Exhibit 99.1
  Christine Rogers Saenz (investor relations)   Francesca Marraro (media relations)
  (212) 857-5986   (212) 857-5442
  csaenz@hms.com   fmarraro@hms.com

William C. Lucia to become CEO; Robert M. Holster continues as Chairman
NEW YORK, N.Y., February 20, 2009—HMS Holdings Corp. (NASDAQ: HMSY) today announced financial results for its fourth quarter and full year ended December 31, 2008.
Revenue for the fourth quarter of 2008 increased 26% to $52.4 million, compared with $41.7 million for the same period a year ago. HMSY reported net income of $7.1 million or $0.26 per diluted common share for the fourth quarter of 2008, compared to net income of $4.0 million or $0.15 per diluted common share during the fourth quarter of the prior year.
For the full year 2008, the Company reported revenue of $184.5 million, a 26% increase over 2007 revenue of $146.7 million. Also for the full year, the Company reported net income of $21.4 million or $0.80 per diluted common share, versus net income of $15.0 million or $0.57 per diluted common share in the prior year. Earnings per diluted common share increased 73% and 40% for the fourth quarter and full year, respectively.
The Company raised 2009 guidance to $218 million in revenue and $1.00 in fully diluted earnings per share.
The Company also announced that current President and Chief Operating Officer William C. Lucia will become Chief Executive Officer on March 1, 2009. Current Chairman and CEO Robert M. Holster will continue as Chairman.
“HMS is reporting another year of record revenue growth and profitability, and expects continuing strong performance given the expansion of the government healthcare programs we serve,” said Holster. “So we believe it is the right time to initiate a management transition for which the Company has been preparing for several years. Within weeks of returning to HMS in 2001, I asked Bill Lucia to take responsibility for our government healthcare cost containment division. In the years since, his strategic vision, capacity for product innovation and extraordinary attention to client service has led to an almost ten-fold increase in the size of that business, which had become by late 2005 HMS’s sole focus.”
Lucia added, “Bob and I and our Board of Directors are confident that HMS has the management structure, product pipeline and technology in place to drive the company forward. We will continue to focus on delivering consistent, predictable growth to our investors.”
Lucia, 51, joined HMS in 1996 after more than a decade of senior management experience in the insurance industry. He was appointed President of the Company’s Health Management Systems, Inc subsidiary in 2001 and was appointed President and Chief Operating Officer of the parent company in May 2005.
Holster, 62, rejoined HMS in April of 2001 as President and Chief Operating Officer. He was appointed Chief Executive Officer in May 2005 and elected Chairman in April 2006. He will continue to serve as Chairman until March of 2011. In addition to his duties as Chairman, he will be assisting the Company with corporate development, legal and regulatory affairs, and investor relations.
HMS will be hosting its fourth quarter 2008 conference call and webcast with the investment community on Friday, February 20, 2009 at 9:00 am Eastern Time. The conference call number is US/Canada: (866) 394-8630 Int’l/Local Dial-In: (706) 758-0082 Conference ID: 82192441. A slide presentation will accompany the conference call and may be accessed through our website at http://www.hmsholdings.com/news/quarterly_reports.asp.


The following information was filed by Hms Holdings Corp (HMSY) on Friday, February 20, 2009 as an 8K 2.02 statement, which is an earnings press release pertaining to results of operations and financial condition. It may be helpful to assess the quality of management by comparing the information in the press release to the information in the accompanying 10-K Annual Report statement of earnings and operation as management may choose to highlight particular information in the press release.

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