Code of Federal Regulations Title 42. Public Health § 42.1004.100 Acknowledgement and review of report

(a) Acknowledgement. The OIG will inform the QIO of the date it received the QIO's report and recommendation.

(b) Review. The OIG will review the QIO report and recommendation to determine whether—

(c) Rejection of the QIO recommendation. If the OIG decides that a sanction is not warranted, it will notify the QIO that recommended the sanction, the affected practitioner or other person, and the licensing board informed by the QIO of the sanction recommendation that the recommendation is rejected.

(d) Decision to sanction. If the OIG decides that a violation of obligations has occurred, it will determine the appropriate sanction by considering—

(e) Exclusion sanction. If the QIO submits a recommendation for exclusion to the OIG, and a determination is not made by the 120th day after actual receipt by the OIG, the exclusion sanction recommended will become effective and the OIG will provide notice in accordance with § 1004.110(f).

(f) Monetary penalty. If the QIO recommendation is to assess a monetary penalty, the 120–day provision does not apply and the OIG will provide notice in accordance with § 1004.110 (a)–(e).