Oklahoma Management Services Agreement Guide: A Fee Rule That Preserves Lawful Corporations and Direct Supervision Policies
Oklahoma's Board rule bars fees for services not personally rendered while preserving lawful professional corporations, and we found no authority on percentage management fees.
Key Highlights
- A Board rule, in a copy that may be outdated, bars giving or receiving any fee for services not actually and personally rendered while preserving the legal function of lawful professional corporations.
- We found no Oklahoma statute or case barring lay ownership or employment of physicians, and the best statement of that is a 2017 Tulsa firm article.
- Oklahoma voids post-employment non-competes but lets a former employee compete so long as they do not directly solicit established customers.
- The Osteopathic Board's 2025 med spa policy requires direct supervision for delegation to unlicensed assistants.
How to Price the Management Fee
The Board rule bars giving or receiving any fee, commission, rebate or other compensation for services not actually and personally rendered while saying it does not prohibit the legal function of lawful professional partnerships, corporations or associations. We read it through a copy that may be outdated and found no Oklahoma authority on percentage fees, so we use a fixed fee for defined services.
What the Practice Must Keep
The practice keeps clinical decisions, delegation and supervision. The Osteopathic Board's September 2025 policy requires direct supervision with the physician physically available before, during and after for delegation to practical nurses, estheticians, medical assistants or unlicensed assistants, and the medical board's 2024 guidelines call for an established physician-patient relationship with an initial evaluation.
Terms to Avoid
Avoid referral-linked pay, any arrangement in which a professional entity's owners are not licensed, and unsupervised delegation to unlicensed assistants. The medical board's guidelines state they are not enforceable as a rule or law, and the osteopathic policy binds a different group of licensees.
Term, Records and Departing Clinicians
Oklahoma voids post-employment non-competes but lets a former employee compete if they do not directly solicit established customers, allows employee and contractor non-solicitation and limited sale-of-goodwill covenants, and has no physician-specific statute. We do not use non-competes for employed clinicians.
Filings, Notices and Watch Items
We found no Oklahoma transaction notice law. A 2025 Attorney General opinion confirmed licensed-only ownership of professional entities and held that an employee stock ownership plan with licensed trustees can hold professional corporation shares.
Drafting Checklist
- Fee: fixed for defined services.
- Delegation: direct supervision for unlicensed assistants.
- Relationship: established physician-patient relationship.
- Ownership: licensed owners only.
- 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.
MedGrid MSO provides management services to independently owned practices; it does not practise medicine and does not direct clinical decisions. Requirements vary by state and by service, and change over time — nothing on this page is legal or medical advice. Talk to us or your own counsel before making a structural decision for your clinic.