X0306 4 2020-05-15 0001196501 HMS HOLDINGS CORP HMSY 0001646370 Aunan Greg D 5615 HIGH POINT DRIVE IRVING TX 75038 1 SVP, Chief Accounting Officer Common Stock 2020-05-15 4 M 0 19522.0000 19.4800 A 63040.0000 D Common Stock 2020-05-15 4 M 0 12937.0000 19.0400 A 75977.0000 D Common Stock 2020-05-15 4 S 0 32459.0000 26.6300 D 43518.0000 D Nonqualified Stock Option (Right to Buy) 19.4800 2020-05-15 4 M 0 19522.0000 0.0000 D 2028-03-02 Common Stock 19522.0000 9761.0000 D Nonqualified Stock Option (Right to Buy) 19.0400 2020-05-15 4 M 0 12937.0000 0.0000 D 2027-06-09 Common Stock 12937.0000 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 $26.50 to $26.80, inclusive. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer, 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 range set forth in this footnote (1) to this Form 4. The option vests in three equal annual installments beginning on March 2, 2019. One-half of the option vested in 3 equal installments on March 3, 2018, 2019 and 2020. The other one-half of the option vested as follows: two-thirds vested on March 3, 2019 and one-third vested on March 3, 2020. Kimberly J. Day, as Attorney-in-Fact for Greg D. Aunan 2020-05-18