Virginia Mental Health Provider Charged in $49 Million Medicaid Fraud Scheme

A federal grand jury in the Eastern District of Virginia indicted Mikia Antoneice Noble, 37, on Oct. 20 for her role in a $49 million Medicaid fraud scheme. Noble, co‑owner and chief operating officer of Advancing Communities Everywhere LLC (ACE), was arrested on Oct. 28.

Alleged Scheme

Prosecutors say ACE billed Virginia Medicaid for crisis‑intervention services that were never provided. Instead of teams of licensed professionals, the company used a single low‑level worker while still charging for multiple qualified staff.

The indictment also alleges that ACE paid more than $2 million for hotel rooms rented to Medicaid beneficiaries to create the appearance of needed services, falsified medical records with forged signatures, and lied to Medicaid auditors.

Charges and Potential Penalty

Noble faces one count of conspiracy to commit health‑care fraud and three counts of health‑care fraud. Each count carries a maximum sentence of 10 years in prison if she is convicted.

Impact on Medicaid Recipients and Providers

While the case is pending, the alleged fraud could affect Medicaid beneficiaries who received services from ACE, as well as other providers who might face increased scrutiny. The FBI Richmond Field Office and Virginia’s Medicaid Fraud Control Unit are investigating, and the Justice Department’s Health Care Fraud Strike Force continues to pursue similar schemes.

What This Means for You

If you or a family member received services from ACE, you may want to review any bills or records you have and keep them for future reference. Should you receive a notice from Medicaid or a law‑enforcement agency, consider contacting a lawyer to understand your rights.

Anyone suspecting Medicaid fraud can report it to the state’s Medicaid Fraud Control Unit. Staying informed about how health‑care billing works can help protect you from being caught up in fraudulent schemes.

When to Seek Legal Help

Talking to an attorney is advisable if you have questions about a Medicaid bill, suspect fraud, or have been contacted by investigators. A lawyer can help you navigate the process and protect your interests.

What this means: our conclusions

1 Good news1 Risk1 What to watch2 What to do

1. What to watchIncreased Scrutiny of Medicaid Providers

   The case signals tighter oversight of mental‑health providers that bill Medicaid, which may lead to more audits for similar firms.

2. RiskPotential Risk for Beneficiaries

   Medicaid recipients who used ACE services could see their claims reviewed or delayed, prompting them to keep documentation.

3. Good newsDeterrent Effect on Fraud

   Aggressive prosecution may deter other providers from submitting false claims, protecting taxpayer funds.

4. What to doNeed for Vigilance

   Consumers should monitor their Medicaid statements and report suspicious billing to state authorities.

5. What to doLegal Guidance May Be Needed

   Those contacted by investigators or unsure about their bills should consider consulting an attorney.

Primary sources & the law

• www.justice.gov/criminal-fraud/health-care-fraud-unit urldefense.us
• National Fraud Enforcement Division justice.gov

Related legal answers

• What is conspiracy in law?
• What counts as medical malpractice?

This article is general information based on U.S. Department of Justice and court or agency records available at publication time. It is not legal advice; laws and deadlines differ by state and by case. Published October 29, 2026.