Free Practice Questions for BC-TMH
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Key Facts: BC-TMH Exam
120
TMHE Items
12 cases × 10 items (100 scored + 20)
3 hrs
Exam Time
CCE
$250
Total Cost
$100 exam + $150 application
988
Suicide Lifeline
Replaced 1-800-273-TALK 2022
CCE BC-TMH is the telemental health specialty credential for licensed MH providers. TMHE: 120 MCQ (12 cases × 10 items), 3 hours, $100 exam + $150 app. Master HIPAA BAA requirement (Doxy.me/Zoom for HC compliant; FaceTime/consumer NOT), PSYPACT for psychologists (39+ states), Counseling Compact, location verification at session start, Tarasoff in TMH, and 988 Suicide & Crisis Lifeline.
Sample BC-TMH Practice Questions
Try these sample questions to review concepts for the BC-TMH exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1Which document MUST a telemental health (TMH) provider have in place with their video platform vendor to maintain HIPAA compliance?
2A counselor licensed only in Ohio receives a session request from a long-term client who has just moved to Florida and is now physically located in Tampa. What is the MOST appropriate action?
3PSYPACT primarily authorizes which professionals to deliver telehealth across state lines in member states?
4Which element is REQUIRED in a TMH-specific informed consent that is NOT typically required in standard in-person informed consent?
5During the COVID-19 Public Health Emergency, HHS issued an enforcement discretion notice that allowed providers to use which of the following platforms temporarily?
6A client receiving substance use disorder treatment via TMH at a Part 2 program asks the counselor to share progress with their employer. Under 42 CFR Part 2, what is required for this disclosure?
7Which of the following BEST describes the ethical responsibility of a TMH provider regarding client identity at the START of the therapeutic relationship?
8A TMH client discloses that their roommate, who is identifiable, will 'pay for what they did.' The client describes a plan and access to a weapon. The counselor's PRIMARY duty under Tarasoff jurisprudence is to:
9A counselor records TMH sessions for supervision. Which step is MOST critical before recording?
10A 14-year-old in California seeks TMH counseling without parental knowledge. The counselor should FIRST:
About the BC-TMH Exam
CCE Board Certified TeleMental Health Provider — for licensed counselors, psychologists, and social workers practicing telemental health. Telemental Health Examination (TMHE): 120 MCQ items organized as 12 case studies of 10 items each, 3 hours. Covers legal and ethical issues (HIPAA, informed consent, jurisdictional licensure, PSYPACT/Counseling Compact, mandated reporting), technology (HIPAA-compliant platforms, BAA, encryption, MFA), clinical practice (assessment, working alliance, modality adaptation), crisis and safety in TMH (suicide assessment via video, location verification, 988), and cultural/developmental considerations.
Exam sponsor: Center for Credentialing & Education (CCE — NBCC affiliate). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Questions
120 questions
Time Limit
3 hours
Passing Score
Per CCE
Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Official sources
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
Legal & Ethical
HIPAA, informed consent, jurisdiction, PSYPACT/Counseling Compact, mandated reporting, Tarasoff, 42 CFR Part 2
Clinical Practice
Assessment, working alliance, CBT/DBT/EMDR/MI adaptation, group/couples TMH, video fatigue
Technology & Platforms
HIPAA-compliant platforms, BAA, E2EE, MFA, audit logs, recording, AI scribe
Crisis & Safety in TMH
C-SSRS suicide assessment via video, 988 Lifeline, Stanley-Brown safety planning, emergency dispatch
Cultural & Developmental
Adolescent consent, peds engagement, digital divide, language access, accessibility
Preparing for the BC-TMH Exam
What You Need to Know
- Passing score: Per CCE
- Exam length: 120 questions
- Time limit: 3 hours
- Exam / certification fees: $100 exam + $150 application Official sources
Using Our Practice Resources
- Work through all 100 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
BC-TMH: Suggested Study Strategy
Frequently Asked Questions
Which video platforms are HIPAA-compliant for telemental health?
HIPAA-compliant platforms with available BAA (Business Associate Agreement): Zoom for Healthcare, Doxy.me, SimplePractice, TheraNest, TherapyNotes, VSee, Spruce Health. NOT compliant by default: consumer FaceTime, Skype, WhatsApp, Google Meet (consumer), Facebook Messenger. Note: HHS issued a public health emergency waiver during COVID-19 (2020-2023) allowing non-compliant platforms; the waiver ENDED in May 2023 — providers must now use HIPAA-compliant platforms.
What is PSYPACT and how does it differ from the Counseling Compact?
PSYPACT (Psychology Interjurisdictional Compact): allows psychologists licensed in member states to practice telepsychology AND temporary in-person practice across state lines (39+ states as of 2024). Requires E.Passport for telepsychology. Counseling Compact (different agreement, also growing): allows licensed professional counselors (LPCs) to practice across compact-member states. Social Work Compact (separate, newer) for LCSWs. Verify license + compact membership for client's STATE OF PHYSICAL LOCATION at every session.
How is suicide risk assessed via telemental health?
Use validated tools (Columbia C-SSRS, ASQ) adapted for video. Critical TMH-specific steps: (1) verify client's exact LOCATION at start of every session (address, nearest ER); (2) collect emergency contact + local crisis resources; (3) document client's physical setting; (4) for high-risk clients, arrange in-person support (family, mobile crisis); (5) keep 988, local crisis line, and 911 dispatchable to client's address ready. If session disconnects during crisis: call client, dispatch wellness check to verified address.
How should I study for CCE BC-TMH?
Plan 40-80 hours over 6-10 weeks. Focus weighted study on Legal/Ethical (30%) and Clinical Practice (30%) — together 60% of exam. Master HIPAA BAA requirements + post-COVID waiver expiration, PSYPACT + Counseling Compact + Social Work Compact, Tarasoff in TMH, location verification protocols, and 988 Lifeline. Review the CCE TMHE Handbook + CCE 9-hour TMH training (prerequisite). The case-study format requires applying concepts to scenarios — practice case-based questions.