CA SB1529

Requires temporary payment suspension of Medi-Cal providers upon receipt of a credible allegation of fraud under investigation, unless good cause exception applies, and allows lifting of suspension when investigation concludes.

Prohibits department from enrolling providers terminated under Medicare or Medicaid/CHIP in other states, and requires termination of currently enrolled providers discovered to have such terminations.

Requires criminal background checks and fingerprint submission for providers designated as "high" categorical risk by federal regulations.

Authorizes department to collect application fees for provider enrollment (except individual physicians and certain exempt providers) based on federal Centers for Medicare and Medicaid Services calculations, effective upon state plan amendment approval.

Requires quarterly reporting by Department of Justice and law enforcement agencies to department on fraud investigation referrals and establishes temporary moratorium authority on provider enrollment when necessary to safeguard public funds and maintain program integrity.