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Key Takeaways

  • NHA CCMA uses 180 total items: 150 scored plus 30 pretest items
  • The exam time limit is 3 hours
  • NHA candidate handbook scoring uses a 200-500 scale with a 390 passing standard
  • The largest scored domain is Clinical Patient Care (84 of 150 scored items)
  • NHA supports school-based, PSI center, and live remote proctoring delivery options
  • For online CCMA exams, NHA states official results post to the account within two days of scoring
  • Certification renewal is on a 2-year cycle with continuing education requirements
Last updated: February 2026

CCMA at a Glance

The Certified Clinical Medical Assistant (CCMA) credential is offered by the National Healthcareer Association (NHA) and is widely used in ambulatory and outpatient medical settings.

Current exam structure (NHA sources)

ItemCCMA detail
Total questions180
Scored questions150
Pretest questions30
Time limit3 hours
Scoring modelScaled score (200-500)
Passing standard390
Renewal cycle2 years

Scored-domain distribution (150 scored items)

  • Foundational Knowledge and Basic Science: 15
  • Anatomy and Physiology: 8
  • Clinical Patient Care: 84
  • Patient Care Coordination and Education: 12
  • Administrative Assisting: 12
  • Communication and Customer Service: 12
  • Medical Law and Ethics: 7

Eligibility summary

NHA lists two common pathways:

  1. High school diploma/equivalency plus completion of a medical assistant training/education program (within the stated window)
  2. High school diploma/equivalency plus qualifying supervised work-experience pathway

Always verify current eligibility and scheduling rules in your NHA account before booking.

2026 prep priority

Because Clinical Patient Care is 84 of 150 scored items, your study plan should weight that domain most heavily while maintaining regular reps in administrative, communication, and ethics decisions.

CCMA Scored Items by Domain (NHA Test Plan)
Test Your Knowledge

How many scored items are on the CCMA exam?

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Test Your Knowledge

Which CCMA domain carries the most scored items?

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Up Next

Terminology, Pharmacology Basics, and Body Systems

Chapter 1: Foundational Knowledge, Basic Science, and A&P