Planning to practise Traditional Chinese Medicine (TCM) or acupuncture in Australia? As a regulated health profession, TCM practitioners must navigate both AHPRA registration and skilled migration requirements. This comprehensive guide covers the Chinese Medicine Board of Australia (CMBA) registration process, English language requirements, and visa pathways for skilled healthcare professionals in 2026.
Understanding the Dual Pathway: AHPRA Registration + Skilled Migration
Unlike many other occupations, TCM practitioners face a unique challenge: you need both AHPRA registration (to practise legally) and a positive skills assessment (for visa purposes). The good news? These two processes are interconnected-CMBA handles both.
Relevant ANZSCO Codes for TCM Practitioners
| ANZSCO Code | Occupation | Skills Assessment Authority |
|---|---|---|
| 252211 | Acupuncturist | Chinese Medicine Board of Australia (CMBA) |
| 252214 | Traditional Chinese Medicine Practitioner | Chinese Medicine Board of Australia (CMBA) |
As of 2026, there is no national labour shortage for TCM practitioners. This means the Subclass 189 (Independent) visa is generally not accessible. Your primary pathways are state nomination (190/491) or employer sponsorship. The good news: 252214 appears on the Core Skills Occupation List for employer-sponsored visas.
CMBA Registration Requirements for Overseas Practitioners
The Chinese Medicine Board of Australia (CMBA) is one of 15 National Boards under AHPRA. To practise TCM or acupuncture in Australia, you must be registered with CMBA.
Qualification Requirements
CMBA assesses overseas qualifications against Australian standards. Your training must demonstrate:
- Acupuncturist: Minimum Bachelor degree level in acupuncture (typically 4 years full-time study)
- TCM Practitioner: Comprehensive training in Chinese herbal medicine, diagnosis, and acupuncture
- Chinese Herbal Dispensing: Additional endorsement available for herbal dispensing
Qualifications from accredited institutions in China, Taiwan, and Hong Kong are generally well-recognised, but you may need to provide detailed curriculum documents translated into English.
English Language Requirements (Updated April 2025)
AHPRA-registered professions require higher English scores than the standard skilled migration threshold. The April 2025 revision provides some flexibility:
| Test | Required Score for CMBA Registration |
|---|---|
| IELTS Academic | 7.0 overall; 6.5 minimum in Writing; 7.0 in L, R, S |
| OET | B in each component |
| PTE Academic | 65 in each communicative skill |
| TOEFL iBT | 24 Listening, 24 Reading, 27 Writing, 23 Speaking |
The April 2025 revision reduced the Writing requirement from 7.0 to 6.5 for IELTS, making registration more accessible for overseas practitioners. You can also combine scores from two test sittings within 6 months if both overall scores meet the threshold and no component falls below 6.5 (IELTS) or 58 (PTE).
The CMBA English requirement is still higher than the standard skilled visa "Competent English" threshold (IELTS 6.0). Many TCM practitioners from non-English speaking backgrounds find this the most challenging requirement. Budget 6-12 months for English preparation if needed.
English Exemptions: You may be exempt if you completed at least 5 years of secondary and higher education taught entirely in English in a recognised country (expanded to 30 countries in 2025).
Registration Fees
| Fee Type | Amount (AUD) |
|---|---|
| Application for initial registration | $602 |
| Annual registration renewal | $512 (frozen since 2021/22) |
| MCQ Examination (Acupuncture) | $767 |
| MCQ Examination (Double Division) | $920 |
| OSCE Examination (Acupuncture) | $3,000 |
| OSCE Examination (Double Division) | $4,000 |
(Fees current as of 2025/26. Fees are subject to annual review.)
Your CMBA registration certificate serves as the skills assessment evidence for migration purposes-no separate skills assessment fee applies.
CMBA Regulatory Examinations: The Critical Hurdle
Most overseas-qualified practitioners are assessed as having qualifications that are "relevant but not substantially equivalent" to Australian standards. This triggers the requirement to sit CMBA Regulatory Examinations.
