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MFMD guide · AHCA clinic governance

What Should an AHCA Medical Director Agreement Cover?

The right answer depends on the facility’s actual structure, regulatory status, services, payer model, and licensed team. This guide organizes the facts that should be resolved before a decision is made.

Direct answer

A strong AHCA Medical Director agreement defines the scope of the role and its statutory responsibilities, the clinic’s cooperation and access obligations (charts, records, credentials, billing), the director’s protocol-review and corrective-action authority, availability and survey cooperation, compensation, termination, transition, records handling, and outstanding compliance matters — with insurance and indemnification reviewed by counsel.

Open the full explanation4 sections and primary sources
01

What scope, responsibilities, and access should the agreement spell out?

Spell out the director role and statutory responsibilities, plus the clinic’s obligations to cooperate and to give the Medical Director access to charts, records, provider credentials, and billing information needed to perform oversight.

02

What authority and escalation should the agreement define?

Define the director’s authority for protocol review, corrective action, and incident escalation — so oversight has teeth, not just a title.

03

How should availability, compensation, termination, and transition be handled?

Address availability expectations, survey cooperation, compensation, termination, and a clean transition — including records handling and any outstanding compliance matters — before they are needed.

04

Can the agreement require the director to sign clinic protocols?

The agreement should not promise automatic approval or signature of clinic protocols. Clinical approval must remain within the Medical Director’s professional judgment. Have counsel review indemnification and insurance.

How to use this guide

Separate the public question from the facility decision.

First confirm the facility type, AHCA or exemption status, payer model, licensed roster, and services. Then check the current official source and document who evaluates, prescribes, orders, administers, supervises, and escalates an exception.

MFMD can structure facility governance and present the proposed services and responsibilities to a physician. Clinical authority and acceptance remain with the reviewing physician.

Start with the facts of your facility

Build the right governance scope for your facility.

The two-minute estimator uses business and facility information to define your planning scope.

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