Georgia Management Services Agreement Guide: Supervising Physician Pay, Fee Terms and the Board's 2026 Position

How to Price the Management Fee

We found no Georgia statute or rule capping or banning a percentage management fee for physicians, and no Georgia appellate decision on one. The fee-splitting ground in the practice act is aimed at fees divided for bringing or referring a patient. We nonetheless use a fixed monthly fee for defined services, and nothing tied to referrals. The patient self-referral statute bars referrals for designated health services to an entity in which the provider has an investment interest, which matters if the management company owns related businesses.

What the Practice Must Keep

The professional corporation statute requires licensed persons to decide professional matters, and practitioner guidance says the MSO should not make clinical decisions, own medical records or set clinical fees. Board rules also require licensed oversight: they bar delegating injection of botulinum toxin or dermal fillers to medical assistants, and the Board expects physician oversight of APRNs and physician assistants. The supervising physician is paid by the practice.

Terms to Avoid

The Board's May 7, 2026 statement on IV hydration reads the bar on a physician being an employee of the APRN they supervise broadly, to include compensation of any kind from an APRN or APRN-owned company, and says a third-party matching, staffing or management company does not cure the problem if the APRN is paying for the physician in substance. It addresses APRN and PA arrangements and does not address a physician-owned practice paying a management company, but it shows scrutiny of who pays supervising physicians, so the agreement never routes supervising physician payments through an APRN.

Term, Records and Departing Clinicians

Board rules require complete treatment records for at least ten years from the last visit, with exceptions for retirement or sale notice. Georgia's restrictive covenant statute permits post-employment restraints on professionals with a two-year presumption of reasonableness in the version we read, and we did not check physician-specific amendments, so our template does not use non-competes for employed clinicians.

Filings, Notices and Watch Items

The Board has reportedly said it plans to seek legislation to register med spas and IV facilities, and its position statement was followed by a June 2026 clarification that it creates no new law. Rules effective May 2026 reportedly cap a physician at eight combined APRNs and physician assistants. The statute text we read for professional entities was from copies last updated in 2016.

Drafting Checklist

• Fee: fixed monthly amount for defined services, no referral-linked pay.
• Related businesses: no designated health services referrals to MSO-affiliated entities.
• Supervising physician: paid by the practice, never by an APRN or a matching company.
• Delegation: no Botox or filler delegation to medical assistants.
• Records: kept ten years.
• Non-competes: none for employed clinicians.

How We Draft It

Patients pay the physician-owned practice, the practice pays the management company a fixed monthly fee under the agreement, and the management company pays MedGrid a fixed monthly retainer for consulting. The management company never practices medicine, and the agreement never moves a clinical decision to it. Our template follows the same flat-fee design in every state, with the state-specific limits below layered on top.

Disclaimer

This article is general educational information, not legal advice. Management agreement rules change and differ by state, and this summary draws on our published state guide, parts of which rest on secondary sources, so have health care counsel in the state review any agreement before you sign.