{"data":{"id":"us/42-cfr-1003.420","jurisdiction":"us","citation":"42 CFR 1003.420","heading":"Determinations regarding the amount of penalties and assessments.","body":"In considering the factors listed in § 1003.140, aggravating circumstances include—\n(a) Such violations were of several types or occurred over a lengthy period of time;\n(b) There were many such violations (or the nature and circumstances indicate a pattern of incidents);\n(c) The amount of money, remuneration, damages, or tainted claims involved in the violation was $15,000 or more; or\n(d) Patient harm, premature discharge, or a need for additional services or subsequent hospital admission resulted, or could have resulted, from the incident; and\n(e) The contracting organization knowingly or routinely engaged in any prohibited practice that acted as an inducement to reduce or limit medically necessary services provided with respect to a specific enrollee in the organization.","path":["Title 42—Public Health","CHAPTER V—OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—OIG AUTHORITIES","PART 1003—CIVIL MONEY PENALTIES, ASSESSMENTS AND EXCLUSIONS","Subpart D—CMPs and Assessments for Contracting Organization Misconduct"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"c10d65e337df2e408f8998c84f9c6574a070aad963314be35930a8523faacd2f","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-1003.410","next":"us/42-cfr-1003.500"},"notice":"GroundRules: Original legal text. Not legal advice."}