CCM Practice Test

Prepare for your test with realistic questions.

The Certified Case Manager (CCM) exam, which is administered by the Commission for Case Manager Certification, is the gold standard for assessing your knowledge and competency to become certified as a case manager. This page will cover the CCM examination, what information the examination covers, the number and type of questions you can expect, the score you need to pass, and everything you need to register for the assessment.

Click “Start Test” above to take a free CCM practice test!

CCM Exam Eligibility

To be eligible to take the CCM exam, you must meet the education requirements and at least ONE of the work experience requirements:


You must have a current, active, and unrestricted health or human services license, certification, or degree.

Work Experience

Category 1
You must have at least 12 months of full-time case management experience directly supervised by a board-certified case manager.

Category 2
You must have at least 24 months of full-time case management experience (no proof of supervision is necessary).

Category 3
You must have 12 months of full-time case management experience as a supervisor of case management services.

Code of Conduct

You also need to comply with the CCMC Code of Professional Conduct:

A list of eight items in the CMCC Code of Professional Conduct

CCM Exam Outline

The CCM exam contains 180 multiple-choice questions, and you will be given a total of 3 hours to finish it. Out of the 180 questions, 30 questions are “pretest” questions that do not count toward your final score. These unscored questions are used by the test administrators to gauge the quality and validity of the questions for future versions of the exam.

The exam is split into five knowledge domains:

I. Care Delivery and Reimbursement Methods (42 questions)

The questions in this domain take up 28% of the exam. Here are some of the topics they cover:

  • Healthcare delivery systems
  • Case management models, tools, and processes
  • Principles of cost containment
  • Management of clients with acute and chronic illnesses
  • Financial resources
  • Military and veteran benefit programs
  • Case management goals and objectives
  • Hospice/palliative/end-of-life care
  • Coding methodologies
  • Alternative care facilities
  • Negotiation techniques
  • Payment and reimbursement methodologies
  • Utilization management guidelines and principles

II. Psychosocial Concepts and Support Systems (38 questions)

The questions in this domain take up 25% of the exam. Here are some of the topics they cover:

  • Health literacy
  • Client empowerment, engagement, activation, and self-care management
  • Community resources
  • Psychological and neuropsychological assessment
  • Health coaching
  • Abuse and neglect
  • Social determinants of health
  • Multicultural factors that may affect health
  • Gender health
  • Supportive care programs

III. Quality and Outcomes Evaluation and Measurements (29 questions)

The questions in this domain take up 19% of the exam. Here are some of the topics they cover:

  • Types of quality indicators
  • Cost-benefit analysis
  • Program evaluation methods
  • Healthcare analytics
  • Accreditation standards and requirements
  • Quality and performance improvement concepts

IV. Rehabilitation Concepts and Strategies (16 questions)

The questions in this domain take up 11% of the exam. Here are some of the topics they cover:

  • Life care planning
  • Adaptive technologies
  • Vocational aspects of illnesses and disabilities
  • Work adjustment
  • Transitional employment
  • Functional capacity evaluation
  • Job accommodation

V. Ethical, Legal, and Practice Standards (25 questions)

The questions in this domain take up 17% of the exam. Here are some of the topics they cover:

  • Professional practice ethics
  • Risk management
  • Case recording/documentation
  • Privacy and confidentiality
  • Legal and regulatory requirements
  • Healthcare- and disability-related legislation

exam outline for the CCM exam, which contains 180 multiple-choice questions and has a time limit of 3 hours

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CCM Exam Registration

Once you have confirmed that you meet all of the necessary requirements, you may send an application to CCMC. Some things you will need to include in your application are your license, certification, or degree, as well as the examination fee.

Once you have been approved to take the exam, you will receive an Authorization to Test (ATT) via email.


The nonrefundable application fee is $225, and the examination fee is $195. This means that you must pay a total of $420 when you send in your application.

Various fees may apply if you need to reschedule your exam. If you reschedule your exam at least 30 days in advance, there is no fee to pay. If you reschedule your exam 5-29 days beforehand, the fee is $35, while rescheduling 4 days or fewer beforehand results in a fee of $85.

Test Day

There are two available testing methods for the CCM exam: in-person testing and remote testing.

In-person Testing

You should arrive at the testing center 15-30 minutes prior to your scheduled exam time. A late arrival means you will not be able to take the exam. Once you arrive, you will be asked to show a valid government-issued photo ID.

Before you enter the testing room, you will be asked to leave all personal items in a secure locker outside the room. Personal items include things like your cell phone, bags, pencils, car keys, and jackets. Paper, pencils, and noise-canceling headphones are provided if needed.

Once the exam begins, you will be allowed to take breaks as you need to. However, the timer does not stop when you take a break, so use your time wisely.

Remote Testing

You should log in to your account 15-30 minutes before the scheduled exam time. This will allow you to perform a system readiness check and download and install the ProProctor app.

The system readiness check will ensure that you have everything you need to remotely take the exam, such as a webcam, microphone, adequate internet connection, adequate screen resolution, and up-to-date operation system.

After the system check and after you download the ProProctor app, a short check-in process will begin, which includes presenting your photo ID to the proctor and scanning your room with the webcam.

