X0304 4 2011-10-01 0 0001196501 HMS HOLDINGS CORP HMSY 0001216421 KELLY JAMES TIMOTHY 401 PARK AVENUE SOUTH NEW YORK NY 10016 1 0 0 0 Common Stock 2011-10-01 4 A 0 2554 22.95 A 5353 D Non Qualified Stock Option (Right to Buy) 22.95 2011-10-01 4 A 0 2554 0.00 A 2011-10-01 2018-09-30 Common Stock 2554 2554 D These shares represent restricted stock units (RSUs) which were granted on October 1, 2011. This grant vests quarterly, with the first quarter vesting on December 31, 2011. The RSUs have been deferred under the Issuer's Director Deferred Compensation Plan and will be settled in shares of the Issuer's common stock upon termination of theReporting Person's service with the Issuer. These shares include 933 restricted stock units (RSUs) which were granted on October 1, 2010. These RSUs vested quarterly, with the first quarter vesting on December 31, 2010. The RSUs have been deferred under the Issuer's Director Deferred Compensation Plan and will be settled in shares of the Issuer's common stock upon termination of the Reporting Person's service with the Issuer. The Company declared a three-for-one stock split of the Company's common shares, to be effected in the form of a common stock dividend. As a result, on August 16, 2011, the reporting person received two additional shares of common stock for each share ofcommon stock held on July 22, 2011. Date shown is grant date. This grant vests quarterly, with the first quarter vesting on December 31, 2011. /s/ Walter D. Hosp by Power of Attorney for James T. Kelly 2011-10-04