With the change in rates and caseload came changes as to the minimum frequency of visits. Adults in supported living must be seen at least once a month, and at least once every 3 months in their home. Adults in the family home must be seen at a minimum once every three months, at least once every 6 months in their home. Children in the family home must be seen at a minimum once every six months and at least once a year in the family home. Anyone in Residential Placement, group homes or foster homes, must be seen monthly. Several other services have been eliminated. Prior to Medicaid Waiver Programs,{1991} many people who had disabilities were served in nursing homes or institutions. The HCBS and FSL Waivers help people to live in their communities by proving supports and services to people who live in the community. It is believed that it is less expensive for people to receive services in the community, rather than in a nursing home or an institution.