Madison County has many agencies that serve the many needs of our community. Below is a listing of some of the agencies that serve Madison County.
| Agency Name | Type of District | Funding Source |
| 911 Communication Center | Joint Government (Madison, Richmond, Berea) | Funded by 3 governments via interlocal agreement |
| Madison County Attorney | Elected Official | Fees |
| Madison County Extension Office | Taxing District | Property Tax |
| Madison County Schools | Taxing District | Property Tax |
| Madison County Health Department | Taxing District | Property Tax |
| Kirksville Water Association | Independent Utility | Utility Fees |
| Madison County EMS | Taxing District | Property Tax |
| Madison County Ethics Board | Statutorily Required (Fiscal Court Appointed) | County Budget |
| Madison County Utilities | Independent Utility | Utility Fees |
| Madison County PVA | Elected Official | State Government Funded |
| Madison County Public Library | Taxing District | Property Tax |
| Madison County Clerk | Elected Official | |
| Madison County Sheriff | Elected Official | |
| Madison County Safety City | Run by the Health Department | |
| Madison County Detention Center | Elected Official | County Budget and Fees |
| Volunteer Fire Departments | Fire District | Independent Funding Source |
| Madison County Coroner | Elected Official | County Budget |
| Berea Rescue Squad | ||
