[Code of Federal Regulations] [Title 42, Volume 4] [Revised as of October 1, 2006] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR1004.90] [Page 1192-1193] TITLE 42--PUBLIC HEALTH GENERAL--HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 1004_IMPOSITION OF SANCTIONS ON HEALTH CARE PRACTITIONERS AND Subpart C_QIO Responsibilities Sec. 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; [[Page 1193]] (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.