X0306 4 2019-05-22 0001196501 HMS HOLDINGS CORP HMSY 0001194498 RUDNICK ELLEN A 5615 HIGH POINT DRIVE IRVING TX 75038 1 Common Stock 2019-05-22 4 A 0 4178.0000 0.0000 A 77182.0000 D Nonqualified Stock Option (Right to Buy) 31.5700 2019-05-22 4 A 0 4178.0000 0.0000 A 2029-05-22 Common Stock 4178.0000 4178.0000 D Represents restricted stock units (RSUs) payable in an equal number of shares of the Issuer's common stock. The RSUs vest in full on the earlier of (1) the first anniversary of the grant date or (2) the date of the Issuer's 2020 annual meeting of stockholders. The option vests in full on the earlier of (1) the first anniversary of the grant date or (2) the date of the Issuer's 2020 annual meeting of stockholders. Kimberly J. Day, as Attorney-in-Fact for Ellen A. Rudnick 2019-05-23