NHA CCMA Pass Rate, Format & Study Guide

The NHA CCMA exam has 150 four-option multiple-choice questions and a 180-minute time limit (NHA test plan and candidate handbook). Scores are reported on a 200 to 500 scale and a scaled score of 390 or higher is required to pass. The test plan covers seven areas, led by Clinical Patient Care (56%). This portal's practice mock has 150 questions.

The CCMA is a nationally recognized credential that many clinics and hospitals look for when hiring clinical medical assistants.

Students and graduates of medical assistant programs, and working medical assistants who want a national credential.

The certifying body does not publicly publish an official pass rate for this exam. Be wary of third-party sites citing a specific number here — treat any pass-rate claim you see elsewhere for this exam as unverified.

The candidate handbook, allows three attempts with at least 30 days between them, then a one-year wait after a third failed attempt; each retake means paying the full exam fee again.

A scaled score of 390 or higher on the 200 to 500 scale is required to pass. Format: 150 questions in 180 minutes, four options each. No official pass rate is available for this exam, so none is quoted here.

The NHA CCMA exam has 150 four-option multiple-choice questions and a 180-minute time limit (NHA test plan and candidate handbook). Scores are reported on a 200 to 500 scale and a scaled score of 390 or higher is required to pass. The test plan covers seven areas, led by Clinical Patient Care (56%). This portal's practice mock has 150 questions. 150 questions (including unscored pretest items) · 180 minutes · four-option multiple choice · pass: scaled score of 390 or higher on a 200-500 scale. A scaled score of 390 or higher on the 200 to 500 scale is required to pass.

• Foundational Knowledge and Basic Science10%
• Anatomy and Physiology5.3%
• Clinical Patient Care56%
• Patient Care Coordination and Education8%
• Administrative Assisting8%
• Communication and Customer Service8%
• Medical Law and Ethics4.7%

The content outline spreads questions across 7 areas: Foundational Knowledge and Basic Science (10.0%); Anatomy and Physiology (5.3%); Clinical Patient Care (56.0%); Patient Care Coordination and Education (8.0%); Administrative Assisting (8.0%); Communication and Customer Service (8.0%); Medical Law and Ethics (4.7%).

NHA pages list a high school diploma or equivalent (or scheduled within 12 to 18 months, which differs by page) plus medical assistant training completed in the last five years; candidates with older training use a work-experience pathway. Confirm in the current NHA handbook.

$169 for the exam application was listed on the NHA store page. Each retake requires paying the full exam fee again, and renewal carries its own fee.

NHA certifications are renewed every two years with continuing education credits and a fee (one NHA page lists 10 credits); confirm the current renewal rules with NHA.

Start with the heaviest areas of the content outline: Clinical Patient Care (56.0%); Foundational Knowledge and Basic Science (10.0%); Patient Care Coordination and Education (8.0%). Then work through the remaining areas, and finish with timed full-length practice runs of 150 questions in one sitting.

Content outlines, fees and passing standards change; this guide follows the materials listed under Verification as of October 2026. Check the National Healthcareer Association before you register.