We don’t have a plan approved yet (I think most states are in that position) and implementation is moving at a snail’s base in part because we are in the midst of Waiver redesign and the two are interrelated to a degree.  I was on the team that helped select the vendor who is doing the QSRs but we don’t have any results yet.  So in short, yes but not really.  In fact my understanding is that our DD agency licensing division is at odds with other depts.. with respect to their part in ensuring providers are meeting the settings rule. The next couple of years are going to be very challenging in Virginia as we are also at the same time moving into managed care.