Limiting payment for services rendered to 344 days per year instead of 365 is not an accurate reflection of the service needs of people in sponsored residential and group home services.  Most in my agency do not go on regular or extended home visits (if any), and many hospital stays do not last 21 days.  The assumption that people in services have somewhere else to go, and are out of services three weeks in a year, needs to be re-evaluated based on current data.