[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-573315-105":3,"detail-sidebar-cat-1-en-105":80,"doc-detail-573315-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":73,"head_meta":75,"extra_data":77,"updated_unix":79},105,"en","section-gg-medicare-functional-assessment-form","Section GG Medicare Functional Assessment - Form","","Section GG Medicare Functional Assessment form supports scoring and completing standardized functional assessment items used across all post-acute care settings by CMS. It guides interdisciplinary evaluation by pairing OT scope elements with broader assessment use alongside other instruments such as MDS, IRF-PAI, LTCH CARE, and OASIS. Content covers prior functioning in everyday activities, prior device use, range-of-motion limitations, mobility devices over the last 7 days, and self-care item definitions and scoring for admission and discharge.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/section-gg-medicare-functional-assessment-form/573315/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/section-gg-medicare-functional-assessment-form/573315.png","ImageObject",442,249,{"name":42,"@type":43},"Muffet","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-17","2026-10-14",true,{"@type":52,"interactionType":53,"userInteractionCount":22},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"What is the purpose of Section GG in Medicare post-acute care evaluations?","Question",{"text":62,"@type":63},"Section GG helps practitioners score and complete standardized functional assessment items used across post-acute care settings. It is designed as an interdisciplinary assessment and supports advocacy for OT’s value in these settings.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"How are prior functioning scores categorized for everyday activities (GG 0100)?",{"text":67,"@type":63},"Scoring for everyday activities uses levels where 3 means Independent, 2 indicates Need Some Help, 1 means Dependent, 8 means Unknown, and 9 means Not Applicable.",{"name":69,"@type":60,"acceptedAnswer":70},"Which devices should be reported in Prior Device Use (GG 0110) and Mobility Devices (GG 0120)?",{"text":71,"@type":63},"Prior Device Use asks to indicate devices and aids used before the current condition (check all that apply), including manual wheelchair, motorized wheelchair/scooter, mechanical lift, and other listed mobility devices. Mobility Devices (GG 0120) records mobility devices normally used in the last 7 days.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},573315,1792248413,{"code":4,"msg":81,"data":82},"success",[83,88,93,98,103,108,112,117,122],{"id":84,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},11,"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":81,"data":127},{"doc_id":78,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":22,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":120,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":26},962090768927,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","[aota.org](aota.org)  \nClient:  DX:   MRN:  Eval Date:  DC Date:   \nSection GG Medicare Functional Assessment  \nUse this form during your evaluation to help score and complete Section GG items. Section GG is a standardized functional assessment utilized across all post-acute care (PAC) settings by the Centers for Medicare & Medicaid Services (CMS) . Although all of Section GG items are within the OT scope of practice, Section GG is intended as an interdisciplinary assessment. Other standardized assessments can and should be used in addition to Section GG during a comprehensive evaluation. AOTA encourages practitioners to utilize this data as an advocacy tool for the value of OT in PAC. For more information on the importance and role of Section GG in your setting, see the Medicare assessments linked [below. Visit](below. Visit aota.org/SectionGG for additional)[ ](below. Visit aota.org/SectionGG for additional)[aota.org/SectionGG](below. Visit aota.org/SectionGG for additional)[ for additional](below. Visit aota.org/SectionGG for additional) resources.  \nThese items correspond with Section GG items in Medicare PAC Assessments, including the Minimum Data Set (MDS), Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI), Long Term Care Hospital Continuity Assessment Record Evaluation Tool (LTCH CARE), and the Outcome and Assessment Information Set (OASIS) .  \nPrior Functioning: Everyday Activities (Assessment Items GG 0100)  \n3 = Independent; 2 = Need Some Help; 1 = Dependent; 8 = Unknown; 9 = Not  \nScore Item Definition  \nA  \nB  \nC  \nD  \n\n|  | Self-care | The ability to use suitable utensils to bring food to the mouth and swallow food/ or liquid once the meal is placed before the patient. |\n| --- | --- | --- |\n|  | Indoor mobility (ambulation) | The need for assistance with walking from room to room (with or without a device such as cane, crutch, or walker) prior to the current illness, exacerbation, or injury. |\n|  | Stairs | Code the patient’s need for assistance with internal or external stairs (with or without a device such as cane, crutch, or walker) prior to the current illness, exacerbation, or injury. |\n|  | Functional\u003Cbr>cognition | Code the patient’s need for assistance with planning regular tasks, such as shopping or remembering to take medication prior to the current illness, exacerbation, or injury |\n\nPrior Device Use (Assessment Items GG 0110)  \nIndicate devices and aids used by the patient/ resident prior to the current illness, exacerbation, or injury (Check all that apply)  \nA  \nB  \nC  \n\n| o | Manual wheelchair |\n| --- | --- |\n| o | Motorized wheelchair and/or scooter |\n| o | Mechanical lift |\n\nItem  \nItem  \nDEZ  \n\n| o | Walker |\n| --- | --- |\n| o | Orthotics/ prosthetics |\n| o | None of the above |\n\nFunctional Limitation in Range of Motion (Assessment Item GG0115)+  \n3 = Independent; 2 = Need Some Help; 1 = Dependent; 8 = Unknown; 9 = Not Applicable  \nCode for limitation that interfered with daily functions or placed resident at risk of injury in the last 7 days  \nItem Definition  \nA  \n\n| o | Upper extremity | Shoulder, elbow, wrist, hand |\n| --- | --- | --- |\n\n+ This item is currently only utilized on the MDS  \nMobility Devices (Assessment Item GG0120)+  \nCheck all mobility devices that were normally used in the last 7 days  \nItem  \nA  \nB  \nC  \n\n| o | Cane/ crutch |\n| --- | --- |\n| o | Walker |\n| o | Wheelchair (manual or electric) |\n\n+ This item is currently only utilized on the MDS  \nItem Definition  \nB  \n\n| o | Lower extremity | Hip, knee, ankle, foot |\n| --- | --- | --- |\n\nItem  \nD  \nZ  \n\n| o | Limb prosthesis |\n| --- | --- |\n| o | None of the above were used |\n\nAdmission GG scores should reflect functional status prior to the benefit of services to capture the client’s true  \nbaseline.  \nSelf-Care Items (Assessment Items GG 0130)  \n6 = Independent; 5 = Setup; 4 = Supervision/Touching; 3 = Partial Assistance; 2 = Substantial Assistance; 1= Dependent; 07 = Refused; 09 = Not Applicable; 10","cbCaik38YnGvIbM3","https://ap.wps.com/l/cbCaik38YnGvIbM3","pdf",335980,"English","# Prior Functioning: Everyday Activities (Assessment Items GG 0100)\n# Prior Device Use (Assessment Items GG 0110)\n## Functional Limitation in Range of Motion (Assessment Item GG 0115)\n## Mobility Devices (Assessment Item GG 0120)\n# Self-Care Items (Assessment Items GG 0130)","[{\"question\":\"What is the purpose of Section GG in Medicare post-acute care evaluations?\",\"answer\":\"Section GG helps practitioners score and complete standardized functional assessment items used across post-acute care settings. It is designed as an interdisciplinary assessment and supports advocacy for OT’s value in these settings.\"},{\"question\":\"How are prior functioning scores categorized for everyday activities (GG 0100)?\",\"answer\":\"Scoring for everyday activities uses levels where 3 means Independent, 2 indicates Need Some Help, 1 means Dependent, 8 means Unknown, and 9 means Not Applicable.\"},{\"question\":\"Which devices should be reported in Prior Device Use (GG 0110) and Mobility Devices (GG 0120)?\",\"answer\":\"Prior Device Use asks to indicate devices and aids used before the current condition (check all that apply), including manual wheelchair, motorized wheelchair/scooter, mechanical lift, and other listed mobility devices. Mobility Devices (GG 0120) records mobility devices normally used in the last 7 days.\"}]","Section GG Medicare Functional Assessment - Form | PDF",1791936910]