or Branch servicing the MAC’s
commercial bank.
Conditions requiring amended LOCs include but are not limited to:
• A permanent increase or decrease in the LOC funding limitation due to significant
change in Medicare workload or expenditure that is expected to affect the MAC’s
financial needs;
• A temporary increase in the LOC funding limitation to cover all Medicare checks
and Electronic Funds Transfer (EFT) payments presented to the bank for payment
within a given month.