CMGT-BC exam guide
About the Nursing Case Management (CMGT-BC) exam
CMGT-BC assesses professional case management, utilization and benefit management, resource coordination, transitions, quality measurement, and health promotion. It emphasizes advocacy and longitudinal coordination across payors, providers, settings, communities, and patient goals.
MedPorium is an independent education platform and is not affiliated with or endorsed by American Nurses Credentialing Center (ANCC). Exam details can change; confirm them with the official source before applying.
CMGT-BC exam format at a glance
- Questions
- 150
- 125 scored; 25 unscored
- Time
- 3 hours
- Delivery
- Computer-based testing through Prometric
Knowledge to review for the CMGT-BC exam
These foundations support the practical tasks in the official examination matrix.
Professional case management
- Ethics, advocacy, scope, standards, consent, confidentiality, and documentation
- Case-management models, roles, boundaries, communication, and collaboration
- Patient goals, autonomy, equity, safety, and resource stewardship
Coordination and quality
- Utilization review, authorization, denial, appeal, benefits, reimbursement, and cost sharing
- Providers, community resources, transitions, handoffs, follow-up, and continuity
- Guidelines, regulation, data, benchmarking, outcomes, and improvement
Health promotion
- Disease and medication management, wellness, education, readiness, and motivational interviewing
- Risk stratification, screening, population health, and risk reduction
- Health literacy, reconciliation, advance planning, social drivers, and health equity
CMGT-BC examination matrix
The percentages below are the approximate exam-score weights published by American Nurses Credentialing Center (ANCC). Use them to allocate study time, then adjust for your own weak areas.
22%
Professional Foundation
Apply ethics, standards, scope, advocacy, and core nursing case-management principles.
- Protect autonomy, privacy, informed choice, and professional boundaries
- Apply case-management standards, roles, documentation, and ethical reasoning
- Advocate for equitable, safe, patient-centered access and resources
30%
Care Coordination
Navigate utilization, benefits, providers, resources, and transitions across the continuum.
- Address authorization, denial, appeal, reimbursement, cost-sharing, and benefit questions
- Coordinate providers and community resources around patient goals
- Plan, facilitate, communicate, and evaluate transitions and follow-up
26%
Quality Management
Use evidence, regulation, data, benchmarks, outcomes, and improvement methods to evaluate care.
- Apply guidelines, evidence, and government requirements
- Collect, analyze, compare, and communicate meaningful data
- Measure outcomes and implement performance-improvement responses
23%
Health Promotion
Support disease management, education, behavior change, safety, population health, equity, and advance planning.
- Assess readiness and use motivational interviewing and health-literacy principles
- Promote medication reconciliation, safety, screening, wellness, and risk reduction
- Address social drivers, equity, support systems, and advance-care needs
How to use this CMGT-BC diagnostic
Use the diagnostic to separate gaps in professional foundation, authorization and benefits, transitions, data and quality, disease management, motivational communication, equity, and safety. Because ANCC is transitioning this program to renewal-only, verify the application and testing deadlines before relying on a study schedule.
High-yield CMGT-BC study priorities
Priority 1
Map the full coordination chain
Practise from referral and assessment through authorization, resource matching, transition, follow-up, outcome evaluation, and closure.
Priority 2
Distinguish utilization decisions
Know when a case involves medical necessity, benefit limits, authorization, denial, appeal, level of care, cost sharing, or coordination of benefits.
Priority 3
Turn data into improvement
Connect measures and benchmarks to root causes, interventions, outcome trends, and next actions rather than memorizing definitions.
Priority 4
Track the retirement timeline
Build the study plan around ANCC's published application and testing deadlines and recheck the official page before applying or scheduling.
CMGT-BC exam FAQ
How many questions are on the CMGT-BC exam?
ANCC currently lists 150 questions: 125 scored questions and 25 unscored pretest questions that cannot be distinguished during the examination.
How long is the CMGT-BC exam?
ANCC allows 3 hours to answer the 150 questions.
How is the CMGT-BC content outline weighted?
The current outline is weighted Professional Foundation 22%, Care Coordination 30%, Quality Management 26%, Health Promotion 23%. Displayed percentages may differ from 100% by one point because of rounding.
Is the CMGT-BC exam still available?
ANCC states that applications are accepted through December 31, 2026 and testing remains available through December 31, 2027. After that date the exam retires; nurses actively certified on January 1, 2028 may continue to renew under the applicable requirements.
Who should verify eligibility for CMGT-BC?
Candidates should confirm the current license, education, practice-hour, role, and continuing-education requirements on the official ANCC page before applying. This study page does not determine eligibility.
How is the CMGT-BC exam delivered?
ANCC offers the exam as a computer-based test scheduled through Prometric during the candidate's authorization window. Confirm current scheduling and identification requirements with ANCC and Prometric.
Does this diagnostic predict whether I will pass?
No. A 15-question diagnostic is a low-confidence baseline, not a validated pass prediction. Review every rationale, then use larger mixed and domain-specific sets to build a more stable readiness estimate.
Is MedPorium affiliated with ANCC?
No. MedPorium is an independent education platform and is not affiliated with or endorsed by the American Nurses Credentialing Center or American Nurses Association.
Review and official source
Clinical reviewer: R. F. Suarez
Exam format and matrix information were checked against the ANCC Nursing Case Management certification page. Source reviewed October 11, 2026.
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