Training & Resources for Critical Access Hospitals

Critical Access Hospitals PEPPER will be available via PEPPER Resources Portal at

Notice: Change in CAH PEPPER Delivery Method
At the request of the Centers for Medicare & Medicaid Services (CMS), beginning with the Critical Access Hospital (CAH) Program for Evaluating Payment Patterns Electronic Report (PEPPER) version Q4FY18, scheduled for release on April 5, 2019, the CAH PEPPERs will be available for access through a secure portal at Previously the CAH PEPPERs have been uploaded to QualityNet Administrators and those who have basic user accounts with the PEPPER recipient role. An email with instructions for accessing the CAH PEPPER will be sent to CAH QualityNet Administrators a few days before April 5.

To download or save to your computer any of the files on this page, right click on the file name (link) and select "Save Target As...". To receive updates on training and other resources, please join our email list.

Current PEPPER User's Guide:


  • View a list of the 12 MAC jurisdictions and the number of providers in each jurisdiction in total and by state for PEPPER Q4FY17 (XLS, updated 3/28/2018).


Demonstration PEPPER:

  • Demonstration PEPPER version Q4FY17 (XLS, updated 3/28/2018)

Other Resources: