US · guidance

CMS Pub. 100-10, ch. 9, § 9045.3

OIG Process –Decision to Sanction

activein force · 2026-08-25 – presentas-observed

If OIG decides that a violation of an obligation has occurred, it determines the

appropriate sanction by considering the:

• QIO’s recommendation;

• Type of offense;

• Severity of the offense;

• Practitioner’s or other person’s previous sanction record;

• Availability of alternative sources of services in the community;

• Any prior problems the Medicare or State health care programs have had with the

practitioner or other person; and

• Any other matters relevant to the particular case.

(See 42 CFR §1004.100(d).)

History

(Rev. 24, Issued: 02-12-16, Effective: 03-14-16, Implementation: 03-14-16)

Provenance

Source: cms.gov
Retrieved: 2026-08-25
Edition: iom-2026-08-25
Content hash: 4bd3fc7041900dfb2e2048b17985b4bb0339d9c0c118c7b1d1f6001c22162eaf

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