Modifies provisions relating to MO HealthNet payments for nursing home services

HB 3360 changes how Missouri's MO HealthNet program pays nursing homes for Medicaid-covered services. It requires the state to seek a federal waiver to shift payments from volume-based (e.g., number of therapy sessions) to patient-driven payments based on residents' clinical needs. The bill also adds per diem payments tied to facility quality performance metrics and incentives for nursing assistant training and pay, while eliminating a prior payment adjustment for facilities with high rates of schizophrenia or bipolar disorder diagnoses among residents. These changes directly affect nursing homes participating in Missouri's Medicaid program for long-term care.