Stage 1: Multiple Choice Question (MCQ) Examination
| Feature | Details |
|---|---|
| Format | Computer-based, 96-126 questions |
| Duration | 2.5-3 hours depending on divisions |
| Location | Can be taken offshore (Beijing, Shanghai, Hong Kong, Taipei) |
| Content | Heavy emphasis on safety, ethics, and Australian regulatory requirements |
Stage 2: Objective Structured Clinical Examination (OSCE)
| Feature | Details |
|---|---|
| Format | Practical stations with simulated patients |
| Location | Australia only (requires Visitor Visa Subclass 600) |
| Content | Clinical history, diagnosis, treatment planning, emergency scenarios |
The OSCE cannot be taken offshore. You must travel to Australia on a Visitor Visa to complete this examination. Factor this travel cost into your migration budget.
Pass Rates: Why "Acupuncture First" Matters
| Division | OSCE Pass Rate | Strategic Implication |
|---|---|---|
| Acupuncture | 98.3% | High success rate-prioritise this |
| Chinese Herbal Medicine | 64.6% | Significantly harder-consider as post-migration add-on |
| Chinese Herbal Dispenser | 27.3% | Very challenging |
The "Acupuncture First" Strategy: If you hold dual qualifications (acupuncture + herbal medicine), apply for Acupuncture registration first. The 98% OSCE pass rate dramatically reduces your migration risk. Once settled in Australia, you can add Chinese Herbal Medicine endorsement without the pressure of it affecting your visa outcome.
Skilled Visa Pathways for TCM Practitioners
Once you have CMBA registration (or a pathway to registration), you can pursue several skilled migration options:
Why 189 Is Not Viable (Focus on 190/491)
Use our Points Calculator to estimate your score.
| Visa | Accessibility for TCM | Key Benefit |
|---|---|---|
| Subclass 189 | ❌ Not accessible (no national shortage) | N/A |
| Subclass 190 | ✅ Primary pathway (+5 nomination points) | Direct PR, state commitment |
| Subclass 491 | ✅ High opportunity (+15 nomination points) | Regional pathway to PR via 191 |
State Nomination Allocations 2025-26
| State | 190/491 Allocation | TCM Eligibility | Notes |
|---|---|---|---|
| NSW | 2,100 places | ✅ Health sector priority | Monthly invitation rounds from Jan 2026 |
| Victoria | 200 places (interim) | ✅ All Home Affairs list occupations | Live in Melbourne portal |
| ACT | Merit-based | ✅ Both 252211 & 252214 on list | Canberra Matrix system |
| SA | 3,000 places | ✅ Health priority | Skilled & Business Migration portal |
State nomination requirements and occupation lists change frequently. States with strong TCM demand include Victoria, New South Wales, and ACT due to established Chinese communities and health sector prioritisation.
Employer-Sponsored Visas
| Visa | Requirements | Pathway |
|---|---|---|
| Subclass 482 (Skills in Demand) | Job offer + 2 years experience + TSMIT ($73,150+) | Pathway to 186 PR |
| Subclass 494 (Regional Employer) | Regional job offer + 3 years experience | Pathway to 191 PR |
| Subclass 186 (ENS) | Direct employer nomination | Direct PR |
ANZSCO Code Strategy: 252214 (Traditional Chinese Medicine Practitioner) appears on the Core Skills Occupation List for Subclass 482 sponsorship. 252211 (Acupuncturist) does NOT. If seeking employer sponsorship, ensure your job duties align with 252214 for smoother nomination.
Business Model: Private Practice & Revenue Streams
Understanding the economic reality of TCM practice in Australia is essential for migration planning.
Medicare: Common Misconception Clarified
MBS items 193, 195, 197, 199 are restricted to Medical Practitioners (GPs) with acupuncture endorsement-NOT CMBA-registered Chinese medicine practitioners. Most TCM services are not Medicare-rebatable for non-medical practitioners.
Chinese medicine practitioners are not currently included in the allied health professionals eligible for Medicare Chronic Disease Management (CDM) rebates, unlike physiotherapists, chiropractors, or osteopaths. Professional associations continue to lobby for inclusion, but as of 2026, this revenue stream remains closed.
