X0303 4 2011-03-16 0 0001196501 HMS HOLDINGS CORP HMSY 0001209904 LUCIA WILLIAM C 401 PARK AVENUE SOUTH NEW YORK NY 10016 1 1 0 0 Chief Executive Officer Common Stock 2011-03-16 4 M 0 5000 6.95 A 89040 D Common Stock 2011-03-16 4 S 0 5000 78.05 D 84040 D Non Qualified Stock Option (Right to Buy) 6.95 2011-03-16 4 M 0 5000 0.00 D 2005-04-14 2015-04-14 Common Stock 5000 27000 D The transactions reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on March 4, 2011. Of which 31,980 are restricted stock awards granted on February 19, 2009 pursuant to the Third 2006 Amended and Restated Stock Plan (the "2006 Stock Plan") and 18,262 are restricted stock units granted on February 17, 2011 pursuant to the 2006 Stock Plan. Date shown is grant date. Options vested in one third increments with one third having vested on the grant date and one third having vested on each of the following two anniversary dates. Only represents the derivative securities of this class. Walter D. Hosp by Power of Attorney for William C. Lucia 2011-03-17