A hospital helps a patient choose a home health agency or skilled nursing facility. What must it use and share with the patient?42 CFR 482.43, Condition of participation: Discharge planning (CMS, hospitals), paragraph (a)(8). Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Care Management (transitions of care).
A patient spent two days in observation and then two days as an admitted inpatient before moving to a skilled nursing facility. Does this meet Medicare's qualifying inpatient stay?Medicare.gov, Skilled nursing facility care. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Care Management (levels of care: inpatient, observation, outpatient).
The Commission defines case management as a dynamic process that does which six things?The Commission for Case Manager Certification, CCM Certification Guide (07.2026). Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Care Management (case management models, processes and tools).
For Medicare home health services, what does "homebound" mean?Medicare.gov, Home health services. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Care Management (features of care settings).
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Care management, continued
How do POLST and MOLST forms differ from a living will?National Institute on Aging, Advance Care Planning: Advance Directives for Health Care. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Care Management (advanced care planning).
Long-term care hospitals typically care for which patients?Medicare.gov, Long-term care hospital services. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Care Management (features of care settings).
Under the Medicare condition of participation, what must a hospital's discharge planning process focus on?42 CFR 482.43, Condition of participation: Discharge planning (CMS, hospitals). Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Care Management (transitions of care).
What does a durable power of attorney for health care do?National Institute on Aging, Advance Care Planning: Advance Directives for Health Care. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Care Management (advanced care planning: power of attorney, health care surrogate).
What is medication reconciliation?AHRQ Patient Safety Network, Medication Reconciliation. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Care Management (medication management: reconciliation).
Which condition is part of qualifying for the Medicare hospice benefit?Medicare.gov, Hospice care. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Care Management (palliative, hospice and end-of-life care).
Which document tells doctors how a person wants to be treated if they cannot make their own decisions about emergency treatment?National Institute on Aging, Advance Care Planning: Advance Directives for Health Care. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Care Management (advanced care planning).
Which part of Medicare covers a medically necessary walker or wheelchair for use at home?Medicare.gov, Durable medical equipment (DME) coverage. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Care Management (features of care settings; cost containment).
Which program gives coordinated medical and social services so that older adults who need nursing home-level care can stay in the community?Medicare.gov, PACE. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Care Management (collaboration with community-based support services).
Which residential setting is for people who need help with daily care, but not as much help as a nursing home provides?National Institute on Aging, Long-Term Care Facilities: Assisted Living, Nursing Homes, and Other Residential Care. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Care Management (features of care settings).
Who can receive palliative care, by the National Institute on Aging?National Institute on Aging, What Are Palliative Care and Hospice Care?. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Care Management (palliative, hospice and end-of-life care).
Reimbursement methods 6
After the deductible, a plan member pays 20% of the allowed amount for each covered service. What is this kind of cost sharing called?HealthCare.gov Glossary, Coinsurance. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Reimbursement Methods (insurance principles: benefit, copays).
How is Medicaid funded and run?Medicaid.gov, Medicaid. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Reimbursement Methods (public benefit programs: Medicare, Medicaid).
Once Social Security finds that a disability began, how long is the wait before entitlement to Social Security Disability Insurance benefits can begin?Social Security Administration, Disability benefits: You are approved. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Reimbursement Methods (public benefit programs: SSI, SSDI).
Under Medicare's inpatient prospective payment system, how is each hospital case categorized for payment?CMS, Acute Inpatient PPS. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Reimbursement Methods (payment methodologies; coding methodologies: DRG).
What is preauthorization?HealthCare.gov Glossary, Preauthorization. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Reimbursement Methods (utilization review/management).
Which program pays monthly benefits to people with disabilities and older adults who have little or no income or resources?Social Security Administration, Supplemental Security Income (SSI). Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Reimbursement Methods (public benefit programs: SSI, SSDI).
Psychosocial concepts and support systems 10
A case manager asks a patient to demonstrate how he will use his new inhaler. Which method from the AHRQ toolkit is this?AHRQ Health Literacy Universal Precautions Toolkit, Tool 5: Use the Teach-Back Method. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Psychosocial Concepts and Support Systems (health literacy, education needs and language barriers).
A client lives in housing with mold on a street with no safe sidewalks. Which Healthy People 2030 domain of social determinants of health does this fall under?Healthy People 2030 (HHS), Social Determinants of Health. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Psychosocial Concepts and Support Systems (social drivers of health).
A client says she intends to cut back on drinking some time in the next six months but has taken no steps. Which stage of change is this?National Cancer Institute, Theory at a Glance: A Guide for Health Promotion Practice (2nd ed.), Part 2, Stages of Change. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Psychosocial Concepts and Support Systems (behavioral change theories and client readiness).
