X0306 4 2012-10-05 0 0001196501 HMS HOLDINGS CORP HMSY 0001216421 KELLY JAMES TIMOTHY 401 PARK AVENUE SOUTH NEW YORK NY 10016 1 0 0 0 Common Stock 2012-10-05 4 A 0 2766 27.79 D 8119 D Non Qualified Stock Option (Right to Buy) 27.79 2012-10-05 4 A 0 2766 0 D 2012-10-05 2019-10-04 Common Stock 2766 2766 D These shares represent 2,766 restricted stock units (RSUs) which were granted on October 5, 2012. This grant vests quarterly, with the first quarter vesting on December 31, 2012. These RSUs have been deferred by the Reporting Person 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 as a director of the Issuer. These shares include 2,554 restricted stock units (RSUs) which were granted on October 1, 2011. This grant vests quarterly, with the first quarter vesting on December 31, 2011. These RSUs have been deferred by the Reporting Person 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 as a director of the Issuer. These shares include 2,799 restricted stock units (RSUs) which were granted on October 1, 2010. This grant vests quarterly, with the first quarter vesting on December 31, 2010. These RSUs have been deferred by the Reporting Person 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 as a director of the Issuer. Date shown is grant date. This grant vestsd quarterly, with the first quarter vesting on December 31, 2012 Only represents the derivitive securities of this class. Walter D. Hosp by Power of Attorney for James T. Kelly 2012-10-09