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Table\ue000 of\ue000 Contents
\ue000
\ue000
UNITED\ue000 STATES
SECURITIES\ue000 AND\ue000 EXCHANGE\ue000 COMMISSION
WASHINGTON,\ue000 D.C.\ue000 20549
\ue000
FORM\ue000 8-K
CURRENT\ue000 REPORT
Pursuant\ue000 to\ue000 Section\ue000 13\ue000 or\ue000 15(d)\ue000 of\ue000 the\ue000 Securities\ue000 Exchange\ue000 Act\ue000 of\ue000 1934
Date\ue000 of\ue000 Report\ue000 (Date\ue000 of\ue000 earliest\ue000 event\ue000 reported):\ue000 February\ue000 20,\ue000 2009
HMS\ue000 Holdings\ue000 Corp.
(Exact\ue000 Name\ue000 of\ue000 Registrant\ue000 as\ue000 Specified\ue000 in\ue000 Charter)
\ue000
\ue000
\ue000
\ue000
\ue000
New\ue000 York
\ue000
0-50194
\ue000
11-3656261
\ue000
(State\ue000 or\ue000 Other\ue000 Jurisdiction
of\ue000 Incorporation
\ue000
(Commission
File\ue000 Number)
\ue000
(IRS\ue000 Employer
Identification\ue000 No.)

401\ue000 Park\ue000 Avenue\ue000 South,\ue000 New\ue000 York,\ue000 New\ue000 York\ue000 10016
(Address\ue000 of\ue000 Principal\ue000 Executive\ue000 Offices,\ue000 Zip\ue000 Code)
Registrant\u2019s\ue000 telephone\ue000 number,\ue000 including\ue000 area\ue000 code:\ue000 (212)\ue000 725-7965
Not\ue000 applicable.
(Former\ue000 Name\ue000 or\ue000 Former\ue000 Address,\ue000 if\ue000 Changed\ue000 Since\ue000 Last\ue000 Report)

Check\ue000 the\ue000 appropriate\ue000 box\ue000 below\ue000 if\ue000 the\ue000 Form\ue000 8-K\ue000 filing\ue000 is\ue000 intended\ue000 to\ue000 simultaneously\ue000 satisfy\ue000 the\ue000 filing\ue000 obligation\ue000 of\ue000 the\ue000 registrant\ue000 under\ue000 any\ue000 of
the\ue000 following\ue000 provisions\ue000 (see\ue000 General\ue000 Instruction\ue000 A.2.\ue000 below):
o\ue000 Written\ue000 communications\ue000 pursuant\ue000 to\ue000 Rule\ue000 425\ue000 under\ue000 the\ue000 Securities\ue000 Act\ue000 (17\ue000 CFR\ue000 230.425)
\ue000
o\ue000 Soliciting\ue000 material\ue000 pursuant\ue000 to\ue000 Rule\ue000 14a-12\ue000 under\ue000 the\ue000 Exchange\ue000 Act\ue000 (17\ue000 CFR\ue000 240.14a-12)
\ue000
o\ue000 Pre-commencement\ue000 communications\ue000 pursuant\ue000 to\ue000 Rule\ue000 14d-2(b)\ue000 under\ue000 the\ue000 Exchange\ue000 Act\ue000 (17\ue000 CFR\ue000 240.14d-2(b))
\ue000
o\ue000 Pre-commencement\ue000 communications\ue000 pursuant\ue000 to\ue000 Rule\ue000 13e-4(c)\ue000 under\ue000 the\ue000 Exchange\ue000 Act\ue000 (17\ue000 CFR\ue000 240.13e-4(c))
\ue000
\ue000
\ue000
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\ue000
TABLE\ue000 OF\ue000 CONTENTS
\ue000
Item\ue000 2.02.\ue000 Result\ue000 of\ue000 Operations\ue000 and\ue000 Financial\ue000 Condition
\ue000
Item\ue000 7.01\ue000 Regulation\ue000 FD\ue000 Disclosure
\ue000
Item\ue000 9.01.\ue000 Financial\ue000 Statements\ue000 and\ue000 Exhibits
\ue000
Signatures
\ue000
Exhibit\ue000 Index
\ue000
Exhibit\ue000 99.1\ue000 Press\ue000 Release\ue000 dated\ue000 February\ue000 20,\ue000 2009
\ue000
Exhibit\ue000 99.2\ue000 Slide\ue000 presentation\ue000 from\ue000 February\ue000 20,\ue000 2009\ue000 earnings\ue000 conference\ue000 call
\ue000
Exhibit\ue000 99.3\ue000 Income\ue000 Statement\ue000 Presentation\ue000 Reconciliation\ue000 Analysis
\ue000
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Table\ue000 of\ue000 Contents
Section\ue000 2\ue000 \u2014\ue000 Financial\ue000 Information
Item\ue000 2.02\ue000 Results\ue000 of\ue000 Operations\ue000 and\ue000 Financial\ue000 Condition.
\ue000\ue000\ue000\ue000\ue000On\ue000 February\ue000 20,\ue000 2009,\ue000 HMS\ue000 Holdings\ue000 Corp.\ue000 (the\ue000 \u201cCompany\u201d)\ue000 issued\ue000 a\ue000 press\ue000 release\ue000 announcing\ue000 its\ue000 financial\ue000 results\ue000 for\ue000 the\ue000 fourth\ue000 quarter