Primary Revenue Streams for TCM Practitioners
| Revenue Source | Description | Typical % of Income |
|---|---|---|
| Private fees | Direct patient payment | 40-50% |
| Private Health Insurance (PHI) | Extras cover rebates via HICAPS | 40-50% |
| WorkCover/TAC | Workplace injury & traffic accident schemes | 5-15% |
Private Health Insurance: The Economic Engine
Approximately 55% of Australians hold "Extras" cover that rebates a portion of acupuncture consultations.
- Provider Recognition: Apply separately to each insurer (Medibank, Bupa, HCF, etc.)
- Bupa Requirements: Requires Bachelor degree of at least 4 years full-time duration
- HICAPS: On-the-spot claiming reduces patient out-of-pocket costs
Fee Structures (Metropolitan 2026)
| Service | Fee Range (AUD) |
|---|---|
| Initial Consultation (Acupuncture) | $110-$180 |
| Standard Follow-up | $80-$120 |
| Herbal Consultation | $70-$135 (plus herbs) |
| Weekly Herbal Supply (granulated) | $30-$50 (40-50% margin) |
Income Benchmarks
| Employment Type | Annual Income (AUD) |
|---|---|
| Employee (full-time) | $62,000-$75,000 + super (12%) |
| Contractor (60/40 split) | $78,000-$95,000 gross (30 patients/week) |
Step-by-Step Migration Pathway
Stage 1: English Preparation (6-12 months if needed)
- Take a diagnostic IELTS or OET test
- If below IELTS 7.0, enrol in intensive English preparation
- Many practitioners find OET more achievable due to healthcare-specific content
Stage 2: Document Preparation (2-3 months)
- Gather qualification transcripts and certificates
- Obtain official English translations (NAATI-certified)
- Collect employment references and registration history
Stage 3: CMBA Application (3-6 months)
- Submit application via AHPRA online portal
- CMBA assesses qualifications and English evidence
- May require additional information or bridging requirements
Stage 4: Visa Application
- Lodge Expression of Interest (EOI) in SkillSelect
- Receive invitation (timing depends on points and occupation demand)
- Lodge visa application within 60 days of invitation
Visa Application Fees (current as of July 2025):
| Visa | Primary Applicant | Additional Adult | Child |
|---|---|---|---|
| Subclass 189 | $4,765 | $2,385 | $1,195 |
| Subclass 190 | $4,765 | $2,385 | $1,195 |
| Subclass 491 | $4,770 | $2,385 | $1,195 |
(Fees are indexed annually, typically on 1 July.)
Common Challenges & How to Overcome Them
Challenge 1: English Score Gap
Solution: Consider OET instead of IELTS-many healthcare practitioners find the healthcare-specific vocabulary more manageable. Allow adequate preparation time.
Challenge 2: Qualification Recognition
Solution: If your qualification isn't directly comparable, CMBA may require a bridging program or supervised practice period. Contact CMBA early for a preliminary assessment.
Challenge 3: Age Approaching 45
Solution: If you're in your early 40s, time is critical. Points for age decrease at 33 and disappear entirely at 45. Consider employer-sponsored pathways which have more flexible age requirements for some streams.
Challenge 4: Points Competition
Solution: TCM practitioners often score well on English (if achieving IELTS 8.0, that's 20 points) and can gain Australian study points by completing a Graduate Diploma or Masters in Australia.
How First Migration Can Help
Navigating AHPRA registration while simultaneously planning your skilled migration pathway requires careful coordination. Our team understands the unique challenges faced by TCM practitioners from China, Taiwan, and Hong Kong.
Our TCM Migration Service includes:
- CMBA registration strategy and application support
- Points optimisation and EOI lodgement
- State nomination advice (190/491)
- Employer sponsorship assistance
Ready to take the next step? We invite you to submit a free visa assessment so we can understand your situation and provide tailored advice.
MARA Registered Agent
Registration No. 1569835
Certified by the Migration Agents Registration Authority. Your trusted partner for Australian visa applications.

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