10/01/2026

You Asked... We Answered

Is the Program for Evaluating Payment Patterns Electronic Report (PEPPER) still on hold?

You Asked: Is the Program for Evaluating Payment Patterns Electronic Report (PEPPER) still on hold?

We Answered: No. CMS relaunched PEPPER in September 2026 for Skilled Nursing Facilities and August for Home Health Agencies. The Office of Inspector General (OIG) encourages providers to establish and maintain a compliance program to safeguard their operations against fraud and abuse. As part of this program, providers should conduct regular audits to ensure Medicare service charges are accurately documented and billed. The Program for Evaluating Payment Patterns Electronic Report (PEPPER) supports providers in guiding their auditing and monitoring activities.

PEPPER.CBRPEPPER.org is the official site for information, training and support related to the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Resources include the PEPPER portal, training and resources, FAQ’s.