ALBANY, N.Y. (AP) — New York auditors note partial steps have been taken by the state Health Department to stem improper Medicaid payments to managed care plans and providers on behalf of patients with duplicate or multiple identification numbers.

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The comptroller's office, in a letter to Health Commissioner Nirav Shah, says the state's health care program for the poor has five million members and costs about $53 billion, with 58 local districts that determine who is eligible.

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In a 2008, report, auditors cited $53 million in overpayments for patients with multiple ID numbers and that department officials have now recovered almost $1.7 million.

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Auditors say the department still needs to formally advise the districts of cross-checking measures and establish the policy needed as a basis for recovering $40 million of the overpayments.

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