U.S. Department
of Justice
United States v. Mikia Noble, Crim. No. 3:26-cr-69
United States v. Mikia Noble, Crim. No. 3:26-cr-69
On June 18, 2025, defendant Mikia Noble was charged in a single-count criminal information in Criminal Case No. 3:26-cr-69. Noble is charged with conspiracy to commit health care fraud, in violation of 18 U.S.C. § 1349, in connection with a multi‑year scheme that generated tens of millions of dollars in false and fraudulent Medicaid claims for crisis mental health services.
Noble served as the Chief Operating Officer and 49% owner of Advancing Communities Everywhere, LLC (ACE), a Richmond‑based mental health agency she operated with a co-conspirator. Noble also served as Vice President of Community Culture for Virginia (CC4VA), a nonprofit the pair created and used to funnel kickbacks.
Noble conspired with others to target low-income, often homeless, Medicaid recipients by purporting to provide those recipients with mental health services that the recipients did not receive and often did not need. Noble and others submitted approximately $49.6 million in false and fraudulent claims to Medicaid, of which approximately $38.6 million was paid.
Noble and her co-conspirator also allegedly falsified and altered medical records to support fraudulent billing. In many cases, ACE billed Medicaid at elevated “Team Treatment” rates that required simultaneous treatment by two mental health professionals, even though, at most, only one—a lower‑credentialed provider—was present. Noble signed progress notes claiming she participated in multiple simultaneous treatment sessions, including sessions occurring while she was traveling out of the country.
To induce individuals to enroll in services with ACE, co-conspirators paid more than $2 million in kickbacks—including payments for hotel rooms—through CC4VA, even though Medicaid rules prohibit providing housing as an inducement for services.
In addition, court documents state that Noble and her co-conspirator misled auditors, concealed their practices, and produced altered documentation to evade detection.
A criminal information contains merely accusations. Defendants are presumed innocent until proven guilty.
Court Documents
Victim Information
Pursuant to the Crime Victims’ Rights Act, 18 U.S.C. § 3771, the Department of Justice is required to provide notice to individuals who may have been harmed as a direct result of the criminal offenses of which a defendant has been convicted. In this context, “harmed” is defined broadly and is not limited to monetary loss. This office uses the Victim Notification System (“VNS”) and other methods, including web pages and press releases, to ensure potential victims receive timely notice of public events related to a case. For more information, go to Crime Victims’ Rights Act.
Contact Information
The U.S. Department of Justice and the U.S. Attorney’s Office for the Eastern District of Virginia are committed to protecting the rights of crime victims and providing them with information necessary to exercise those rights. We invite those potential crime victims to contact the prosecution through our Victim/Witness Unit to ensure they are notified of important stages of the case. In addition, our Victim/Witness Unit can help make references to agencies that provide other services to witnesses. We suggest that any potential victim fill out the Potential Victim Form and submit it to our Victim/Witness Unit. Those who successfully register as potential victims will have access to the Victim Notification System (“VNS”).
The VNS is designed to provide information regarding the case as it proceeds through the criminal justice system. Registered victims may obtain current information about this matter on the Internet at www.Notify.usdoj.gov or from the VNS Call Center at 1-866-DOJ-4YOU (1-866-365-4968) (TDD/TTY:1-866-228-4619; International 1-502-213-2767). In addition, they may use the Call Center or Internet to update their contact information and/or change their decision about participation in the notification program. In order to access VNS, a crime victim must receive a Victim Identification Number (VIN) and Personal Identification Number (PIN) from our Victim/Witness Unit. Again, to register, please complete the Potential Victim Form and submit it to the email or mailing address below.
To submit a Potential Victim Form or obtain other assistance, please contact:
Victim/Witness Coordinator
United States Attorney’s Office
919 E Main St, Suite 1900
Richmond, VA 23219
(804)-819-7429
Sarah.Lesniewski@usdoj.gov
Resources
Victim Impact Statements Know Your Rights EDVA
Exercising Your Right to be Heard EDVA
Next Court Date
- July 14, 2026 at 2:00 pm – Initial Appearance and Plea Hearing
Updated July 9, 2026