2nd Amendment Chat Room · CHARGED
Richmond, Virginia — Mental Health Executive Charged in $49 Million Medicaid Fraud Scheme
A federal grand jury in the Eastern District of Virginia indicted Mikia Antoneice Noble, 37, of North Chesterfield, on October 20, 2026, and she was arrested on October 28. Noble was co-owner and Chief Operating Officer of Advancing Communities Everywhere LLC (ACE), a Richmond-area mental health provider. Prosecutors say ACE billed Virginia Medicaid for crisis services that were not provided as billed — about $49.6 million in false claims, of which about $38.6 million was paid — paid over $2 million in hotel rooms to induce beneficiaries to let ACE bill for them, and falsified medical records with signatures of professionals who never took part, including sessions Noble signed while she was out of the country. The scheme is alleged to have run from January 2022 to April 2026.
- Date
- October 28, 2026
- Location
- Richmond
- Victims
- Virginia Medicaid
- Suspect
- Mikia Antoneice Noble, 37
- Stage
- CHARGED
Last updated:
Evidence
Timeline
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NEW CHARGED Court
Update #1 — First court appearance — $500,000 bond set with strict conditions
Mikia Antoneice Noble, 37, made her first court appearance on Thursday, Oct 29, in the Eastern District of Virginia, before Judge Jacob Howard. The judge set her bond at $500,000 with strict conditions: GPS monitoring, surrender of her passport and driver's licence, drug testing twice a week, a mental health evaluation, and a ban on working in health care while the case moves forward. Her attorney, Dellwyn C. Smith, preserved the issue of her competency for a later hearing. Noble, co-owner and chief operating officer of Advancing Communities Everywhere LLC, is accused of submitting about $49.6 million in false Virginia Medicaid claims for psychosocial rehabilitation services that were never provided, of which about $38.6 million was paid, and of paying more than $2 million in hotel-room kickbacks to recruit beneficiaries whose Medicaid numbers were then billed. We are following this case and will update it again as soon as new information comes.
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