A nephew uses an older client's bank card without her permission. Which type of elder abuse is this?National Institute on Aging, Elder Abuse. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Psychosocial Concepts and Support Systems (signs of abuse and neglect).
In behavioral health, what does the term co-occurring disorders mean?SAMHSA, Co-Occurring Disorders and Other Health Conditions. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Psychosocial Concepts and Support Systems (behavioral health concepts: dual diagnoses, co-occurring disorders).
What does motivational interviewing help a client do?Wikipedia, Motivational interviewing. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Psychosocial Concepts and Support Systems (tools and techniques to promote client engagement).
What is SBIRT?SAMHSA, Screening, Brief Intervention, and Referral to Treatment (SBIRT). Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Psychosocial Concepts and Support Systems (behavioral health concepts: substance use).
Which of these does the National Institute on Aging name among brief tools for a first check of cognitive impairment?National Institute on Aging, Assessing Cognitive Impairment in Older Patients. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Psychosocial Concepts and Support Systems (assessments that measure psychological and cognitive capacity).
Which of these is one of the principles of a trauma-informed approach that SAMHSA lists?SAMHSA, Trauma-Informed Approaches and Programs. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Psychosocial Concepts and Support Systems (trauma-informed care principles).
Which term means a client's confidence in their own ability to take action?National Cancer Institute, Theory at a Glance: A Guide for Health Promotion Practice (2nd ed.), Part 2, Health Belief Model. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Psychosocial Concepts and Support Systems (client empowerment, engagement and self-care management).
Quality and outcomes evaluation and measurements 5
After a serious adverse event, a hospital looks for the underlying problems that made the error likely, not for individual mistakes. Which method is this?AHRQ Patient Safety Network, Root Cause Analysis. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Quality and Outcomes Evaluation and Measurements (quality and performance improvement methods, tools and processes).
What does the HCAHPS survey measure?CMS, HCAHPS: Patients' Perspectives of Care Survey. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Quality and Outcomes Evaluation and Measurements (quality indicators: client experience of care).
What is HEDIS?National Committee for Quality Assurance, HEDIS. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Quality and Outcomes Evaluation and Measurements (sources of quality indicators: HEDIS, NCQA).
What is the goal of CMS's original value-based programs?CMS, Value-Based Programs. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Quality and Outcomes Evaluation and Measurements (impact of case management practices on value-based care).
What marks a cost-benefit analysis?CDC, Cost-Benefit Analysis. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Quality and Outcomes Evaluation and Measurements (basic elements of cost-benefit analysis).
Rehabilitation concepts and strategies 5
A client with a hearing disability wants to place a telephone call through Telecommunications Relay Service. Which number reaches it?Federal Communications Commission, Telecommunications Relay Service (TRS). Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Rehabilitation Concepts and Strategies (adaptive technologies: text telephone device).
Bathing, dressing and eating are examples of what?National Institute on Aging, What Is Long-Term Care?. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Rehabilitation Concepts and Strategies (basic functional capacity: ADLs, IADLs).
How does the federal State Vocational Rehabilitation Services Program work?Rehabilitation Services Administration, State Vocational Rehabilitation Services Program. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Rehabilitation Concepts and Strategies (vocational rehabilitation programs and resources).
Which Medicare-covered setting is for patients who need an intensive rehabilitation therapy program, physician supervision and coordinated care?Medicare.gov, Inpatient rehabilitation care. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Rehabilitation Concepts and Strategies (care coordination related to rehabilitation settings: LTAC, acute rehab, SNF).
Whom does Social Security's Ticket to Work Program serve?Social Security Administration, Ticket to Work. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Rehabilitation Concepts and Strategies (return to work strategies).
Ethical, legal and practice standards 9
A case manager also has a role with the payer on the same case. What does the Code say about a dual relationship of this kind?The Commission for Case Manager Certification, Code of Professional Conduct for Case Managers (1.2026), S 19. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Ethical, Legal, and Practice Standards (ethical standards).
A case manager has a conflict of interest and discloses it fully. One affected party objects. What does the Code require next?The Commission for Case Manager Certification, Code of Professional Conduct for Case Managers (1.2026), S 6. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Ethical, Legal, and Practice Standards (ethical standards).
A client on unpaid Family and Medical Leave Act leave worries about losing the health plan at work. What does the Act require of the employer?U.S. Department of Labor, Family and Medical Leave Act. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Ethical, Legal, and Practice Standards (health care legislation: FMLA).
A person asks for examination of a possible emergency condition at a Medicare-participating hospital that offers emergency services. What must the hospital provide, whatever the ability to pay?CMS, Emergency Medical Treatment & Labor Act (EMTALA). Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Ethical, Legal, and Practice Standards (health care legislation: EMTALA).
