Statement of Changes in Beneficial Ownership (4)

FORM 4 [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).	UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES	OMB APPROVAL OMB Number: 3235-0287 Estimated average burden hours per response... 0.5
	Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940

1. Name and Address of Reporting Person * Aunan Greg D	2. Issuer Name and Ticker or Trading Symbol HMS HOLDINGS CORP [ HMSY ]	5. Relationship of Reporting Person(s) to Issuer (Check all applicable) _____ Director                      _____ 10% Owner __ X __ Officer (give title below)      _____ Other (specify below) SVP, Chief Accounting Officer
(Last)          (First)          (Middle) 5615 HIGH POINT DRIVE	3. Date of Earliest Transaction (MM/DD/YYYY) 11/19/2018
(Street) IRVING, TX 75038 (City)        (State)        (Zip)	4. If Amendment, Date Original Filed (MM/DD/YYYY)	6. Individual or Joint/Group Filing (Check Applicable Line) _ X _ Form filed by One Reporting Person ___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security (Instr. 3)	2. Trans. Date	2A. Deemed Execution Date, if any	3. Trans. Code (Instr. 8)		4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common Stock	11/19/2018		M		3625.0000	A	$17.5400	38991.0000	D
Common Stock	11/19/2018		S		300.0000	D	$36.7400   (1)	38691.0000	D
Common Stock	11/19/2018		S		3325.0000	D	$35.7814   (2)	35366.0000	D
Common Stock	11/21/2018		M		2392.0000	A	$17.5400	37758.0000	D
Common Stock	11/21/2018		M		708.0000	A	$14.0000	38466.0000	D
Common Stock	11/21/2018		S		3100.0000	D	$35.6516   (3)	35366.0000	D

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Trans. Date	3A. Deemed Execution Date, if any	4. Trans. Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Nonqualified Stock Option (Right to Buy)	$17.5400	11/19/2018		M			3625.0000	(4)	6/28/2022	Common Stock	3625.0000	$0.0000	4398.0000	D
Nonqualified Stock Option (Right to Buy)	$17.5400	11/21/2018		M			2392.0000	(4)	6/28/2022	Common Stock	2392.0000	$0.0000	2006.0000	D
Nonqualified Stock Option (Right to Buy)	$14.0000	11/21/2018		M			708.0000	(5)	11/10/2022	Common Stock	708.0000	$0.0000	11792.0000	D

Explanation of Responses:
(1)	The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $36.55 to $36.91, inclusive. The reporting person undertakes to provide to HMS Holdings Corp., any security holder of HMS Holdings Corp., 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 ranges set forth in footnotes (1), (2) and (3) to this Form 4.
(2)	The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $35.52 to $36.44, inclusive.
(3)	The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $35.50 to $35.82, inclusive.
(4)	The option vests in four equal installments on June 29, 2016, 2017, 2018 and 2019.
(5)	The option vested in three equal installments on November 11, 2016, 2017 and 2018.

Reporting Owners
Reporting Owner Name / Address	Relationships
	Director	10% Owner	Officer	Other
Aunan Greg D 5615 HIGH POINT DRIVE IRVING, TX 75038			SVP, Chief Accounting Officer

Signatures
Kimberly J. Day, as Attorney-in-Fact for Greg D. Aunan		11/21/2018
** Signature of Reporting Person		Date

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
*	If the form is filed by more than one reporting person, see Instruction 4(b)(v).
**	Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note:	File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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