and\ue000 full\ue000 year\ue000 2008.\ue000 A\ue000 copy\ue000 of\ue000 the\ue000 press\ue000 release\ue000 is\ue000 furnished\ue000 as\ue000 Exhibit\ue000 99.1.\ue000 As\ue000 announced\ue000 in\ue000 the\ue000 press\ue000 release\ue000 on\ue000 February\ue000 20,\ue000 2008,\ue000 the Company\ue000 will\ue000 host\ue000 its\ue000 fourth\ue000 quarter\ue000 and\ue000 full\ue000 year\ue000 2008\ue000 earnings\ue000 conference\ue000 call\ue000 on\ue000 February\ue000 20,\ue000 2009\ue000 at\ue000 9\ue000 am\ue000 ET.\ue000 A\ue000 slide\ue000 presentation\ue000 and Income\ue000 Statement\ue000 Presentation\ue000 Reconciliation\ue000 Analysis\ue000 of\ue000 which\ue000 are\ue000 furnished\ue000 as\ue000 Exhibit\ue000 99.2\ue000 and\ue000 Exhibit\ue000 99.3\ue000 respectively\ue000 hereto.\ue000 These exhibits\ue000 are\ue000 incorporated\ue000 herein\ue000 by\ue000 reference.

\ue000\ue000\ue000\ue000\ue000In\ue000 accordance\ue000 with\ue000 general\ue000 instruction\ue000 B-2\ue000 to\ue000 Form\ue000 8-K,\ue000 the\ue000 information\ue000 (including\ue000 Exhibits\ue000 99.1\ue000 and\ue000 99.2\ue000 furnished\ue000 herewith)\ue000 in\ue000 this\ue000 report\ue000 is

\u201cfurnished\u201d\ue000 pursuant\ue000 to\ue000 item\ue000 2.02\ue000 and\ue000 shall\ue000 not\ue000 be\ue000 deemed\ue000 to\ue000 be\ue000 \u201cfiled\u201d\ue000 for\ue000 purposes\ue000 of\ue000 Section\ue000 18\ue000 of\ue000 the\ue000 Securities\ue000 Exchange\ue000 Act\ue000 of\ue000 1934,\ue000 as
amended\ue000 (the\ue000 \u201cExchange\ue000 Act\u201d),\ue000 or\ue000 otherwise\ue000 subject\ue000 to\ue000 the\ue000 liability\ue000 of\ue000 that\ue000 section,\ue000 and\ue000 shall\ue000 not\ue000 be\ue000 incorporated\ue000 by\ue000 reference\ue000 into\ue000 any
registration\ue000 statement\ue000 or\ue000 other\ue000 document\ue000 filed\ue000 under\ue000 the\ue000 Securities\ue000 Act\ue000 of\ue000 1933,\ue000 as\ue000 amended,\ue000 or\ue000 the\ue000 Exchange\ue000 Act,\ue000 except\ue000 as\ue000 shall\ue000 be\ue000 expressly
set\ue000 forth\ue000 by\ue000 specific\ue000 reference\ue000 in\ue000 such\ue000 filing.

