It works right away. It provides a wonderful way to ask for prayer and receive prayer. Moderator can approve prayers from the front end. Also has some nice plug-ins available to spruce things up.
Future Suggestions : Ability to provide rss feeds of the prayers requested, a bit easier way to edit the various pages other than digging into hard files.
Overall however this is a must for every ministry and website of a spiritual nature. Well done, thanks, and blessings to Mike for providing this to the community.