Use this form to report any concerns or incidents related to Madison County’s Corporate Compliance Program, including potential fraud, waste, or abuse, Medicaid billing concerns, privacy or HIPAA violations, unethical conduct, patient safety, other potential risks, or violations of County policy or law.

You may report anonymously or provide your name. Please include as much detail as possible so we can properly assess and address the issue. Fields marked with an asterisk (*) are required. If this is an urgent matter involving immediate danger to safety or health, please contact your supervisor or appropriate emergency services right away.

Note: This form is not intended for general service requests or complaints related to County programs, facilities, local businesses, or community conditions (for example: road maintenance, restaurant sanitation, code enforcement, or other operational concerns). These types of matters should be directed to the appropriate County department.