OET score for a US nursing visa: HRSA and CGFNS VisaScreen (2026)
For a US VisaScreen certificate, HRSA's table from 12 May 2026 needs OET scores of at least 320 in Listening, 340 in Reading, 350 in Writing and 360 in Speaking.
Minimum OET scores
0–500 per sub-testVisaScreen is for the visa. Each state board of nursing sets its own English rule for a licence; OET says more than 40 states recognise it.
The rules around the lines
- Lines apply
- HRSA's numeric table from 12 May 2026.
- Combining sittings
- Not confirmed. We couldn't find a CGFNS or HRSA statement on combining sittings: ask CGFNS.
- OET@Home
- Reported not accepted (second-hand summary of the CGFNS FAQ): check with CGFNS before booking OET@Home.
- Validity
- Not confirmed: check with CGFNS.
- Single sub-test resit
- Not confirmed: check with CGFNS.
- Version
- Take the Nursing version.
What changed
- 12 May 2026
HRSA moved to numeric OET lines: Listening 320, Reading 340, Writing 350, Speaking 360. Writing went up from C+ (300) to 350 and Speaking from 350 to 360; Listening and Reading stay in the C+ range. Source
- Earlier rule
Older rule. 24 May 2022 to 11 May 2026: C+ in Listening, Reading and Writing, B in Speaking. Source
Questions candidates ask
What changed for US nurses on 12 May 2026?
HRSA replaced letter grades with numbers. Writing now needs 350 instead of C+ (300), Speaking 360 instead of 350, Reading 340 and Listening 320.
Which lines apply to a test I took before 12 May 2026?
The older table asked for C+ in Listening, Reading and Writing and B in Speaking. Whether CGFNS applies the old or new table depends on your test and application dates, so ask CGFNS.
Can I combine two OET sittings for VisaScreen?
We couldn't confirm this from an official source. Ask CGFNS before you plan around it.
Is VisaScreen the same as a state nursing licence?
No. VisaScreen is for the visa. Each state board of nursing sets its own English requirement, so check the board for the state you'll work in.
Sources
- HRSA: Foreign healthcare worker requirements (score table, 12 May 2026) official
- OET news: OET recognised by CGFNS International official
- CGFNS VisaScreen FAQ (at-home tests; seen as a search summary) second-hand
- OET: Recognising organisations in the United States official
Last checked 21 Oct 2026. Rules change: confirm on the official page before you book or apply.