CCMA exam guide

The NHA CCMA exam has 150 scored and 30 pretest questions in 3 hours; Clinical Patient Care is 84 of the 150 scored items, and you need a scaled score of 390 to pass.

Updated 2026-09-23 · 3 sources · By the HealthCert Prep team

CCMA at a glance

Questions
180
150 scored
Time
3 hr
Passing
390
scale 200-500
Renewal
2 yr
10 CE credits

CCMA test plan (2022 job analysis)

DomainScored items
Foundational Knowledge and Basic Science15
Anatomy and Physiology8
Clinical Patient Care (intake/vitals 14, general care 28, infection control 15, POC/lab 9, phlebotomy 12, EKG 6)84
Patient Care Coordination and Education12
Administrative Assisting12
Communication and Customer Service12
Medical Law and Ethics7

Eligibility and rules

ItemDetail
Pathway 1High school diploma/GED + a medical assistant training program completed within the last 5 years
Pathway 2High school diploma/GED + 1 year of supervised medical assisting work in the last 3 years (or 2 years in the last 5)
DeliveryPSI test center, live remote proctoring, or approved school site
Retakes3 attempts, at least 30 days apart
RenewalEvery 2 years with 10 CE credits; 1 year to reinstate after expiring

6-week study plan

  1. Weeks 1-3: Clinical Patient Care

    Vitals, injections, infection control, phlebotomy order of draw and EKG basics - 56% of the exam.

  2. Week 4: Foundations and A&P

    Medical terminology, body systems, scope of practice.

  3. Week 5: Admin, communication, law

    Scheduling, insurance basics, HIPAA, consent.

  4. Week 6: Timed practice

    Two full-length timed tests and review every miss.

CCMA practice test

CCMA practice test

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Frequently asked questions

How many questions are on the CCMA exam?

180: 150 scored and 30 unscored pretest questions, in 3 hours.

What score do I need to pass the CCMA?

A scaled score of 390 on a 200-500 scale.

Can I take the CCMA without going to school?

Yes, with 1 year of supervised medical assisting work in the last 3 years (or 2 in the last 5) plus a high school diploma or equivalent.

How do I renew my CCMA?

Every 2 years: complete 10 CE credits and pay the recertification fee.

How much does the CCMA exam cost?

NHA lists the current fee in its online shop; we have not listed a number because published figures differ - check at registration.

Sources

  1. NHA - CCMA Test Plan (2022 job analysis) (accessed 2026-09-23)
  2. NHA - Certified Clinical Medical Assistant (CCMA) (accessed 2026-09-23)
  3. NHA - Candidate Handbook (accessed 2026-09-23)