Mikia Antoneice Noble

Introduction

Mikia Antoneice Noble, 37, of North Chesterfield, Virginia, is the co-owner and Chief Operating Officer of Advancing Communities Everywhere LLC (ACE), a mental health provider in the Richmond area, charged in a $49 million fraud scheme against Virginia Medicaid. A federal grand jury in the Eastern District of Virginia returned an indictment on October 20, 2026, alleging that from January 2022 through April 2026 Noble participated in submitting over $49 million in false and fraudulent claims for mental health crisis services that were never provided as billed. She was arrested on October 28, the day the Justice Department announced the charges.

Background Information

ACE purported to provide mental health services to individuals experiencing acute or significant behavioral health crises; according to the indictment, the company did not provide those services as billed. Noble held two roles there at once — co-owner and Chief Operating Officer, and also a claimed position as a mental health professional for ACE. That claimed clinical role sits at the center of the case, because prosecutors allege she added her own signature to crisis-services records she had no part in providing, at times while she was out of the country. The case, in other words, targets the junction of corporate control and clinical billing: the government’s theory is that she used both positions to drive a billing operation built on paperwork that did not match reality.

The Controversy or Incident That Led to Their Cancellation

Charged, not convicted. Noble was indicted on October 20, 2026 and arrested on October 28. The claims below are allegations from the indictment and court documents. They have not been tested at trial, she has not entered a plea recorded in the release, and she is presumed innocent unless and until proven guilty beyond a reasonable doubt in a court of law.

The indictment alleges that Noble conspired with her co-owner to carry out five kinds of deceptive conduct. ACE billed Virginia Medicaid for crisis services purportedly provided by teams of mental health professionals including a trained and licensed professional, which were instead provided only by a single low-level, less qualified mental health professional. The company paid over $2 million for hotel room rentals that were offered to Medicaid beneficiaries to illegally induce them, allowing ACE to bill for services purportedly provided to them that they did not actually need. Medical records were falsified by adding the signatures of licensed professionals who had not actually participated in providing crisis services — and by adding Noble’s own signature falsely representing that she had participated, when in fact, the indictment alleges, Noble was out of the country. Finally, Noble is alleged to have lied to Medicaid Managed Care Organizations conducting audits of ACE’s crisis services. She is charged with conspiracy to commit health care fraud and three counts of health care fraud — four counts in all, each carrying a maximum penalty of 10 years in prison if convicted. The charges are allegations only; nothing has been tested at trial.

Public Reaction and Consequences

The announcement was made by Assistant Attorney General Colin M. McDonald of the Justice Department’s National Fraud Enforcement Division, First Assistant U.S. Attorney Theophani K. Stamos for the Eastern District of Virginia, and Special Agent in Charge Ian Kaufmann of the FBI Richmond Field Office. The FBI Richmond Field Office and the Medicaid Fraud Control Unit of the Virginia Office of the Attorney General are investigating the case. Trial Attorneys Lauren Randell and Zachary H. Ray of the Fraud Division’s Health Care Fraud Section and Assistant U.S. Attorney Robert S. Day for the Eastern District of Virginia are prosecuting. The Justice Department framed the case inside a wider enforcement push: it created the National Fraud Enforcement Division on April 7, its work supports President Trump’s Task Force to Eliminate Fraud chaired by Vice President J.D. Vance, and the Department’s Health Care Fraud Strike Force Program — nine strike forces nationwide — has charged more than 6,200 defendants who collectively billed federal health care programs and private insurers more than $45 billion since 2007.

Current Status

Noble was arrested on October 28, 2026, the day of the announcement. If convicted on the conspiracy and three health care fraud counts, she faces a maximum penalty of 10 years in prison on each count. The release records no plea, no trial date, and no response from Noble or from ACE. As the release itself puts it, an indictment is merely an allegation, and all defendants are presumed innocent until proven guilty beyond a reasonable doubt in a court of law.

Impact on Their Career/Life

The allegations reach both identities Noble held at once — executive and self-described clinician — and describe a company whose billing model, if the government is right, produced $49 million in false claims over four years. The sharpest allegations are the $2 million in hotel-room inducements used to lure beneficiaries into services they did not need, and the falsified signatures of licensed colleagues who never participated in care. What remains is the criminal process itself: an arrest made, four counts pending, a maximum exposure of 10 years per count, and a presumption of innocence the government’s own announcement reaffirmed. The release records no statement from her and no word on the fate of ACE.

Sources

• U.S. Department of Justice, “Virginia Mental Health Professional Charged in $49M Medicaid Fraud Scheme,” October 28, 2026 — source