The National Nurse Aide Assessment Program (NNAAP) is the largest nurse aide certification exam program in the U.S. with over 200,000 paper and practical exams administered annually.

The Medication Aide Certification Examination (MACE) is a national medication aide certification exam that will be administered to nurse aides who choose to receive additional training to become certified medication aides. 

 NCSBN develops the NNAAP and MACE exams and administers them with the contractual assistance of a national test service. 


  • OBRA Guidelines - The federal regulation guidelines for nursing assistants/nurse aides. 
  • Medication Assistant-Certified (MA-C) Curriculum - Adopted by the NCSBN Delegate Assembly in 2007, the MA-C is available as a resource for medication aide programs.
  • NCSBN Model Nursing Practice Act and Model Nursing Administrative Rules - The model rules provide information on best practices for nurse aide and medication aide programs. 
For further inquiries, please send an email to nnaap_maceinfo@ncsbn.org

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