Bill > HB3360

This bill modifies how MO HealthNet, Missouri's Medicaid program, pays for nursing home services by requiring the Department of Social Services to seek federal approval for a new payment system. Specifically, the department must apply for a waiver or amendment to the state plan from the Centers for Medicare and Medicaid Services (CMS) to implement a "patient-driven payment model." This new model would calculate payments based on a patient's clinical needs rather than the quantity of services they receive, covering services like physical therapy, occupational therapy, speech-language pathology, and non-therapy ancillary services. Additionally, the bill mandates per diem add-on payments designed to enhance care quality, including incentives for facilities based on their performance on quality measures and payments tied to the tenure, promotion, and training of certified nursing assistants, with these funds specifically designated to increase their compensation. Finally, this new model would eliminate a previous add-on payment that was given to facilities if a significant percentage of their Medicaid residents had diagnoses of schizophrenia or bipolar disorder.

https://house.mo.gov/Bill.aspx?bill=HB3360&year=2026&code=R