Application Process

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  When can I apply for the LTC-CIP?

The exam will re-open for regular testing on February 1, 2023.

  What are the eligibility guidelines for the LTC-CIP?

Successful long-term care infection prevention certification indicates competence in the practice of infection prevention and control within a long-term care setting. This includes:

  • Responsibility for the infection prevention and control programs/activities in a long-term care setting. Candidates will fill have their employer fill out an attestation form confirming this information.
  • Completed post-secondary education in a health-related field including but not limited to medicine, nursing, laboratory technology, public health, or biology.  Post-secondary includes public or private universities, colleges, community colleges etc. 

More information is available under Eligibility Guidelines.

  Does an LPN/LVN meet the post-secondary education guidelines for the LTC-CIP?


  What is the cost of the LTC-CIP?

The examination fee is $410.

  Is the examination available in paper-pencil format?

No, we only offer computer-based testing through Prometric. The examination can be taken a physical testing center or at home via Prometric’s live remote proctoring platform, Pro-Proctor.

  I require special testing accommodations – are these offered for the LTC-CIP?

Yes, candidates who have a learning disability, a psychological disability, or other disability that requires an accommodation in testing should indicate this on their application and are required to submit the Documentation of Disability and Request for Special Exam Accommodations form with their application.

  How can I prepare for the long-term care exam?

CBIC encourages all candidates to review the exam content outline:

  What is the pass rate of the LTC-CIP?

In 2023, 77.3% of candidates passed the LTC-CIP. 163 test takers took the exam in 2023.

General Questions

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  What is the difference between the CIC and the LTC-CIP?

The CIC and LTC-CIP have different content outlines which were developed from two separate practice analyses. For the CIC, long-term care is briefly addressed, but the LTC-CIP exam focuses specifically on the knowledge base and practices directly relevant to long-term care. Hence, while some of the topics in the content outlines overlap, all content domains for the LTC-CIP are interpreted specifically for long-term care.

  How does the difficulty level of the LTC-CIP compare to the CIC?

The same rigor of test development and content creation went into the LTC-CIP as the CIC. CBIC adheres to the standards set by the National Commission for Certifying Agencies (NCCA) to ensure that all exams meet the stringent standards set by the credentialing community. NCCA standards state the certification program must use panels of qualified subject-matter experts (SMEs) to participate in all aspects of test development, including the setting of the passing standard, known as the standard setting.

The LTC-CIP is developed by actively working infection preventionists within long-term care settings. Both the CIC and LTC-CIP examination content are based upon results of a practice analysis, which is a survey of practicing professionals in infection prevention and control that is conducted by the Certification Board of Infection Control and Epidemiology, Inc. (CBIC ®) every 4-5 years.

  What is the difference between the LTC-CIP and other certificate programs or infection prevention online training?

The LTC-CIP results in a certification. Other programs may be training programs for staff that results in continuing education credits and/or a certificate. The LTC-CIP was written by actively working infection preventionists in long-term care settings. Content was developed based on the 2021 Practice Analysis. Learn more about how the examination is written by reading the Practice Analysis and reviewing the content outline.

  What is the difference between a certificate and certification?

A certificate is awarded following the completion of a course or series of courses provides education and training around an intended learning outcome.

A certification is awarded following successful completion of a comprehensive examination process and provides an independent assessment of the knowledge, skills, and/or competencies required for competent performance of an occupation or professional role. After passing the LTC-CIP examination, certificants may put “LTC-CIP” after their name.

A certificate program typically encompasses baseline knowledge while a certification indicates mastery of knowledge. The Institute for Credentialing Excellence outlines the differences online.  

  Is the LTC-CIP an accredited examination?

CBIC will be applying for accreditation through the National Commission for Certifying Agencies (NCCA) once eligible. The Institute for Credentialing Excellence states, “A new certification program (one that has not previously received NCCA accreditation) may apply for accreditation either after one year of administration of the assessment instrument or when at least 500 candidates have been assessed with that instrument, whichever comes first.”

  Will this certification meet the requirements of the Fixing Long-Term Care Act 2021 (FLTCA) ?

Yes, both the CIC and the LTC-CIP meet this requirement. 


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  How long is my long-term care certification valid?

Recertification must be completed every five years.

  What are the recertification options for the LTC-CIP?

Recertification will be available through Infection Prevention Units (IPUs) or through examination. Additional information is available on the LTC-CIP page

  How many long-term care specific IPUs do I need?

Candidates will be required to provide a minimum of five long-term care specific IPUs every five years. The long-term care focus of the educational offering should be self-evident in the topic/title itself or within the learning objectives of the presentation. These can be from any of the nine domains.

  How many domains do I need to meet?

LTC-CIP IPU portfolios must meet at minimum, seven of the nine domains. 

  Are IPUs from diversity, equity, and inclusion (DEI) and health equity within healthcare part of the 40 IPU requirement?

No, the CBIC Board recommends candidates earn at least two IPUs from this area as a part of the minimum required 40 IPUs, but it is not a requirement at this time. 

Scoring Questions

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  How is the exam scored?

Your examination score is based on the total number of scored items you answered correctly. Fifteen items on the examination are in pre-test slots and do not count towards your score. 

  Will each content area be scored separately?

No. The content areas are not scored separately. There is one reported pass/fail decision.


  How is the passing score established?

The minimal qualifications, represented by a passing score, are determined through a formal process called a standard setting study, where a panel of content experts recommends a standard and a passing score to CBIC.  The raw passing score chosen by CBIC is set to equal a scaled score of 700. 


  What is a scaled score?

Scaled scores are determined by converting the number of questions answered correctly to a scaled score that ranges from 300 to 900. A candidate needs a total test scaled score of at least 700 to pass the examination. Scaled scores provide a uniform frame of reference based on the standard adopted by CBIC of the threshold at which a candidate demonstrates minimum competency in infection control.  The scaled scores account for variation among forms, so candidates are held to the same standard regardless of which form they take.

  Is it possible that one of my colleagues had a harder or easier examination?

All examination forms are assembled using the same test specifications.  Although all attempts are made to ensure that the difficulty level of the different forms is as equivalent as possible, there may be slight variations. To account for these variations, the forms are statistically equated so that the passing score remains consistent with the standard used on the standard setting examination.  Equating is a statistical process that adjusts for differences in test difficulty so that scores from different test forms are comparable.  Examinations that are either easier or more difficult than the examination upon which the standard and the passing score were established will have the raw passing cut score adjusted up or down.

  Can I find out how many questions I answered correctly?

No. The number of correct answers required to pass the examination may vary across forms and therefore, the number of questions answered correctly is not reported to candidates. Scaled scores are reported instead. The conversion to scaled scores makes comparisons across forms consistent.


  Is a scaled score a percentage of a raw score?

No. Scaled scores are calculated by using statistical methods to convert raw scores to a standard scale. The distribution of points across the scale range depends on where the passing score is set. A percentage score cannot be derived from the scaled score.

  If I pass the exam, what kind of feedback will I receive?

You will receive a pass message with instructions about your certification.  You will not be provided with a numerical scaled score.

  If I fail the exam, what type of feedback will I receive?

You will receive a scaled score, which can range from 300-699. In addition, you will be provided with diagnostic performance levels in each content area to guide you in future study, if you decide to retake the examination.

  How long do I have to wait to reapply if I failed?

There will be a mandatory 90-day waiting period between the date of your last exam and a new exam eligibility period. Please wait 90-days before attempting to reapply and make payment.

  Why do I have to wait 90-day before I can reapply for the examination?

Waiting periods are common for professional certification examinations. The waiting period helps maintain the validity and security of our examinations. Additionally, it ensures that those who were unsuccessful have the neccesary time to prepare for their next attempt.

  If I score close to 700, does this mean I could have failed by one question?

How close a score is to passing may vary slightly across forms, but it is likely that between one and three additional questions should have been answered correctly to pass.

  Where can I read more about scaled scoring?