Medicaid health care agencies fraud and inadequate care-what protection for the patient?

if an agency continues to provide bad service, frequent no-shows, drops patient repeatedly, stays less time than contract states and approved by state agencies--threatens to void your contract when they are cited for allegations of wrongdoing and improper care --what rights does the patient have? Red tape everywhere. the state agencies who should pay attention turn their heads. The care providers or attendants so underpaid they don't care--the agency only cares about the billing time, not the care provided. Where does the patient go for help?