CMS has directed the PEPPER team to resume PEPPER distribution* according to the following schedule:
July 15, 2020: Q1FY20 ST PEPPERs (originally scheduled release date: June 3, 2020)
July 29, 2020: Q4FY19 PEPPERs for CAHs, LTACHs, IPFs, IRFs, hospices, and SNFs (originally scheduled release date: April 6, 2020)
August 12, 2020: Q4CY19 PEPPERs for HHAs and PHPs (originally scheduled release date: July 8, 2020)
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* PEPPER distribution was previously on hold due to the COVID-19 pandemic.

Training & Resources for Inpatient Psychiatric Facilities

Free-standing IPFs and IPF Distinct Part Units of short-term acute care and critical access hospitals receive their PEPPER via QualityNet Portal at

View information on how to download your PEPPER via QualityNet Portal.

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).

PEPPER Training Sessions

Demonstration PEPPER:

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

Other Resources: