Page 1 of 163
BC TMH (Board Certified TeleMental Health
Provider) Prep Exam ACTUAL QUESTIONS
AND DETAILED SOLUTIONS LATEST
UPDATE THIS YEAR
BC-TMH (Board Certified-TeleMental Health Provider) Prep Exam, based on the official TeleMental
Health Examination (TMHE) Content Outline from CCE/NBCC . This is followed by 250 randomized,
scenario-based multiple-choice questions with answers and rationales.
SUMMARIZED EXAM TOPICS COVERED (POINT FORM)
Based on the TMHE Content Outline (SME Committee Approved April 2023), the exam covers six
competency domains :
• Professional Orientation to Telemental Health: Foundational knowledge of TMH modalities,
delivery methods (synchronous, asynchronous, hybrid), technology-assisted care, cultural
considerations, access/equity issues (digital divide), and professional role boundaries.
• Client–Practitioner Protocol and Informed Consent: Establishing the therapeutic relationship
remotely, including verification of client identity and location, setting up the therapeutic
environment, managing technical disruptions, creating crisis/emergency response plans
(including local resources), and termination procedures.
• Disclosure and Informed Consent: Legal and ethical requirements for TMH-specific informed
consent, including risks of technology (data breach, service interruption), limits of confidentiality
in the digital environment, privacy standards (HIPAA), mandatory reporting, and the need for a
Business Associate Agreement (BAA) with video platforms .
• Technology: Technical requirements for service delivery, including secure platforms
(HIPAA-compliant, BAA), audio/video setup, internet bandwidth (recommended 1.5-2 Mbps),
encryption standards (end-to-end), troubleshooting common issues (connectivity, echoes,
frozen screens), and backup communication plans.
• Professional, Legal, and Ethical Considerations & Compliance Standards: Interstate licensure
issues (client location determines jurisdiction), licensing board regulations (e.g., PSYPACT,
Counseling Compact), records management (storage, access, disposal), Ryan Haight Act
requirements for tele-prescribing, subpoenas vs. court orders, HIPAA compliance (Privacy,
Security, Breach Notification Rules), cultural and diversity considerations in virtual space, and
professional competence obligations.
• Crisis Management: Adapting crisis protocols for remote services, identifying and managing
imminent risk (suicide, violence) at a distance, activating local emergency services (client’s
jurisdiction), using backup communication (phone, text), documentation of crisis intervention,
and limitations of remote crisis response.
The TMHE consists of 100-120 multiple-choice questions, many embedded in case studies (hypothetical
client scenarios) . Candidates have 2-3 hours to complete the exam. A passing score is determined by
the modified Angoff procedure (subject matter expert standard setting) . Exam registration
occurs after the BC-TMH application is approved and required training is completed .
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QUESTIONS 1–250
1. A BC-TMH provider receives a subpoena for a client’s treatment records. What is the FIRST step the
provider should take?
A) Immediately send all records as requested
B) Ignore the subpoena until a court order is issued
C) Consult with legal counsel or a risk management specialist
D) Notify the client’s emergency contact
Answer: C
Rationale: A subpoena is not a court order. Providers must first seek legal guidance to determine if a
motion to quash is appropriate and to protect client confidentiality .
2. A client in Texas sees a BC-TMH provider licensed only in Florida. The client files a complaint. Who has
jurisdiction?
A) Only the Florida Board
B) Only the Texas Board
, Page 3 of 163
C) Both Florida and Texas Boards
D) Federal Telehealth Board
Answer: C
Rationale: The provider is subject to discipline in their licensed state (Florida). If the client is located in
Texas, the provider may also be practicing without a Texas license, so both states may claim jurisdiction .
3. Which of the following is a core requirement of the Ryan Haight Online Pharmacy Consumer
Protection Act for telepsychiatry?
A) Prescribing only non-controlled substances
B) An in-person evaluation prior to prescribing controlled substances (with limited exceptions)
C) Video visits must be ≤15 minutes
D) Written consent is not required
Answer: B
Rationale: The Ryan Haight Act generally requires at least one in-person medical evaluation before
prescribing controlled substances via telemedicine, unless specific federal exceptions apply .
, Page 4 of 163
4. What is the most important factor when selecting a video platform for tele-mental health?
A) Lowest cost option
B) HIPAA-compliant with a Business Associate Agreement (BAA)
C) Most user-friendly interface for the clinician only
D) Platform with the most features regardless of compliance
Answer: B
Rationale: HIPAA requires covered entities to use platforms that safeguard PHI and execute a BAA with
the vendor. Consumer-grade platforms without BAAs do not meet compliance standards .
5. Which of the following must be included in a tele-mental health-specific informed consent?
A) Clinician’s personal phone number
B) Risks, benefits, limitations, emergency procedures, and technology requirements
C) Guarantee of treatment outcomes
D) Waiver of all confidentiality rights
BC TMH (Board Certified TeleMental Health
Provider) Prep Exam ACTUAL QUESTIONS
AND DETAILED SOLUTIONS LATEST
UPDATE THIS YEAR
BC-TMH (Board Certified-TeleMental Health Provider) Prep Exam, based on the official TeleMental
Health Examination (TMHE) Content Outline from CCE/NBCC . This is followed by 250 randomized,
scenario-based multiple-choice questions with answers and rationales.
SUMMARIZED EXAM TOPICS COVERED (POINT FORM)
Based on the TMHE Content Outline (SME Committee Approved April 2023), the exam covers six
competency domains :
• Professional Orientation to Telemental Health: Foundational knowledge of TMH modalities,
delivery methods (synchronous, asynchronous, hybrid), technology-assisted care, cultural
considerations, access/equity issues (digital divide), and professional role boundaries.
• Client–Practitioner Protocol and Informed Consent: Establishing the therapeutic relationship
remotely, including verification of client identity and location, setting up the therapeutic
environment, managing technical disruptions, creating crisis/emergency response plans
(including local resources), and termination procedures.
• Disclosure and Informed Consent: Legal and ethical requirements for TMH-specific informed
consent, including risks of technology (data breach, service interruption), limits of confidentiality
in the digital environment, privacy standards (HIPAA), mandatory reporting, and the need for a
Business Associate Agreement (BAA) with video platforms .
• Technology: Technical requirements for service delivery, including secure platforms
(HIPAA-compliant, BAA), audio/video setup, internet bandwidth (recommended 1.5-2 Mbps),
encryption standards (end-to-end), troubleshooting common issues (connectivity, echoes,
frozen screens), and backup communication plans.
• Professional, Legal, and Ethical Considerations & Compliance Standards: Interstate licensure
issues (client location determines jurisdiction), licensing board regulations (e.g., PSYPACT,
Counseling Compact), records management (storage, access, disposal), Ryan Haight Act
requirements for tele-prescribing, subpoenas vs. court orders, HIPAA compliance (Privacy,
Security, Breach Notification Rules), cultural and diversity considerations in virtual space, and
professional competence obligations.
• Crisis Management: Adapting crisis protocols for remote services, identifying and managing
imminent risk (suicide, violence) at a distance, activating local emergency services (client’s
jurisdiction), using backup communication (phone, text), documentation of crisis intervention,
and limitations of remote crisis response.
The TMHE consists of 100-120 multiple-choice questions, many embedded in case studies (hypothetical
client scenarios) . Candidates have 2-3 hours to complete the exam. A passing score is determined by
the modified Angoff procedure (subject matter expert standard setting) . Exam registration
occurs after the BC-TMH application is approved and required training is completed .
, Page 2 of 163
QUESTIONS 1–250
1. A BC-TMH provider receives a subpoena for a client’s treatment records. What is the FIRST step the
provider should take?
A) Immediately send all records as requested
B) Ignore the subpoena until a court order is issued
C) Consult with legal counsel or a risk management specialist
D) Notify the client’s emergency contact
Answer: C
Rationale: A subpoena is not a court order. Providers must first seek legal guidance to determine if a
motion to quash is appropriate and to protect client confidentiality .
2. A client in Texas sees a BC-TMH provider licensed only in Florida. The client files a complaint. Who has
jurisdiction?
A) Only the Florida Board
B) Only the Texas Board
, Page 3 of 163
C) Both Florida and Texas Boards
D) Federal Telehealth Board
Answer: C
Rationale: The provider is subject to discipline in their licensed state (Florida). If the client is located in
Texas, the provider may also be practicing without a Texas license, so both states may claim jurisdiction .
3. Which of the following is a core requirement of the Ryan Haight Online Pharmacy Consumer
Protection Act for telepsychiatry?
A) Prescribing only non-controlled substances
B) An in-person evaluation prior to prescribing controlled substances (with limited exceptions)
C) Video visits must be ≤15 minutes
D) Written consent is not required
Answer: B
Rationale: The Ryan Haight Act generally requires at least one in-person medical evaluation before
prescribing controlled substances via telemedicine, unless specific federal exceptions apply .
, Page 4 of 163
4. What is the most important factor when selecting a video platform for tele-mental health?
A) Lowest cost option
B) HIPAA-compliant with a Business Associate Agreement (BAA)
C) Most user-friendly interface for the clinician only
D) Platform with the most features regardless of compliance
Answer: B
Rationale: HIPAA requires covered entities to use platforms that safeguard PHI and execute a BAA with
the vendor. Consumer-grade platforms without BAAs do not meet compliance standards .
5. Which of the following must be included in a tele-mental health-specific informed consent?
A) Clinician’s personal phone number
B) Risks, benefits, limitations, emergency procedures, and technology requirements
C) Guarantee of treatment outcomes
D) Waiver of all confidentiality rights
