Starting January 1, 2027, Maintenance of Certification (MOC) replaces the 10-year recertification exam.
Beginning in 2027, Cardiovascular Imaging (CBCCT, CBCMR and CBNC) certifications will transition to a Maintenance of Certification (MOC) model, replacing the traditional 10-year recertification exam for CBCCT and CBNC Diplomates and formally establishing an ongoing maintenance pathway for CBCMR Diplomates.
The last 10-year Recertification Examination Administration will be in 2026.
We are transitioning to an annual Maintenance of Certification (MOC) program. As individual certifications expire, diplomates will be required to complete the Annual MOC components outlined below.
+ Attesting to Inteleos (ARDMS/APCA) rules and policies
+ Disclose any credential action, suspension, or censure that affects the physician’s legal ability to practice in the specialty
+ CME Requirements (to be completed over 3-year period)
+ Annual, specialty-specific Knowledge Confirmation through the SKILLS platform due by December 31 of each year
+ Paying renewal fee
+ Update or confirm contact information in your MyAPCA portal
+ Attest to having a valid Medical License in good standing
The transition is designed to be clear, predictable, and respectful of existing certification cycles. With defined timelines and targeted guidance, Inteleos (APCA) is committed to helping Diplomates understand what’s changing, what’s staying the same, and how to move forward with confidence.
Stay tuned for more information.
MOC Knowledge Confirmation through SKILLS Platform Pilots:
+ CT pilot is currently available
+ MR and NC pilots will launch in Q3 2026
When Does MOC Apply to Me?
The MOC program launches on January 1, 2027.
Log in to MYAPCA to participate in the SKILLS quizzes and view your current status.
Learn what this means for you:
ACTION MAY BE REQUIRED (Expiring 2026-2028, Lapsed)
- Year 10 CBCCT/CBNC Diplomates Expiring in 2026/2027
- 2026 is your final opportunity to take the 10‑year recertification exam before your certification lapses. Passing the 2026 exam will provide a new 10‑year certification period.
- After recertifying in 2026, transition to the annual MOC program will begin the last full year before the expiration of your certification.
- We encourage you to participate and meet the current reinstatement requirements before the MOC transition takes effect.
- Years 8 & 9 CBCCT/CBNC Diplomates (Expiring in 2027/2028 and/or 2028/2029)
- You may elect to take the 10-year recertification exam in 2026 to obtain another 10-year certification period, before your scheduled expiration date.
- You may instead remain certified through your current expiration date and transition to the annual MOC pathway in year 10 of your certification.
- Lapsed CBCCT/CBNC Diplomates
- 2026 is your final opportunity to regain certification by taking the 10‑year recertification exam under the current reinstatement requirements.
PLAN AHEAD
- Years 1-7 Diplomates
- Your certification will remain valid through the stated expiration date. APCA will post updates and send emails about the MOC transition before certifications expire.
- Multi-Credential Holders
- You will complete Knowledge Confirmation for each certification annually via the SKILLS platform.
- Fellowship Program Directors
- Your Fellows who take and pass examination in 2026:Receive 10-year certifications. MOC won’t apply until the final full year of certification.
- Your Fellows who take and pass examination in 2027+:Upon certification, fellows will complete annual MOC. 10-year recertification exams will no longer be issued.
MONITOR/REVIEW NEEDED
- Testamurs
- MOC requirements do not apply to you.
- Priority: convert to Diplomate status.
- Requirements: Full, unrestricted medical licensure; Appropriate board certification; Complete within 6 years of your CBCCT, CBNC and/or CBCMR exam.
- Priority: convert to Diplomate status.
- MOC requirements do not apply to you.
- Initial Candidates
- Take and pass examination in 2026 or earlier: earn 10-year certification.
- Take and pass examination in 2027 or later:enter MOC directly.
- CBCMR Diplomates
- No recertification exam exists for CBCMR. MOC transition begins the final year of your certification.
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Certification Board of Cardiovascular Computed Tomography™ |
The CBCCT certification program validates expertise and knowledge in the field of cardiovascular computed tomography (CT). This certification is designed for physicians involved in the use of CT scans to assess cardiovascular anatomy and function indicates mastery of a defined body of knowledge.
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Certification Board of Cardiovascular Magnetic Resonance |
CBCMR certification helps set the standard in CMR proficiency for the field and provide formal recognition of doctors’ ability to provide quality assessments. The CBCMR examination assesses Candidates on their knowledge, skills and abilities in preparing patients for CMR studies, selecting appropriate protocols, conducting CMR studies in a spectrum of scenarios and interpreting the results and performing post-processing tasks.
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Certification Board of Nuclear Cardiology™ |
Go to CBNC.org for all the information you need to apply for the CBNC examinations and get the latest news about the CBNC certification program.
The CBNC certification program validates expertise and knowledge in the field of Nuclear Cardiology. Medical licensure assures minimal competency to diagnose and treat & certification in Nuclear Cardiology indicates mastery of a defined body of knowledge. Certification is a recognized credential of excellence and demonstrates your commitment to providing quality healthcare.


