Exhibit 10.9


 





SEPARATION, WAIVER AND GENERAL RELEASE AGREEMENT


 


This Separation, Waiver and General Release
Agreement (referred to herein as “Agreement” or “Release”) is entered into by and between
Semone Neuman (referred to herein as “You” or “Releasor”) and HMS Holdings Corp. For purposes
of this Agreement, the term “Company” shall refer to HMS Holdings Corp. and its corporate affiliates and their
respective direct and indirect subsidiaries and successors and assigns. The Company, together with its past and present parents,
subsidiaries, affiliates, shareholders, owners, partners, members, officers, directors, representatives, employees, agents, counsel,
successors and assigns, benefit plans, benefit plan trustees and administrators are referred to collectively herein as the “Releasees.”
You and the Releasees shall be referred to collectively herein as the “Parties” and individually as a “Party.”


 


WHEREAS, the Parties previously entered
into that certain Amended and Restated Executive Employment Agreement, effective April 2, 2018 (the “Employment Agreement”),
pursuant to which the Company has employed you as its Executive Vice President, Coordination of Benefits;


 


WHEREAS, your employment with the Company
will end as of March 16, 2019 (the “Separation Date”); and


 


WHEREAS, in accordance with Section 6(b)
of the Employment Agreement, the Company desires to offer you this Agreement in exchange for certain agreements, warranties, representations
and releases on your part contained in this Agreement;


 


NOW, THEREFORE, in consideration of the
mutual promises and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which
is hereby acknowledged, the Parties agree as follows:


 


1.                 
Nature of Agreement and Non-Admission of Liability


 


This is an agreement of settlement and compromise,
and by entering into this Agreement none of the Parties agree or concede in any manner whatsoever that they violated any law or
statute of any jurisdiction, breached any duty, responsibility or contract, or acted improperly in any manner. It is understood
and agreed that nothing in this Agreement shall be interpreted or construed as the admission of any wrongdoing by any or all the
Releasees or by any person or entity acting for or on behalf of any or all of the Releasees.


 


2.                 
End of Releasor’s Employment


 


You agree that, effective as of January 9, 2019,
you will resign from your position as Executive Vice President, Coordination of Benefits of the Company and from all other employee,
officer, director, manager, and other positions and associations of any kind with the Company; provided, however, that your employment
with the Company shall not terminate until the Separation Date. You agree to execute all documents and to take such further steps
as may be required to effectuate such resignation(s). You agree that during the period commencing on the Effective Date (as defined
in paragraph 14 below) and ending on the Separation Date, you shall assist with the transition of your current duties and responsibilities,
to the extent requested by the Company’s Chief Executive Officer. The Company shall continue to employ you until the Separation
Date, and your salary and all benefits will remain unchanged until such date; provided, however, that you shall no longer have
any leadership or decision-making authority or take any actions, execute any documents, or make any representations on behalf of
the Company. You agree that your services shall be available to the Company as needed through the Separation Date and will be subject
to the same policies, standards of conduct and performance applicable to all officers and managers of the Company. From the date
hereof and until the Separation Date, you shall serve as a senior advisor to the Company, and you agree to (a) cooperate fully
and provide assistance, at the request of the Company and upon reasonable notice, in the orderly transitioning of your duties and
responsibilities to such other persons as the Company shall designate and (b) thoroughly and diligently perform those duties and
actions which are necessary or appropriate to cause such orderly transition. You acknowledge and agree that you shall receive no
additional compensation for time spent assisting the Company pursuant to this paragraph 2 other than the compensation and
benefits provided for in this Agreement. You agree that this Agreement fully supersedes any and all prior agreements relating to
your employment with the Company, including, without limitation, the Employment Agreement (other than the Surviving Provisions
and other than the Restrictive Covenant Agreement (each as defined below)).






