X0303 4 2010-12-31 0 0001196501 HMS HOLDINGS CORP HMSY 0001216421 KELLY JAMES TIMOTHY 401 PARK AVENUE SOUTH NEW YORK NY 10016 1 0 0 0 Common Stock 2010-12-31 4 A 0 933 0.00 A 933 D These shares represent restricted stock units (RSUs) which were granted on October 1, 2010 and were previously reported on Table II of the Reporting Person's Form 4 filed on October 5, 2010. These RSUs vest quarterly over a one year period beginning on December 31, 2010. These RSUs has 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 with the Issuer. Walter D. Hosp by Power of Attorney for James T. Kelly 2010-01-04