X0306 4 2017-08-21 0001196501 HMS HOLDINGS CORP HMSY 0001224316 CALLEN CRAIG R 5615 HIGH POINT DRIVE IRVING TX 75038 1 Common Stock 2017-08-21 4 A 0 6743.0000 0.0000 A 44784.0000 D Nonqualified Stock Option (Right to Buy) 17.4500 2017-08-21 4 A 0 6743.0000 0.0000 A 2027-08-21 Common Stock 6743.0000 6743.0000 D Represents restricted stock units (RSUs) payable in an equal number of shares of the Issuer's common stock. The RSUs vest in full on the earlier of (1) the first anniversary of the grant date or (2) the date of the Issuer's 2018 annual meeting of stockholders. The option vests in full on the earlier of (1) the first anniversary of the grant date or (2) the date of the Issuer's 2018 annual meeting of stockholders. Kimberly J. Day, as Attorney-in-Fact for Craig R. Callen 2017-08-22