North Chesterfield executive charged in alleged $49.6M Medicaid fraud scheme

TL;DR: Federal prosecutors have charged a North Chesterfield woman, Mikia Noble, 37, in an alleged scheme to bill Virginia Medicaid roughly $49.6 million for crisis mental-health services that recipients never received or did not need. The charge is an accusation; Noble has not been convicted.

The story

A North Chesterfield woman has been charged in federal court in connection with what prosecutors describe as a multimillion-dollar scheme to defraud Virginia Medicaid, the U.S. Attorney's Office for the Eastern District of Virginia announced.

According to the charge, Mikia Noble, 37, the chief operating officer of a company called Advancing Communities Everywhere, conspired with others to bill Medicaid for crisis mental-health services that low-income residents — many of them homeless — either never received or did not need. Prosecutors allege the scheme submitted approximately $49.6 million in false and fraudulent claims to Medicaid, of which about $38.6 million was paid.

The case was announced as part of the Justice Department's 2026 National Health Care Fraud Takedown, a coordinated federal enforcement action. Noble faces a charge of conspiracy to commit health care fraud.

A charge is an allegation. Noble is presumed innocent unless and until proven guilty in court.

Why it matters: Medicaid pays for health care for Virginia's lowest-income residents, and prosecutors say this alleged scheme targeted some of the most vulnerable — including homeless people — while billing taxpayers tens of millions of dollars.

Sources

• U.S. Attorney's Office (EDVA) — charges against three defendants in national health care fraud takedown
• Daily Voice — Virginia COO among those charged in health care fraud takedown