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42 CFR §1004.90

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov
The QIO's specific recommendation must be based on documentation provided to the OIG showing its consideration of—
  1. (a)The type of offense involved;
  2. (b)The severity of the offense;
  3. (c)The deterrent value;
  4. (d)The practitioner's or other person's previous sanction record;
  5. (e)The availability of alternative sources of services in the community; and
  6. (f)Any other factors that the QIO considers relevant, such as the duration of the problem.