Complete Story


New Home Health Agency PEPPER Available

The Q4CY18 release of the Home Health Agency (HHA) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through December 2018 is now available for download through the PEPPER Resources Portal

To obtain your agency's PEPPER, the Chief Executive Officer, President, Administrator or Compliance Officer should:

  1. Review the Secure PEPPER Access Guide
  2. Review the instructions and obtain the information required to authenticate access. (Note: A new validation code will be required. A patient control number (UB04 form locator 03a) or medical record number (UB04 form locator 03b) from a claim for a traditional Medicare FFS beneficiary with a claim "from" or "through" date between October 1 - December 31, 2018, will be required.)
  3. Visit the PEPPER Resources Portal. 
  4. Complete all the fields.
  5. Download your PEPPER.

The HHA PEPPER will be available to download for approximately two years. A webinar to review the new PEPPER is scheduled for Thursday, July 18, at 3 p.m. EDT. For more information visit the HHA Training and Resources page. 


PEPPER is an educational tool that summarizes provider-specific data statistics for Medicare services that may be at risk for improper payments. Providers can use the data to support internal auditing and monitoring activities.

Visit the HHA Training and Resources page at to access updated resources for using PEPPER, including recorded web-based training sessions, a sample PEPPER and the HHA PEPPER User's Guide. PEPPER is developed under contract with the Centers for Medicare & Medicaid Services (CMS) by RELI Group, along with its partners TMF Health Quality Institute and CGS. 

If you have questions or comments about PEPPER or need help obtaining your report, visit the Help Desk to request assistance with PEPPER. Provide your feedback or suggestions regarding PEPPER through the feedback form.

Printer-Friendly Version

Our national partner, LeadingAge, is an association of 6,000 not-for-profit organizations dedicated to expanding the world of possibilities for aging. Together, we advance policies, promote practices and conduct research that support, enable and empower people to live fully as they age.