Training & Resources for Critical Access Hospitals

Critical Access Hospitals PEPPER will be available via PEPPER Resources Portal at View a map of CAH PEPPER retrievals by state.

To receive updates on training and other resources, please join our email list.

Current PEPPER User's Guide:


  • April 2022 CAH PEPPER Review: This webinar reviews the PEPPER for Critical Access Hospitals, version Q4FY21, released in early April, 2022. This webinar includes the history/background of PEPPER, a high-level review of the target areas, a walk-through of a sample PEPPER, and guidance for accessing the PEPPER. Download the PowerPoint slides (PDF), transcript (PDF) or the Q&As (PDF) for this PEPPER update.
  • Access a complete series of PEPPER training sessions, available as “chapters” for ease of access. A review of a sample CAH PEPPER is also available.
  • New PEPPER Format: This session reviews changes to the PEPPER for greater accessibility, cleaner presentation and improved readability. Download the PowerPoint slides (PDF) or the transcript (PDF) for this PEPPER recording.

Data Resources

  • National Target Area Analysis
  • National Top 20 DRGs
  • State Target Area Analysis
  • State Top DRGs
  • Peer Group Bar Charts

Demonstration PEPPER:

  • Demonstration PEPPER version Q4FY21 (XLSX)


  • View a list of the 12 MAC jurisdictions and the number of providers in each jurisdiction in total and by state for PEPPER Q4FY21 (XLSX).

Other Resources: