About MOCA 2.0®

The redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, MOCA 2.0®, provides diplomates with opportunities to continuously learn and demonstrate proficiencies to provide better patient care. It offers a more relevant and personalized approach to helping diplomates assess their knowledge and guiding them to educational activities. MOCA 2.0 is a web-based learning platform. At its core is MOCA Minute®, an interactive learning tool that replaces the decennial MOCA exam.


Who Can Register for MOCA 2.0®

All diplomates who have current certificates in anesthesiology and/or in subspecialties (non-time limited and time-limited certificate holders) can register for MOCA 2.0 each year in their portal. We encourage all non-time limited certificate holders who are not participating in MOCA to register. Newly certified diplomates can register for MOCA 2.0 in their portal immediately after we award them certification.

  • Diplomates with anesthesiology certificates that expired in 2016 and who are in the grace period should register for MOCA 2.0.
  • Time-limited certificate holders whose subspecialty certificates in pain medicine or critical care medicine expired on orbefore Dec. 31, 2016, must reestablish eligibility for subspecialty certification and successfully complete the subspecialty certification exam before being eligible to register for MOCA 2.0.
  • Time-limited anesthesiology certificate holders whose certificates expired from Dec. 31, 2010 to Dec. 31, 2015, must complete a portion of the staged exams requirements before being eligible to register for MOCA 2.0.

View the MOCA 2.0 Registration page for step-by-step registration instructions.


What are the MOCA 2.0® Components?

Medical License
(Part 1)

Hold an active, unrestricted license to practice medicine in at least one jurisdiction of the United States (U.S.) or Canada. Furthermore, all U.S. and Canadian medical licenses that a diplomate holds must be unrestricted.

(Part 2)


250 Category 1 CMEs of which 20 must be ABA-approved Patient Safety CMEs. Self-Assessment CMEs are no longer required. If you previously completed Self-Assessment CMEs, you will get credit for them in MOCA 2.0.

MOCA Minute
(Part 3)


MOCA Minute® replaces the MOCA exam. Diplomates must answer 30 questions per calendar quarter (120 per year by 11:59 p.m. EST on Dec. 31), no matter how many certifications they are maintaining. Diplomates certified in sleep medicine and hospice and palliative care medicine will need to take those recertification exams to maintain their subspecialty certifications.

Quality Improvement (Part 4)

More options for activities with points awarded for each activity based on the time and effort associated with their completion. Diplomates must complete 25 points in Years 1-5 and 25 points in Years 6-10 for a total of 50 points per 10-year cycle. If you are maintaining multiple certificates, these activities will be applied to all certificates.

An attestation is due in Year 9, but does not provide points. Click here for more details.


$210 annual MOCA 2.0 program fee for first certificate maintained, $100 for each additional certificate maintained

If You're Only Maintaining Subspecialty Certification

If you are only maintaining your subspecialty certification and it expires on Dec. 31, 2019, click here to see your MOCA 2.0 requirements.


The Diplomate Directory located on our homepage indicates whether a diplomate is or is not “Participating in MOC.” This is also displayed in diplomates' portal account. Diplomates are considered to be “Participating in MOC” if they answer 120 MOCA Minute questions each year and, by the end of the fifth year of their MOCA cycle, they have satisfactory professional standing, have completed half of their CME credits and have completed 25 points of Part 4 activities. All requirements must be completed by the end of  Year 10 of the MOCA program.
  If you are maintaining multiple certifications, you may be considered participating in MOC for one certificate but not for another. There will be no alignment of cycles. You will have a “principal” certificate, which is your anesthesiology certificate by default. If you are not maintaining your anesthesiology certification, your principal certificate will be your subspecialty certificate. Your progress report will focus on one set of requirements for your principal certificate. If you are listed as "Participating in MOC" for your principal certificate, you should be listed as participating for all certificates. 

The “Not Participating in MOC” designation does not impact your certification status unless your certificate expires, and you have not completed the MOCA 2.0 program. In that case, we cannot grant you a new certificate until you complete your outstanding activities.

The directory notes that diplomates who hold non-time limited certificates are not required to participate in MOCA.
  Effective Jan. 1, 2014, all former diplomates and non-time limited certificate holders who wish to complete MOCA in Years 11, 12 and 13 will be charged a non-refundable $525 fee for each year they continue in the program. The fee is cumulative, so if you do not pay until Year 12, you will pay the fee for Years 11 and 12.


Videos, Presentations and Additional Information

MOCA 2.0® Online Forum

Why are We Changing MOCA®?

Additional Information