Section 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.