     


     


    

3.                 
No Further Monies are Due to You; Non-Waiver of Certain Rights


 


Other than the monies to be paid pursuant to
paragraph 4, there are no other monies that you claim are owed to you which relate in any way to your employment with the Company.
This includes, but is not limited to, salaries, bonuses, commissions, wages, reimbursable business expenses or contributions to
employee benefit plans, vacation or severance pay. Nothing herein shall be construed or interpreted in any way to: (a) limit or
deny your right to receive any vested employee benefit under a plan of the Company for which you were or are a participant; (b)
alter your right to elect continued coverage of benefits pursuant to the Consolidated Omnibus Budget Reconciliation Act of 1985
(“COBRA”) or any state equivalent law; or (c) limit your ability to seek and/or collect unemployment insurance
benefits (assuming you otherwise qualify for such benefits).


 


4.                 
Consideration


 


A.               
Prior to the Separation Date, you shall continue to receive your base salary, less all applicable payroll taxes and withholdings,
in accordance with the Company’s normal payroll practices, and other benefits as in effect immediately prior to the Effective
Date, including, without limitation, continued eligibility to receive a bonus pursuant to the Company’s annual bonus plan
with respect to the 2018 performance period.


 


B.                
Provided that you comply with this Agreement, the Restrictive Covenant Agreement and the Surviving Provisions, do not revoke
your signature on this Agreement (as discussed in paragraph 15), and execute the attached Exhibit B on (but not before)
the Separation Date, or within seven (7) days following the Separation Date, and do not revoke it, the Company shall (on behalf
of the Releasees) provide you with the following consideration after your termination of employment:






    	 	Page 2 of 21	 



     


    

(i)                
The Company will pay you an amount equal to twelve (12) times your monthly base salary (the “Separation Payment”),
provided you have not secured another position with the Company. The Separation Payment shall be paid to you in bi-weekly payments,
beginning on the first full payroll period after the expiration of the revocation period set forth in paragraph 15 of this Agreement.
Payments of the Separation Payment will be made on the Company’s normal payroll cycle in accordance with the Company’s
regular payroll practices, and are subject to all statutory deductions required by federal, state and/or local law. Payments will
be reported on a tax Form W-2.


 


(ii)             
The Company will pay you a lump-sum amount equal to the difference between the COBRA coverage premium for the same type
of medical, dental and vision coverage (single, family or other) in which you are enrolled as of the Separation Date and your employee
contribution, which represents the amount the Company would allocate for such coverage had your coverage remained active for twelve
(12) months. This payment will be made within sixty (60) days of the termination of your employment and will be taxable and subject
to withholding for all required federal, state and/or local income and employment taxes. You will be responsible for ensuring the
timely payment of your COBRA coverage premiums.


 


The Company shall have no obligation to pay
the amounts or to provide the benefits described in this paragraph 4(B) unless you execute and do not revoke this Agreement and
Exhibit B. The amounts payable pursuant to this paragraph 4(B) shall not be treated as compensation under the Company’s
401(k) or other retirement plan. You acknowledge and agree that you are not otherwise entitled to the amounts and benefits set
forth in this paragraph 4(B).


 


C.                
Even if you choose not to sign this Agreement, or if you sign this Agreement and then revoke your signature (as explained
below), you will still be paid your regular salary through the Separation Date and your accrued but unused PTO, if any, for the
calendar year in which the Separation Date occurs.


 


5.                 
Return of Company Property


 


On or before the Separation Date, you shall
return to the Company all Company property in your possession, custody or control, including all keys, files, records, equipment
(including computer hardware, software, printers, wireless handheld devices, cellular phones, etc.), and Company Confidential Information
(as defined in paragraph 10(E)) and have left intact with, or delivered intact to, the Company all electronic Company documents,
including those that you developed or helped to develop during your employment, none of which you will retain in any form or medium.


