515.4 Guidelines for sanctions. (a) A sanction may be imposed at the discretion of the department upon a determination that a person has engaged in one or more unacceptable practices.

(b) In determining the sanction to be imposed, the following factors will be considered:

(1) the number and nature of the program violations or other related offenses;

(2) the nature and extent of any adverse impact the violations have had on recipients;

(3) the amount of damages to the program;

(4) mitigating circumstances;

(5) other facts related to the nature and seriousness of the violations; and

(6) the previous record of the person under the Medicare, Medicaid and social services programs.