Behavioral health is a fast-growing area of healthcare spend, with the U.S. market projected to grow from $101.84B in 2026 to $159.35B by 2035. As utilization rises, this session will use autism treatment and ABA audit findings as a case study to explore documentation gaps, medical necessity risk, provider oversight, and how plans can strengthen payment accuracy without creating inappropriate barriers to care.
- Identify documentation and billing gaps driving improper ABA payments.
- Learn how statewide post-payment reviews can educate providers and reduce repeat errors.
- Strengthen behavioral health oversight while protecting access to early autism treatment
In partnership with AArete
Gina Hedstrom
Kevin O'Donnell
Kevin O’Donnell is the Director of the Division of Program Integrity for the D.C. Department of Health Care Finance, the District’s Medicaid agency. He has served in that role since November 2021. In that capacity, he oversees the Medicaid agency’s Fraud, Waste, and Abuse activities, coordinating and supervising audits and investigations of Medicaid enrolled providers. To ensure the Medicaid program is effectively rooting out FWA, Mr. O’Donnell collaborates with public and private partners, including law enforcement agencies, regulatory agencies, Managed Care Organizations, and others.
Prior to becoming the Director of the DPI, Mr. O’Donnell spent 7 years as an Attorney-Advisor in DHCF’s Office of the General Counsel, where he defended the agency in administrative appeals before the D.C. Office of Administrative Hearings. Mr. O’Donnell is a graduate of the George Washington University School of Law and a native Washingtonian.