Ownership Submission
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

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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(Print or Type Responses)
1. Name and Address of Reporting Person *
STOWE RICHARD H
  2. Issuer Name and Ticker or Trading Symbol
HMS HOLDINGS CORP [HMSY]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last)
(First)
(Middle)
401 PARK AVENUE SOUTH
3. Date of Earliest Transaction (Month/Day/Year)
11/30/2007
(Street)

NEW YORK, NY 10016
4. If Amendment, Date Original Filed(Month/Day/Year)
6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(City)
(State)
(Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction 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 11/30/2007   M   54,000 A $ 1.07 101,312 D  
Common Stock 11/30/2007   S   54,000 D $ 31.09 47,312 D  
Common Stock 11/30/2007   M   750 A $ 1.5 48,062 D  
Common Stock 11/30/2007   S   750 D $ 31.09 47,312 D  
Common Stock 11/30/2007   M   750 A $ 4.22 48,062 D  
Common Stock 11/30/2007   S   750 D $ 31.09 47,312 D  
Common Stock 11/30/2007   M   575 A $ 6.44 47,887 D  
Common Stock 11/30/2007   S   575 D $ 31.09 47,312 D  
Common Stock 12/03/2007   M   3,175 A $ 6.44 50,847 D  
Common Stock 12/03/2007   S   3,175 D $ 30.58 47,312 D  
Common Stock 12/03/2007   M   750 A $ 7 48,062 D  
Common Stock 12/03/2007   S   750 D $ 30.58 47,312 D  
Common Stock 12/03/2007   G(1)   47,312 D (1) 47,312 I Held by Stowe Family Foundation (1)

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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction 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
(Month/Day/Year)
7. Title and Amount of Underlying Securities
(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
Non-Qualified Stock Option (Right to Buy) $ 1.07 11/30/2007   M     54,000 12/15/2001 12/15/2010 Common Stock 54,000 $ 0 21,000 (2) D  
Non-Qualified Stock Option (Right to Buy) $ 1.5 11/30/2007   M     750 10/31/2000(3) 10/31/2010 Common Stock 750 $ 0 0 (2) D  
Non-Qualified Stock Option (Right to Buy) $ 4.22 11/30/2007   M     750 10/29/1999(3) 10/29/2009 Common Stock 750 $ 0 0 (2) D  
Non-Qualified Stock Option (Right to Buy) $ 6.44 11/30/2007   M     575 11/13/1998(4) 11/13/2008 Common Stock 575 $ 0 3,175 (2) D  
Non-Qualified Stock Option (Right to Buy) $ 6.44 12/03/2007   M     3,175 11/13/1998(4) 11/13/2008 Common Stock 3,175 $ 0 0 (2) D  
Non-Qualified Stock Option (Right to Buy) $ 7 12/03/2007   M     750 10/30/1998(3) 10/30/2008 Common Stock 750 $ 0 0 (2) D  

Reporting Owners

Reporting Owner Name / Address Relationships
 Director  10% Owner  Officer  Other
STOWE RICHARD H
401 PARK AVENUE SOUTH
NEW YORK, NY 10016
  X      

Signatures

 Walter D. Hosp for Richard H. Stowe by Power of Attorney dated December 5, 2007   12/05/2007
**Signature of Reporting Person Date

Explanation of Responses:

* 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).
(1) The shares to which this note relates corresponds to a bona fide gift made to the Stowe Family Foundation.
(2) Only represents the derivative securities of this class.
(3) Date shown is the date of grant of option. Stock option vests in 1/4 increments over a 3 year period commencing on the grant date.
(4) Date shown is the date of grant of option. Stock option vests in 1/3 increments over a period of 4 years commencing on the first anniversary of the grant date.

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