X0306 4 2018-11-30 0001196501 HMS HOLDINGS CORP HMSY 0001189703 TELLEZ CORA M 5615 HIGH POINT DRIVE IRVING TX 75038 1 Common Stock 2018-11-30 4 M 0 8249.0000 11.2000 A 65197.0000 D Common Stock 2018-11-30 4 M 0 3530.0000 21.3600 A 68727.0000 D Common Stock 2018-11-30 4 M 0 3422.0000 21.6300 A 72149.0000 D Common Stock 2018-11-30 4 M 0 2684.0000 27.8600 A 74833.0000 D Common Stock 2018-11-30 4 M 0 717.0000 16.5400 A 75550.0000 D Common Stock 2018-11-30 4 S 0 18602.0000 35.7015 D 56948.0000 D Nonqualified Stock Option (Right to Buy) 27.8600 2018-11-30 4 M 0 2684.0000 0.0000 D 2019-10-14 Common Stock 2684.0000 0.0000 D Nonqualified Stock Option (Right to Buy) 11.2000 2018-11-30 4 M 0 8249.0000 0.0000 D 2022-11-10 Common Stock 8249.0000 100.0000 D Nonqualified Stock Option (Right to Buy) 21.6300 2018-11-30 4 M 0 3422.0000 0.0000 D 2021-11-11 Common Stock 3422.0000 0.0000 D Nonqualified Stock Option (Right to Buy) 16.5400 2018-11-30 4 M 0 717.0000 0.0000 D 2026-11-11 Common Stock 717.0000 3023.0000 D Nonqualified Stock Option (Right to Buy) 21.3600 2018-11-30 4 M 0 3530.0000 0.0000 D 2020-11-14 Common Stock 3530.0000 0.0000 D The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $35.18 to $36.13, inclusive. The reporting person undertakes to provide to HMS Holdings Corp., any security holder of HMS Holdings Corp., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (1) to this Form 4. The option vested in four equal installments on December 31, 2012, March 31, 2013, June 30, 2013 and September 30, 2013. The option vested in four equal installments on December 31, 2015, March 31, 2016, June 30, 2016 and September 30, 2016. The option vested in four equal installments on December 31, 2014, March 31, 2015, June 30, 2015 and September 30, 2015. The option vested in four equal installments on December 31, 2016, March 31, 2017, June 30, 2017 and September 30, 2017. The option vested in four equal installments on December 31, 2013, March 31, 2014, June 30, 2014 and September 30, 2014. Kimberly J. Day, as Attorney-in-Fact for Cora M. Tellez 2018-11-30