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 Long-term Acute Care Hospitals

Long-term acute care hospitals receive their PEPPER via PEPPER Resources Portal at View a map of LT 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.

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


Demonstration PEPPER:

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

Other Resources: