X0303 4 2008-09-09 0 0001018833 QUADRAMED CORP QDHC 0001036997 PIAZZA DAVID L C/O QUADRAMED CORPORATION 12110 SUNSET HILLS ROAD, SUITE 600 RESTON VA 20190 0 1 0 0 Chief Financial Officer Employee Stock Option (right to buy) 13.25 2013-10-06 Common Stock 11000 11000 D Employee Stock Option (right to buy) 9.00 2015-08-10 Common Stock 30000 41000 D Employee Stock Option (right to buy) 8.50 2016-02-06 Common Stock 9000 50000 D Employee Stock Option (right to buy) 14.15 2017-01-23 Common Stock 20000 70000 D Employee Stock Option (right to buy) 15.95 2017-06-07 Common Stock 40000 110000 D The options vested in accordance with the terms of the 1999 Supplemental Stock Option Plan; 25% vested on the first anniversary of the grant, and the remaining 75% vested pro rata over the next thirty-six months. The options vest in accordance with the terms of the 2004 Stock Compensation Plan; 25% vest on the first anniversary of the grant, with the remaining 75% vesting pro rata over the next 36 months. Mr. Piazza is filing this Form 4 for informational purposes only. On September 9, 2008, Mr. Piazza was reinstated as the Chief Financial Officer of QuadraMed Corporation (the "Company"), as previously reported in the Company's Current Report on Form 8-K, as filed with the Securities and Exchange Commission on September 10, 2008. In connection with his reinstatement, the Company's Compensation Committee renewed Mr. Piazza's previously granted stock options, and no new stock options were granted. /s/ David L. Piazza 2008-09-11