Disclosure of QIO Sanction Information

10080 - Disclosure of QIO Sanction Information (Rev. 15, Issued: 06-30-06; Effective/Implementation Dates: 06-30-06) As specified in 42 CFR 480.142, disclose sanction reports to OIG, CMS, and State and Federal agencies that investigate and prosecute fraud and abuse. Disclose relevant sanction information, including sanction reports, to licensing, certification, and accreditation bodies under the authority and limitations specified in §1160(b)(1)(C) of the Social Security Act, 42 CFR 1004.70(c), and 480.138(a)(1). Concurrent with your final notice, provide the affected practitioner or other person with a copy of the complete sanction report and recommendations that you are submitting to OIG (see §§9000-9070 and 42 CFR 1004.70(b)). The sanction information that can be disclosed to licensing, certification, and accreditation bodies under the authority of 42 CFR 480.138(a)(1) includes only those portions of the file that the body needs to conduct its official duties (e.g., a synopsis of the particular case). Do not include the entire medical record or unnecessary information such as an overview of the sanction process. Determine, on a case-by-case basis, whether release of patient-specific information is appropriate.