---
kind: "section"
citation: "42 C.F.R. § 1004.90"
title: "42"
number: "1004.90"
heading: "Basis for recommended sanction."
url: "https://uscodex.org/cfr/42/1004.90"
---

# §1004.90. Basis for recommended sanction.


The QIO's specific recommendation must be based on documentation provided to the OIG showing its consideration of—

- (a) The type of offense involved;
- (b) The severity of the offense;
- (c) The deterrent value;
- (d) The practitioner's or other person's previous sanction record;
- (e) The availability of alternative sources of services in the community; and
- (f) **Any other factors that the QIO considers relevant, such as the duration of the problem.**

## Notes

### Authority

Authority: 42 U.S.C. 1302 and 1320c-5.

### Source

Source: 60 FR 63640, Dec. 12, 1995, unless otherwise noted.