Midwife (ANZSCO 254111)
On the Medium and Long-term Strategic Skills List and Core Skills Occupation List
From the official Home Affairs skilled occupation lists, as at 2026-08-12. Lists change at each government update — always confirm on the official page before acting.
Which lists is Midwife on?
MLTSSL — Medium and Long-term Strategic Skills List. The widest list — occupations on the MLTSSL can access the points-tested permanent skilled visas including the Skilled Independent visa (subclass 189), which needs no state nomination or employer.
CSOL — Core Skills Occupation List. The employer-sponsorship list — occupations on the CSOL can be nominated for the Skills in Demand visa (subclass 482) and the Employer Nomination Scheme 186.
Visas this occupation can access
Being on a list makes the occupation nominatable for these visas — each visa still has its own requirements (points, age, English, a positive skills assessment, and for sponsored visas a willing employer or state).
- Skilled Independent visa (subclass 189) — Permanent, points-tested, no sponsor needed · all occupations for the 189
- Skilled Nominated visa (subclass 190) — Permanent, state or territory nominated · all occupations for the 190
- Skilled Work Regional visa (subclass 491) — Provisional, regional, points-tested · all occupations for the 491
- Skills in Demand visa (subclass 482) — Temporary, employer sponsored · all occupations for the 482
- Employer Nomination Scheme visa (subclass 186) — Permanent, employer sponsored · all occupations for the 186
- Skilled Employer Sponsored Regional visa (subclass 494) — Provisional, regional employer sponsored · all occupations for the 494
- Temporary Graduate visa (subclass 485) — Temporary, recent Australian graduates · all occupations for the 485
- Training visa (subclass 407) — Temporary, workplace training · all occupations for the 407
Skills assessment
A positive skills assessment for Midwife comes from:
- Australian Nursing & Midwifery Accreditation Council Limited (ANMAC) (official site) · our guide to the ANMAC process
What the assessment actually involves
ANMAC assesses Midwife through the same Full or Modified structure as the nursing codes, but the Full stream is materially narrower. Where a registered nurse can enter it from seven comparable countries, midwifery's Full stream covers only Ireland, the United Kingdom and the United States, requires a minimum Bachelor of Midwifery, and requires current registration as a midwife in that same country. The Modified stream remains open to anyone currently registered as a midwife in Australia or New Zealand.
Where these applications come unstuck
The most common misstep is assuming that a nursing qualification with midwifery practice inside it satisfies this code. The Full stream is built around a midwifery qualification and midwifery registration in a named country, not around midwifery hours worked under a nursing registration. Where an applicant does not meet the midwifery-specific criteria, Midwife is also one of the three general codes ANMAC falls back to when work experience does not support a specific specialisation.
An honest read on this pathway
On the MLTSSL and CSOL with the full visa range, the same footprint as the Registered Nurse codes. The narrower Full stream is the real constraint, and for applicants from countries outside Ireland, the UK and the US the practical route usually runs through Board registration first and a Modified assessment afterwards. Whether that sequence works for a particular history is a question for a MARA-registered agent rather than a web page.
Registration and assessment both need paperwork. Nursing and health applications run two document trails at once — the skills assessment and professional registration. The Document Vault keeps one register of what you hold, what each body has asked for, and what is still outstanding.
We've also written a full pathway guide for this occupation: read the Midwife pathway guide.
Talk it through with a registered agent
Whether nominating Midwife is your best route depends on your points, experience evidence and timing — exactly what a MARA-registered agent works through in an initial consultation. Describe your situation once through Migratio and compare real consultation quotes from registered agents, free.
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