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 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.

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.

Current PEPPER User's Guide:

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

Jurisdictions

• View a list of the 4 MAC jurisdictions and the number of providers in each jurisdiction in total and by state for PEPPER Q4CY18 (XLS).

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.
• July 25, 2018 HHA PEPPER Review: This session reviews the new release of the Q4CY17 HHA PEPPER, released in July 2018. Download the PowerPoint slides (PDF) or the Q&As (PDF) for this PEPPER review.
• July 18, 2019 HHA PEPPER Review: This session reviews the new Q4CY18 Home Health Agency (HHA) PEPPER, released July 8, 2019. It includes a high-level overview of the target areas and a brief demonstration of 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)

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.