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 Q4FY18 (XLS, updated 3/28/2019).


Demonstration PEPPER:

  • Demonstration PEPPER version Q4FY18 (XLS, updated 3/28/2019)

Other Resources:


When: Wednesday, May 15, 3 – 4 p.m. EDT
What: A WebEx presented by Kimberly Hrehor with the RELI Group
Topic: This session will review the new Q4FY18 Critical Access Hospital (CAH) PEPPER, scheduled for release April 5, 2019.

Registration is required.


This program is being brought to you at no charge.

Because registration is limited to 1,000 sites, CAHs are encouraged to coordinate internally to prevent duplicate registrations and to allow as many CAHs as possible to participate. Registrants will receive an email with information about how to join the session.

For those unable to participate, the session will be recorded and posted here within two weeks following the event.

Handout: Will be posted here the day prior to the event. It will also be available via WebEx upon joining the session.