After a breach of unsecured protected health information is discovered, by when must the covered entity notify the affected individuals?HHS Office for Civil Rights, Breach Notification Rule. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Ethical, Legal, and Practice Standards (privacy and confidentiality; HIPAA).
Before starting services, what must a case manager tell the client at a minimum, under the Code?The Commission for Case Manager Certification, Code of Professional Conduct for Case Managers (1.2026), S 9. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Ethical, Legal, and Practice Standards (ethical standards: refusal of treatment/services).
The employment title of the Americans with Disabilities Act applies to employers with how many employees?ADA.gov, Introduction to the Americans with Disabilities Act. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Ethical, Legal, and Practice Standards (disability related legislation: ADA).
Under Principle 1 of the Code of Professional Conduct for Case Managers, whose interest does a board-certified case manager place above their own at all times?The Commission for Case Manager Certification, Code of Professional Conduct for Case Managers (1.2026), Principle 1. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Ethical, Legal, and Practice Standards (ethical standards).
Under the Affordable Care Act, what may a Marketplace health plan do about a condition a person had before coverage started?HealthCare.gov, Coverage for pre-existing conditions. Outline: CCM Certification Guide 07.2026, Section 9, knowledge domains, Ethical, Legal, and Practice Standards (health care legislation: Affordable Care Act).
How this list was compiled: Our own questions, written to the six knowledge domains of the CCM examination that The Commission for Case Manager Certification publishes in Section 9 of its CCM Certification Guide dated 07.2026 (https://yourcommission.org/sites/commish/files/docs/Updated%20Guides/CCM/CCM%20Certification%20Guide%2007.2026_FINAL.pdf, read 2026-10-09; the examination was updated in August 2025): Care Management 30%, Reimbursement Methods 12%, Psychosocial Concepts and Support Systems 20%, Quality and Outcomes Evaluation and Measurements 10%, Rehabilitation Concepts and Strategies 10%, Ethical, Legal, and Practice Standards 18%. The bank holds 15, 6, 10, 5, 5 and 9 questions. Every fact was read on 2026-10-09 in the public source the question names: Medicare.gov, CMS, Medicaid.gov, the Social Security Administration, HealthCare.gov, federal regulations on ecfr.gov (42 CFR 482.43), the National Institute on Aging, AHRQ, SAMHSA, the CDC, Healthy People 2030, HHS, ADA.gov, the Department of Labor, the FCC, the Rehabilitation Services Administration, NCQA, the National Cancer Institute, the Commission's own Certification Guide and Code of Professional Conduct, and one Wikipedia article. Licence: Questions, choices and explanations are original work of this site.
How it works
This free CCM certification practice test has 50 questions of our own in the six knowledge domains of the Certified Case Manager exam. Unofficial: not affiliated with or endorsed by The Commission for Case Manager Certification.
Read the full guide
What the exam covers
The Commission's CCM Certification Guide, dated July 2026 and read October 9, 2026, lists six domains: care management 30%, reimbursement methods 12%, psychosocial concepts and support systems 20%, quality and outcomes 10%, rehabilitation concepts and strategies 10%, and ethical, legal and practice standards 18%. This bank holds 15, 6, 10, 5, 5 and 9.
Where the facts come from
Each answer names the public page it was read in: Medicare.gov, the Social Security Administration, the Commission's own Code of Professional Conduct and others. The Commission's reference books and glossary app were not used, so terms found only there are not asked.
Timing
Exam mode asks 40 questions in 40 minutes, the pace of the real exam: 180 questions in three hours.
Medicare dollar amounts change each year, so this bank asks the rules (days, percentages, who qualifies) and not the amounts.
Questions and answers
Is this a Certified Case Manager exam study guide?
It can serve as one for self-testing: every question names its domain and the public source of its answer. It is not the Commission's material, and no question comes from the real exam or its practice items.
How many questions are on the CCM exam?
180 multiple choice items in three hours. 150 are operational and 30 are pretest items that are not scored, by the Commission's Certification Guide.
Does the CCM exam have four answer choices?
Not always. The Commission says the exam is a blend of 3-answer and 4-answer multiple choice questions. Every question on this page has four choices.
What is the passing score for the CCM exam?
The Commission converts raw scores to scaled scores, so that every form of the exam asks for the same level of ability, and prints no raw pass mark. A preliminary pass or no pass shows on screen when the exam ends.
Can you retake the CCM exam?
Yes, while still within the initial eligibility. The Commission's exam guide says the retake has to be scheduled in the next exam cycle available.