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Description
AME Guidance for Processing a Asthma Worksheet CACI (Condition AME Can Issue)
A a s i boilerplate

Conditions AMEs Can Issue (CACI) are a series of conditions which allow AMEs to regular issue the pilot medical certificate if the applicant meets the parameters of the CACI Condition Worksheet. The worksheets provide detailed instructions to the examiner and outline condition-specific requirements for the applicant.

  • AME must review the disposition table BEFORE the CACI worksheet to verify a CACI is required.
  • If all the CACI criteria are met and the applicant is otherwise qualified, the AME may issue on the first exam or the first time the condition is reported to the AME without contacting AMCD/RFS. Document the appropriate notes in Block 60 and keep the supporting documents in your files; they do not need to be submitted to the FAA at this time.
  • If the requirements are not met, the AME must defer the exam and send the supporting documents to the FAA.
Grid
AME MUST REVIEW ACCEPTABLE CERTIFICATION CRITERIA
Treating physician finds the condition stable on current regimen and no changes recommended. [ ] Yes
Symptoms: Stable and well-controlled (either on or off medication) [ ] Yes for all of the following:
  • Frequency of symptoms - no more than 2 days per week
  • Use of inhaled short-acting beta agonist (rescue inhaler) - no more than 2 times per week
  • Use of oral corticosteroids for exacerbations - no more than 2 times per year
  • In the last year:
    • No in-patient hospitalizations
    • No more than 2 outpatient clinic/urgent care visits for exacerbations (with symptoms fully resolved).
Acceptable Medications [ ] One or more of the following
  • Inhaled long-acting beta agonist
  • Inhaled short-acting beta agonist (e.g., albuterol)
  • Inhaled corticosteroid
  • leukotriene receptor antagonist, (e.g. montelukast [Singulair])
NOT acceptable for CACI:
Monoclonal antibodies 		Note: A short course of oral or IM steroids during an exacerbation is acceptable. The AME must caution airman not to fly until course of oral steroids is completed and airman is symptom free.
Spirometry (previously PFT) [ ] Current within last 90 days
Spirometry is not required if the only treatment is PRN use on one or two days a week of a short-acting beta agonist (e.g., albuterol). [ ] FEV1 and FVC are both equal to or greater than 80% predicted before bronchodilators.

AME MUST NOTE in Block 60 one of the following:

  • [ ] CACI qualified asthma. (Documents do not need to be submitted to the FAA.)
  • [ ] Has current OR previous SI/AASI but now CACI qualified asthma.
  • [ ] NOT CACI qualified asthma. I have deferred. (Submit supporting documents.)
Sources:
FAA AME Guide Dec 2025 version
Created at
Dec 29, 2025
Updated at
Dec 29, 2025