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Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
Originator-Key-Asymmetric:
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 TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB
MIC-Info: RSA-MD5,RSA,
 Rp5wnSv91b7Efkgbp6o2Gzd119q06b+8hlY/9ALH5UBNtu9mD/XANxMWn9GIeBbI
 2CDoT/ORSaHtNAjO46Y2XQ==

<SEC-DOCUMENT>0001209191-03-029512.txt : 20031110
<SEC-HEADER>0001209191-03-029512.hdr.sgml : 20031110
<ACCEPTANCE-DATETIME>20031110154908
ACCESSION NUMBER:		0001209191-03-029512
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20031106
FILED AS OF DATE:		20031110

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			RUDNICK ELLEN A
		CENTRAL INDEX KEY:			0001194498

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	000-50194
		FILM NUMBER:		03988374

	MAIL ADDRESS:	
		STREET 1:		48 MONROE TURNPIKE
		CITY:			TRUMBULL
		STATE:			CT
		ZIP:			06611

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			HMS HOLDINGS CORP
		CENTRAL INDEX KEY:			0001196501
		STANDARD INDUSTRIAL CLASSIFICATION:	SERVICES-BUSINESS SERVICES, NEC [7389]
		IRS NUMBER:				113656261

	BUSINESS ADDRESS:	
		STREET 1:		401 PARK AVENUE SOUTH
		CITY:			NEW YORK
		STATE:			NY
		ZIP:			10016
		BUSINESS PHONE:		2126854545
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>bny91469_bny09ear.xml
<DESCRIPTION>MAIN DOCUMENT DESCRIPTION
<TEXT>
<XML>
<?xml version="1.0"?><ownershipDocument><schemaVersion>X0201</schemaVersion>    <documentType>4</documentType><periodOfReport>2003-11-06</periodOfReport><notSubjectToSection16>0</notSubjectToSection16><issuer><issuerCik>0001196501</issuerCik><issuerName>HMS HOLDINGS CORP</issuerName>        <issuerTradingSymbol>HMSY</issuerTradingSymbol></issuer><reportingOwner><reportingOwnerId><rptOwnerCik>0001194498</rptOwnerCik><rptOwnerName>RUDNICK ELLEN A</rptOwnerName></reportingOwnerId><reportingOwnerAddress><rptOwnerStreet1>401 PARK AVENUE SOUTH</rptOwnerStreet1><rptOwnerStreet2></rptOwnerStreet2><rptOwnerCity>NEW YORK</rptOwnerCity><rptOwnerState>NY</rptOwnerState><rptOwnerZipCode>10016</rptOwnerZipCode><rptOwnerStateDescription></rptOwnerStateDescription></reportingOwnerAddress><reportingOwnerRelationship><isDirector>1</isDirector><isOfficer>0</isOfficer><isTenPercentOwner>0</isTenPercentOwner><isOther>0</isOther></reportingOwnerRelationship></reportingOwner><derivativeTable><derivativeTransaction><securityTitle><
value>Non-Qualified Stock Option (right to buy)</value></securityTitle><conversionOrExercisePrice><value>3.05</value></conversionOrExercisePrice><transactionDate><value>2003-11-06</value></transactionDate><transactionCoding><transactionFormType>4</transactionFormType><transactionCode>A</transactionCode><equitySwapInvolved>0</equitySwapInvolved></transactionCoding><transactionAmounts><transactionShares><value>30000</value></transactionShares><transactionPricePerShare><value>3.05</value></transactionPricePerShare><transactionAcquiredDisposedCode><value>A</value></transactionAcquiredDisposedCode></transactionAmounts><exerciseDate><footnoteId id="F1" /></exerciseDate><expirationDate><value>2013-11-06</value></expirationDate><underlyingSecurity><underlyingSecurityTitle><value>Common Stock</value></underlyingSecurityTitle><underlyingSecurityValue><value>91500</value></underlyingSecurityValue></underlyingSecurity><postTransactionAmounts><sharesOwnedFollowingTransaction><value>30000</value></sharesOwnedFollowingTran
saction></postTransactionAmounts><ownershipNature><directOrIndirectOwnership><value>D</value></directOrIndirectOwnership></ownershipNature></derivativeTransaction></derivativeTable><footnotes><footnote id="F1">Options vest in 1/3 increments, with 1/3 vesting on grant date and 1/3 vesting on each of the next two anniversary dates.</footnote></footnotes><ownerSignature><signatureName>Philip Rydzewski for Ellen A. Rudnick.  Authorized by power of attorney dated August 28, 2002.</signatureName><signatureDate>2003-11-10</signatureDate></ownerSignature></ownershipDocument>

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</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
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