Relates to reimbursement for residential habilitation services

This bill changes how residential habilitation services are reimbursed for people with developmental disabilities who receive Medicaid. It defines three types of service days: "retainer days" (for medical leave), "service days" (regular care in community residences), and "therapy days" (for family visits or vacations), each paid at 100% of the daily rate but with annual limits (max 14 retainer days per facility capacity and 96 therapy days per person). Starting July 1, 2024, providers will also receive an occupancy adjustment for vacant beds (due to moves or deaths), which adjusts their operating rate by up to 5% based on actual occupancy. These rules apply to facilities licensed or approved by New York's Office for People with Developmental Disabilities.