X0303 4 2010-05-03 0 0001196501 HMS HOLDINGS CORP HMSY 0001490882 Marshall Edith S 401 PARK AVENUE SOUTH NEW YORK NY 10016 0 1 0 0 VP and General Counsel Non Qualified Stock Option (Right to Buy) 55.09 2010-05-03 4 A 0 2433 0.00 A 2010-05-03 2017-05-03 Common Stock 2433 2433 D Restricted Stock Units 2010-05-03 4 A 0 907 0.00 A Common Stock 907 907 D Date shown is the date of grant. Options vest annually in 25% increments on the anniversary of the date of grant. The restricted stock units were granted pursuant to the Third Amended and Restated 2006 Stock Plan. Each restricted stock unit represents a contingent right to receive one share of HMSY's common stock. Restricted stock units vest annually in 25% increments on the anniversary of the date of grant. Vested shares will be delivered to the reporting person as soon as practicable after each vesting date. Restricted stock units do not have an expiration date. Walter D. Hosp by Power of Attorney for Edith Marshall 2010-05-05