I feel like there has to be an easier proof of this, but I just posted a note on my webpage proving the following Theorem. The key is a paper of Sam Payne's.
Let $f(t_1, \ldots, t_n)/g(t_1, \ldots, t_n) = \sum a(d_1, \ldots, d_n) t_1^{d_1} \cdots t_n^{d_n}$ be a rational function with coefficients in $\mathbb{Q}$. Let $\mathbb{C}_p$ be the completion of the algebraic closure of $\mathbb{Q}_p$, so $\mathbb{C}_{\infty}$ means the standard complex numbers. We define a function $\phi: \mathbb{Z}_{\geq 0}^n \to \mathbb{Q}$ to be a quasi-polynomial if $\mathbb{Z}_{\geq 0}^n$ can be partitioned into finitely many sets $S_k$, each one the translate of a finitely generated semi-group, such that the restriction of $\phi$ to each $S_k$ is a polynomial.
Theorem: The following are equivalent:
(1) The polynomial $g$ factors as $\prod_i \Phi_{d_i}\left( t_1^{e_1} \cdots t_n^{e_n} \right)$ where $\Phi_d$ is the $d$-th cylotomic polynomial and $(e_1, e_2, \ldots, e_n) \in \mathbb{Z}_{\geq 0}^n$, with not all the $e_i=0$.
(2) The function $(d_1, \ldots, d_n) \mapsto a(d_1, \ldots, d_n)$ is a quasi-polynomial.
(3) There are constants $C$ and $D$ such that $$|a(d_1, \ldots, d_n)|_{\infty} \leq C \left( \sum d_i \right)^D$$ and, for every finite prime $p$, there is a constant $C_p$ such that $$|a(d_1, \ldots, d_n)|_{p} \leq C_p.$$
(4) For every absolute value $| \ |_p$ on $\mathbb{Q}$, there are no zeroes of $g(t_1, \ldots, t_n)$ in the open polydisc $\{ (u_1, \ldots, u_n) \in \mathbb{C}_p : |u_1|, |u_2|, \ldots, |u_n| < 1 \}$.
In your setting, suppose that $\sum_{d \in P} t_1^{d_1} \cdots t_n^{d_n}$ is rational. Let $\chi_P$ be the characteristic function of $P$. It clearly obeys condition (3). So the theorem states that $\chi_P$ is a quasi-polynomial. Each of the polynomials making it up must have degree $0$, as it only assumes two values. So the support of $\chi_P$ (that is to say, the set $P$) must be a union of translates of finitely generated semi-groups.
Can someone tell me whether this is new? I think it might be worth publishing, if so.