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Description
AME Guidance for Processing a CKD 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

To determine the applicant's eligibility for certification, the AME must review a current, detailed Clinical Progress Note generated from a clinic visit with the treating physician or specialist no more than 90 days prior to the AME exam. If the applicant meets ALL the acceptable certification criteria listed below, the AME can issue. Applicants for first- or second-class must provide this information annually; applicants for third-class must provide the information with each required exam.

AME MUST REVIEW ACCEPTABLE CERTIFICATION CRITERIA
The treating physician's current, detailed Clinical Progress Note verifies:
  • Is asymptomatic and stable;
  • Has not developed any new conditions or complications that would affect renal function;
  • Has 2 functioning kidneys;
  • Any underlying conditions (such as diabetes, HTN, glomerulonephritis, PKD, or chronic obstruction) are well controlled; and
  • Dialysis or transplant is not recommended or anticipated at this time.
 [ ] Yes
eGFR is 35 or higher
(Most recent value, must be within the last six (6) months.) 		[ ] Yes
Albumin on urine dipstick is trace or negative
OR albumin creatinine ratio (ACR) is 29 or less 		[ ] Yes
Hemoglobin is at least 10 gm/dL AND hematocrit is at least 30% [ ] Yes
Current treatment [ ] Allowed HTN medication

AME MUST NOTE in Block 60 one of the following:

[ ] CACI qualified Chronic Kidney Disease.

[ ] Has current OR previous SI/AASI but now CACI qualified Chronic Kidney Disease.

[ ] NOT CACI qualified Chronic Kidney Disease. I have deferred. (Submit supporting documents.)

Sources:
FAA AME Guide Dec 2025 version
Fp post date
Apr 27, 2022
Created at
Dec 29, 2025
Updated at
Dec 29, 2025