Long-term acute care hospitals receive their PEPPER via PEPPER Resources Portal at https://securefile.tmf.org. 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:

• Long-term Acute Care PEPPER User’s Guide (PDF, 14th Edition)

Jurisdictions:

• 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).

PEPPER TRAINING SESSIONS

• Access a complete series of PEPPER training sessions, available as ten “chapters” for ease of access. A review of a sample LT PEPPER is also available.
• April 17, 2019 LT PEPPER Review: This session reviewed the Q4FY18 Long-term (LT) acute care hospital PEPPER, released April 5, 2019. Download the PowerPoint slides (PDF) or transcript (PDF) for this PEPPER review.
• May 17, 2018 LT PEPPER Review: This session reviews the new Q4FY17 LT PEPPER, released in April 2018. Download the PowerPoint slides (PDF) for this PEPPER review.

Demonstration PEPPER:

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

Other Resources:

• Refer to this document for guidance on how to create a listing of patients included in the PEPPER target areas (PDF).
• View a list of LT target areas (PDF, updated 5/7/2020).
• History of Target Area Changes (PDF): This document identifies revisions to existing target areas that have been implemented for each respective release since the Q4FY15 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.
• Access the (LTCH) 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.