Practitioner or Other Person – Relocation to Another QIO State

9040.2.1 – Practitioner or Other Person – Relocation to Another QIO State (Rev. 24, Issued: 02-12-16, Effective: 03-14-16, Implementation: 03-14-16) In a case where a practitioner or other person involved in sanction proceedings relocates to another QIO area before a final determination of a violation has occurred or a final sanction recommendation has been made to OIG, the QIO in the first location will follow these procedures: 1. If the QIO is able to make a final finding, after complying with 42 CFR §§1004.40, 1004.50, and 1004.60, the QIO will notify the practitioner (or other person) and either close the case or forward a report of its final finding and recommended sanction to OIG. In addition, the QIO will notify the QIO in the State of the practitioner’s new residence or where he/she is now practicing of the action taken. 2. If a final determination cannot be made, the original QIO will send a written notification to the QIO in the State of the practitioner’s new residence or where he/she is now practicing and to the practitioner (or other person) that a final determination cannot be made and that the documentation is being provided to the QIO in the new jurisdiction. The notice to the QIO in the new jurisdiction must include all documentation regarding the case and should also include the following: o The results/findings of the QIO’s review activity and the action that could be taken based on these results/findings; o A statement that action cannot be taken because the practitioner has relocated or is practicing outside our review area; o A notice that the case is being referred to the QIO in the State where he/she is now practicing for further action as deemed appropriate; and o A statement that if the practitioner again practices in the original QIO’s review area, the original QIO will re-evaluate the case and may reopen it depending upon the action the receiving QIO takes.