Virginia Mental Health Professional Indicted for $49 Million Medicaid Fraud Scheme
ANALYSIS · October 28, 2026
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Package note: This analysis covers the Department of Justice press release dated October 28, 2026, announcing a federal grand jury indictment returned October 20, 2026, against Mikia Antoneice Noble. The indictment charges conspiracy to commit health care fraud and three counts of health care fraud. It does not constitute a finding of guilt; the document states that an indictment is merely an allegation and that all defendants are presumed innocent until proven guilty beyond a reasonable doubt in a court of law.
Primary sources
- Department of Justice (October 28, 2026): https://www.justice.gov/opa/pr/virginia-mental-health-professional-charged-49m-medicaid-fraud-scheme
A federal grand jury in the Eastern District of Virginia indicted Mikia Antoneice Noble, 37, of North Chesterfield, Virginia, on October 20, 2026. Noble, co-owner and Chief Operating Officer of Advancing Communities Everywhere LLC (ACE), was arrested October 28. The indictment alleges she participated in a scheme that submitted over $49 million in false and fraudulent claims to Virginia Medicaid from January 2022 through April 2026 for mental health crisis services that were not provided as billed.
Core Tension
The Department of Justice announcement frames the case as a deliberate fraud scheme in which a licensed mental health provider and company co-owner allegedly billed Medicaid for high-level crisis services while delivering far less. The indictment alleges services were provided by single low-level staff instead of required teams including licensed professionals, over $2 million was paid for hotel rooms used to induce unnecessary billing, medical records were falsified with unauthorized signatures including Noble’s while she was out of the country, and auditors were lied to. It charges one count of conspiracy and three counts of health care fraud, each carrying a maximum of 10 years in prison. The document does not address the final amount actually paid by Medicaid, the status of co-owner charges, or any civil recovery actions.
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