You will not be allowed to use a dual- or multi-monitor setup, and no pets or people are allowed to be in the room with you.

Once the proctor is satisfied that you are ready to go, the exam will begin.

How the CCM Exam is Scored

Because of the exam’s digitized format, there’s a bit of convenience when it comes to the scoring process. Once you complete the exam at your designated testing site, you’ll be given prompt indication of whether you have failed or passed and thus earned your full certification. We recommend taking this notification with the slightest grain of salt. While this indicator has a very high accuracy rate—99 percent, to be exact—there is still a margin of error. The grading process for CCM certification is extremely intricate. You could potentially be thought to have scored one way and actually performed oppositely.

If you’ve done well on the exam, congratulations! You’ve officially gained full certification and can now practice. You will officially be recognized as a CCM and can suffix this title professionally. You can expect to receive your new certificate in the mail.

Retaking the CCM Exam

If you have failed the exam, we’d first like to assure you to not feel too discouraged. Generally CCM test takers will know they have failed the exam by way of email, which will contain a full profile displaying their scores on the exam and how they did on each specific section. The CCM exam permits retakes, but only in accordance to the regular schedule already set for the exam. Retakes are not free, and come with a limited window. If you cannot retest within the allotted time frame, you will have to file another application and re-apply as if you were taking the test for the very first time.

No matter how well you do on the exam, you can always locate your score on the official website for CCM certification. When you first registered to take the exam, your application was stored on the website and will further contain more information about your score.

Online CCM Prep Course

If you want to be fully prepared, Mometrix offers an online CCM Prep Course. The course is designed to provide you with any and every resource you might want while studying. The CCM Course includes:

  • Review Lessons Covering Every Topic
  • 1,450+ CCM Practice Questions
  • More than 350 Electronic Flashcards
  • Money-back Guarantee
  • Free Mobile Access
  • and More!

The CCM Prep Course is designed to help any learner get everything they need to prepare for their CCM exam. Click below to check it out!

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How to Study for the CCM Exam

How to Study Effectively

Your success on CCM test day depends not only on how many hours you put into preparing but also on whether you prepared the right way. It’s good to check along the way to see whether your studying is paying off. One of the most effective ways to do this is by taking CCM practice tests to evaluate your progress. Practice tests are useful because they show exactly where you need to improve. Every time you take a free CCM exam practice test, pay special attention to these three groups of questions:

  • The questions you got wrong
  • The ones you had to guess on, even if you guessed right
  • The ones you found difficult or slow to work through

This will show you exactly what your weak areas are and where you need to devote more study time. Ask yourself why each of these questions gave you trouble. Was it because you didn’t understand the material? Was it because you didn’t remember the vocabulary? Do you need more repetitions on this type of question to build speed and confidence? Dig into those questions and figure out how you can strengthen your weak areas as you go back to review the material.

Answer Explanations

Additionally, many CCM practice tests have a section explaining the answer choices. It can be tempting to read the explanation and think that you now have a good understanding of the concept. However, an explanation likely only covers part of the question’s broader context. Even if the explanation makes sense, go back and investigate every concept related to the question until you’re positive you have a thorough understanding.

Comprehend Each Topic

As you go along, keep in mind that the CCM practice test is just that: practice. Memorizing these questions and answers will not be very helpful on the actual test because it is unlikely to have any of the same exact questions. If you only know the right answers to the sample questions, you won’t be prepared for the real thing. Study the concepts until you understand them fully, and then you’ll be able to answer any question that shows up on the test.

Strategy for CCM Practice

When you’re ready to start taking practice tests, follow this strategy:

  • Remove Limitations. Take the first test with no time constraints and with your notes and CCM study guide handy. Take your time and focus on applying the strategies you’ve learned.
  • Time Yourself. Take the second practice test “open book” as well, but set a timer and practice pacing yourself to finish in time.
  • Simulate Test Day. Take any other practice tests as if it were test day. Set a timer and put away your study materials. Sit at a table or desk in a quiet room, imagine yourself at the testing center, and answer questions as quickly and accurately as possible.
  • Keep Practicing. Keep taking practice tests on a regular basis until you run out of practice tests or it’s time for the actual test. Your mind will be ready for the schedule and stress of test day, and you’ll be able to focus on recalling the material you’ve learned.



How many questions are on the CCM exam?


There are 180 multiple-choice questions on the exam.


How long do you have to take the CCM?


The time limit for this exam is 3 hours.


How much does it cost to take the CCM exam?


The application fee for the exam is $225, and the examination fee is $195, which is a total of $420.


What is the pass rate for the CCM exam?


The average pass rate for the CCM exam ranges between 80% and 85%.


What is a passing score for the CCM exam?


To pass the exam, you must score 70% or higher.

By Kate Nockunas

Kate has been Mometrix’s Nursing and Medical Editor for over four years. She has a bachelor’s degree in Communications from Vanderbilt University, a bachelor’s degree in Nursing from Marymount University, and a master’s degree in Education from Johns Hopkins. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU.


by Mometrix Test Preparation | Last Updated: June 28, 2024