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;
     
    
    
        
        (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.