{"data":{"id":"us/42-cfr-1004.90","jurisdiction":"us","citation":"42 CFR 1004.90","heading":"Basis for recommended sanction.","body":"The QIO's specific recommendation must be based on documentation provided to the OIG showing its consideration of—\n(a) The type of offense involved;\n(b) The severity of the offense;\n(c) The deterrent value;\n(d) The practitioner's or other person's previous sanction record;\n(e) The availability of alternative sources of services in the community; and\n(f) Any other factors that the QIO considers relevant, such as the duration of the problem.","path":["Title 42—Public Health","CHAPTER V—OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—OIG AUTHORITIES","PART 1004—IMPOSITION OF SANCTIONS ON HEALTH CARE PRACTITIONERS AND PROVIDERS OF HEALTH CARE SERVICES BY A QUALITY IMPROVEMENT ORGANIZATION","Subpart C—QIO Responsibilities"],"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":"39c1a0c908ca680f4ff534fb657925be3def7638cac6847863fde4249d9f370c","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-1004.80","next":"us/42-cfr-1004.100"},"notice":"GroundRules: Original legal text. Not legal advice."}