Virginia Mental Health Boss ARRESTED As FBI Says She Billed $49M For Fake Crisis Care & Used Hotels

Mikia Antoneice Noble, 37, of North Chesterfield, Virginia, was arrested by the FBI on October 28, 2026, after a federal grand jury indicted her in a $49 million Virginia Medicaid fraud case. Noble was the co-owner and chief operating officer of Advancing Communities Everywhere (ACE), a Richmond-area mental health provider paid to deliver short-term crisis care.

Prosecutors say that from January 2022 through April 2026, ACE submitted about $49.6 million in false claims to Virginia Medicaid, which paid about $38.6 million. According to the Justice Department, the company billed at a "Team Treatment" rate meant for two mental health professionals when usually one lower-level worker was there. They say it added the signatures of licensed professionals who were not in the sessions, and that Noble signed records for sessions while she was out of the country. They also say more than $2 million went to hotel rooms used to bring in low-income and homeless Medicaid patients, and that the company lied to auditors. Prosecutors say Noble personally made about $2 million, spent on travel, luxury clothes, shoes and jewelry.

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