 


6.                 
Release


 


In exchange for the consideration provided by
the Company under the terms of this Agreement in paragraph 4(B), you irrevocably and unconditionally release and discharge the
Releasees jointly and severally, from any and all debts, claims, liabilities, demands and causes of action of every kind, nature
and description, in law, or in equity, which against the Releasees, you, your heirs, executors, administrators, successors and
assigns ever had, now have or hereafter can, shall or may have for, upon or by reason of any matter, cause or thing whatsoever,
from the beginning of time to the date you sign this Agreement. You represent that you have not assigned or otherwise transferred
any interest in any claim that is the subject of this Agreement.






    	 	Page 3 of 21	 



     


    

This Release covers, without limitation, any
claims of harassment and/or discrimination on the basis of sex, sexual orientation, gender identification, pregnancy, disability
(including claims concerning a history or record of a disability, predisposing genetic condition, and claims that you were regarded
as having a disability), handicap, genetic information, race, color, religion, creed, national origin, ancestry, age, citizenship,
ethnic characteristics, marital status or military/veteran status and also includes, no matter how denominated or described, any
claims under any federal, Texas, South Carolina (or other state) state or local law, statute, rule, regulation, ordinance or executive
order of discrimination and/or retaliation and non-payment of wages, bonuses, commissions or other compensation, including, without
limitation, the Age Discrimination in Employment Act of 1967 (“ADEA”), Older Workers Benefit Protection Act,
Employee Retirement Income Security Act of 1974, Title VII of the Civil Rights Act of 1964, Civil Rights Act of 1866, The Civil
Rights Act of 1991, Rehabilitation Act of 1973, Executive Order 11246, Executive Order 11141, Genetic Information Nondiscrimination
Act of 2008, Americans with Disabilities Act of 1990 (“ADA”), ADA Amendments Act, Family and Medical Leave Act,
Occupational Safety and Health Act, Fair Labor Standards Act, Worker Adjustment and Retraining Notification Act, Fair Credit Reporting
Act, Texas Labor Code Annotated § 21.001 et seq. (Texas civil rights law), Texas Labor Code Annotated § 21.055
et seq. (Texas whistleblower protection law), Texas Commission on Human Rights Act, Texas Law on Communicable Diseases,
Texas Breast-Feeding Rights and Policies Law, the South Carolina Human Affairs Law, as amended, the South Carolina Payment of Wages
Law, as amended, and all other federal, state and local laws, including without any limitation, any claims of wrongful or tortious
discharge or termination, breach of contract, breach of the implied covenant of good faith and fair dealing, written or oral, express
or implied, breach of promise, public policy, negligence, intentional infliction of emotional distress, negligent infliction of
emotional distress, assault, battery, false imprisonment, defamation, libel, slander, invasion of privacy, impairment of economic
opportunity, loss of business opportunity, fraud, misrepresentation, and whistleblower activities, and any claim or damage arising
out of your employment with and/or separation from the Company (including a claim for retaliation) under any common law theory
or any federal, state or local law, statute, rule, regulation, ordinance or executive order not expressly referenced above.


 


This Release does not apply to any claims or
rights that may arise after the date you sign this Release. Excluded from this Release are any claims which cannot be waived by
law, including but not limited to, the right to participate in an investigation conducted by certain government agencies. You do,
however, waive your right to any monetary recovery from the Company or the Releasees should any agency (e.g., the Equal
Employment Opportunity Commission) pursue any claims on your behalf, unless otherwise prohibited by law. You represent and warrant
that you have not filed any complaint, charge, or lawsuit against the Company with any government agency or any court.


 


You agree never to sue the Company or the Releasees
in any forum for any claim covered by the above waiver and release language, except that you may bring a claim against the Company
under the ADEA to challenge this Release. If you violate this Release by suing the Company or the Releasees, other than under the
ADEA or as otherwise set forth above, you shall be liable to the Company and/or the Releasees for their reasonable attorneys’
fees and other litigation costs incurred in defending against such a suit. Nothing in this Release is intended to reflect any party’s
belief that your waiver of claims under ADEA is invalid or unenforceable, it being the interest of the Company and you that such
claims are waived.


