How to Become a CCMA in California (2026 Guide)

How to Become a CCMA in California: Step by Step

The CCMA exam and NHA eligibility rules are the same nationwide. California's only state-specific layer is that there isn't one — no separate state license beyond CCMA certification.

1. 1
   Meet NHA eligibility — two real pathways

   Either graduate from an NHA-approved, CAAHEP-, or ABHES-accredited medical assisting program, or qualify through work experience: 1 year of supervised work experience in the last 3 years, or 2 years in the last 5 years, verified by an employer attestation letter. (California residents using the work-experience path need the 2-year/5-year option specifically.)
2. 2
   Pass the national CCMA exam

   Register with NHA and pay the ~$165 exam fee (this never varies by state — verify current pricing at nhanow.com). The exam is 180 multiple-choice questions (150 scored, 30 unscored pretest) over 3 hours, at a PSI test center or via remote proctoring. A scaled score of 390 (out of 500) is required to pass.
3. 3
   Check California's scope-of-practice rules

   No general state MA credential — California defines medical assistants as unlicensed personnel. Completion of minimum prescribed training allows intradermal/subcutaneous/intramuscular injections and skin tests, but only with the supervising physician physically present in the treatment facility (a stricter supervision standard than most states).
4. 4
   Apply for your first CCMA position

   With CCMA certification in hand, you can apply to physician offices, outpatient clinics, and specialty practices. Average pay in California is $21.84/hr.

Frequently Asked Questions