Home Health Agency PEPPER now available via PEPPER Resources Portal at https://securefile.tmf.org. View a map of HHA PEPPER retrievals by state.

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

Current PEPPER User's Guide:

• Home Health Agency PEPPER User’s Guide (PDF, 5th Edition)

PEPPER Training Sessions

• Access a complete series of PEPPER training sessions, available as ten “chapters” for ease of access. A review of a sample HHA PEPPER is also available.
• September 1, 2020 HHA PEPPER Review: This webinar reviews the new PEPPER for Home Health Agencies, version Q4CY19, released in August 2020. It includes the history/background of PEPPER, a high-level review of the target areas, a walk-through of a sample PEPPER to include the new format, and guidance for accessing the PEPPER. Download the PowerPoint slides (PDF), the Q&As (PDF) or transcript (PDF) for this PEPPER review.
• 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.

Demonstration PEPPER:

• Demonstration PEPPER version Q4CY19 (XLS)

Jurisdictions

• View a list of the 4 MAC jurisdictions and the number of providers in each jurisdiction in total and by state for PEPPER Q4CY19 (PDF).

HHA PEPPER Testimonials

• Learn how an Oklahoma HHA (PDF) tackles length of stay, PEPPER supports efforts.
• Learn how a Louisiana HHA (PDF) tackles high average number of episodes.

Other Resources:

• Refer to this document for guidance on how to create a listing of patients included in the PEPPER target areas (PDF).
• History of Target Area Changes (PDF): This document identifies revisions to existing target areas that have been implemented since the Q4CY16 release. It includes a description of the revision and the expected impact in terms of the number of providers that have "reportable data" (numerator count of 11+) for the target area. This document will be updated on an ongoing basis.
• View the list of Home Health Agency PEPPER target areas (DOCX, updated 3-9-2015).
• Access the HHA Medicare Billing Codes Sheet (PDF) from CGS
• Access the (HHA) Medicare Claims Processing Manual (PDF)
• View this slide presentation (PPT, updated 7-11-2013) on percents and percentiles to help understand the differences between “percent” and “percentile” and how they are used in PEPPER.
• View a demonstration (DOC, updated 12-10-2014) Compare Targets report, with associated hospital target area data and graph.