Section\ue000 7\ue000 \u2014\ue000 Regulation\ue000 FD
Item\ue000 7.01\ue000 Regulation\ue000 FD\ue000 Disclosure.

\ue000\ue000\ue000\ue000\ue000The\ue000 press\ue000 release\ue000 referenced\ue000 in\ue000 Item\ue000 2.02\ue000 is\ue000 furnished\ue000 pursuant\ue000 to\ue000 Item\ue000 7.01\ue000 as\ue000 Exhibit\ue000 99.1.\ue000 The\ue000 slide\ue000 presentation\ue000 of\ue000 the\ue000 conference\ue000 call referenced\ue000 in\ue000 Item\ue000 2.02\ue000 is\ue000 furnished\ue000 pursuant\ue000 to\ue000 Item\ue000 7.01\ue000 as\ue000 Exhibit\ue000 99.2\ue000 hereto.\ue000 The\ue000 Income\ue000 Statement\ue000 Presentation\ue000 Reconciliation\ue000 Analysis referenced\ue000 in\ue000 Item\ue000 2.02\ue000 is\ue000 furnished\ue000 pursuant\ue000 to\ue000 Item\ue000 7.01\ue000 as\ue000 Exhibit\ue000 99.3\ue000 hereto.

\ue000\ue000\ue000\ue000\ue000The\ue000 filing\ue000 of\ue000 this\ue000 current\ue000 report\ue000 on\ue000 Form\ue000 8-K\ue000 is\ue000 not\ue000 an\ue000 admission\ue000 as\ue000 to\ue000 the\ue000 materiality\ue000 of\ue000 any\ue000 information\ue000 in\ue000 this\ue000 report\ue000 that\ue000 is\ue000 required\ue000 to\ue000 be
disclosed\ue000 solely\ue000 by\ue000 Regulation\ue000 FD.
Section\ue000 9\ue000 \u2014\ue000 Financial\ue000 Statements\ue000 and\ue000 Exhibits
Item\ue000 9.01\ue000 Financial\ue000 Statements\ue000 and\ue000 Exhibits.
(c)\ue000\ue000\ue000\ue000\ue000 Exhibits:
\ue000\ue000\ue000\ue000\ue000This\ue000 exhibit\ue000 is\ue000 furnished\ue000 pursuant\ue000 to\ue000 Items\ue000 2.02\ue000 and\ue000 7.01\ue000 hereof\ue000 and\ue000 should\ue000 not\ue000 be\ue000 deemed\ue000 to\ue000 be\ue000 \u201cfiled\u201d\ue000 under\ue000 the\ue000 Exchange\ue000 Act.
\ue000
\ue000
\ue000
Exhibit\ue000 No.
\ue000
Exhibit\ue000 Description
99.1
\ue000
Press\ue000 Release\ue000 dated\ue000 February\ue000 20,\ue000 2009
\ue000
\ue000
\ue000
99.2
\ue000
Slide\ue000 presentation\ue000 from\ue000 February\ue000 20,\ue000 2009\ue000 earnings\ue000 conference\ue000 call
\ue000
\ue000
\ue000
99.3
\ue000
Income\ue000 Statement\ue000 Presentation\ue000 Reconciliation\ue000 Analysis
\ue000
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