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

OMB APPROVAL OMB Number: 3235-0287 Expires: January 31, 2005 Estimated average burden hours per response... 0.5

(Print or Type Responses)

1. Name and Address of Reporting Person * LUCIA WILLIAM C   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) President and COO (Last) (First) (Middle) 401 PARK AVENUE SOUTH 3. Date of Earliest Transaction (Month/Day/Year) 01/03/2006 (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 01/03/2006(1)   M   5,000 A $ 1.74 11,694 D   Common Stock 01/03/2006(1)   S   5,000 D $ 14.94 6,694 D

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
	Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.		SEC 1474 (9-02)

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
Incentive Stock Option (right to buy)	$ 1.74	01/03/2006(1)		M			5,000	07/31/2001	07/31/2011	Common Stock	5,000	$ 14.94	5,000	D
Incentive Stock Option (right to buy)	$ 2.48							(2)	12/12/2011	Common Stock	23,334		23,334	D
Incentive Stock Option (right to buy)	$ 2.92							(2)	11/04/2013	Common Stock	16,668		16,668	D
Incentive Stock Option (right to buy)	$ 3.41							(2)	12/19/2012	Common Stock	29,754		29,754	D
Incentive Stock Option (right to buy)	$ 6.32							11/24/2000	11/24/2007	Common Stock	7,500		7,500	D
Incentive Stock Option (right to buy)	$ 6.44							11/13/2003	11/13/2008	Common Stock	18,527		18,527	D
Non-Qualified Stock Option (right to buy)	$ 1.74							10/31/2004	07/31/2011	Common Stock	40,000		40,000	D
Non-Qualified Stock Option (right to buy)	$ 2.48							(2)	12/12/2011	Common Stock	11,666		11,666	D
Non-Qualified Stock Option (right to buy)	$ 2.92							(2)	11/04/2013	Common Stock	33,332		33,332	D
Non-Qualified Stock Option (right to buy)	$ 3.41							(2)	12/19/2012	Common Stock	70,246		70,246	D
Non-Qualified Stock Option (right to buy)	$ 6.44							11/13/2003	11/13/2008	Common Stock	11,473		11,473	D
Incentive Stock Option (right to buy)	$ 6.95							(2)	04/14/2015	Common Stock	36,162		36,162	D
Non-Qualified Stock Option (right to buy)	$ 6.95							(2)	04/14/2015	Common Stock	88,838		88,838	D
Incentive Stock Option (right to buy)	$ 9.44							(3)	05/04/2016	Common Stock	31,779		31,779	D
Non-Qualified Stock Option (right to buy)	$ 9.44							(3)	05/04/2016	Common Stock	50,886		50,886	D
Non-Qualified Stock Option (right to buy)	$ 10.98							(3)	06/26/2016	Common Stock	117,335		117,335	D

Reporting Owners

Reporting Owner Name / Address	Relationships
	Director	10% Owner	Officer	Other
LUCIA WILLIAM C 401 PARK AVENUE SOUTH NEW YORK, NY 10016			President and COO

Signatures

William C. Lucia		01/04/2006
**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)	This transaction pursuant to 10b5-1 Sales Plan.
(2)	Options will vest in 1/3 increments, with 1/3 vesting on the grant date and 1/3 vesting on each of the next two anniversary dates.
(3)	Options will vest in 25% increments, with 1/4 vesting on each anniversary date beginning on the first anniversary.

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.