 






    	 	Page 4 of 21	 



     


    

The Parties intend this Release to be construed
and interpreted to the fullest extent permitted by law as a general release. The terms of this Agreement are accepted by you as
full and complete resolution, accord and satisfaction of any and all claims, demands or grievances you have made against, and/or
could have made against any of the Releasees.


 


7.                 
Acknowledgements


 


You acknowledge that you have no knowledge of
any violations by the Company of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”),
the Fair Debt Collection Practices Act, the civil or criminal provisions of the federal False Claims Act, the Civil Monetary Penalties
Statute, Titles XVIII and XIX of the Social Security Act (the Medicare and Medicaid statutes), the Health Care Benefit Program
False Statements Statute, the Health Care Fraud Statute, any and all of the statutory provisions referenced in the Federal Health
Care Offense Definitions Statute, or any other federal or state laws relating to negligence, fraud and abuse in health care (collectively,
the “Health Care Laws”), or the Sarbanes Oxley Act. You have received instruction from the Company on how to
report claims or violations under the Health Care Laws and the Sarbanes Oxley Act, and as of the date of executing this Agreement,
have no claims to report under the Health Care Laws or the Sarbanes Oxley Act. You further certify that you have not reported to
any government authority or other entity any such healthcare compliance concerns, issues, and/or violations or potential violations,
which remain unanswered or unresolved. Furthermore, in connection with the foregoing acknowledgements, you have signed the Corporate
Compliance Statement - Return of Company Property & Information document, attached to this agreement as Exhibit A,
and hereby affirm the representations therein.


 


8.                 
Non-Waiver or Release of Subsequent Rights or Claims


 


Nothing contained herein is intended to or shall
constitute a waiver or release of any rights or claims that arise after the date you sign this Agreement.


 


9.                 
Non-Waiver of Rights Under this Agreement


 


Nothing herein is intended to or constitutes
a waiver of any rights the Parties may have under this Agreement.


 


10.             
Representations and Warranties


 


As a material part of this Agreement, you make
the following representations and warranties:


 


A.               
You have not commenced or asserted an administrative charge or complaint, and you have not commenced or asserted, and shall
not commence or assert, any lawsuit, arbitration, claim or legal proceeding, against any or all of the Releasees that is designed
to remedy or seek redress for any right or rights waived and/or released by this Agreement.






    	 	Page 5 of 21	 



     


    

B.                
You agree to keep confidential all information relating to this Agreement, including its negotiation, terms and existence.
You may communicate or publish any information relating to this Agreement to your immediate family (defined herein as parents,
siblings, parents-in-law, spouse, domestic partner or children), legal and financial representatives, and tax preparer. Before
such information is disclosed by you to any such person(s), however, you shall advise such person(s) that the information they
will receive is to be kept confidential, and such person(s) must agree to maintain the confidentiality of the information they
receive.


 


C.                
You are not aware of any facts or circumstances suggesting that the Company has engaged in any wrongful or unlawful conduct.


 


D.               
Non-Disparagement


 


You will not make or cause to be made or published
any statement, written or oral, directly or indirectly, which is intended to or has the effect of having any negative impact on
the Company, its business or reputation in the marketplace or otherwise, subject to your rights in paragraph 10(G).


 


E.                
Surviving Provisions; Confidentiality


 


You acknowledge and agree to honor and abide
by your obligations under Section 8, Section 9, and Section 10 of the Employment Agreement (such sections of the Employment Agreement
are referred to herein as, the “Surviving Provisions”, and shall survive the termination of your employment
with the Company and the Employment Agreement and shall remain in full force and effect). You further acknowledge that as a condition
of your employment with the Company, you previously entered into a Noncompetition, Nonsolicitation, Proprietary and Confidential
Information and Developments Agreement (the “Restrictive Covenant Agreement”), a copy of which is being provided
to you with this Agreement, and the provisions of which are incorporated herein by reference. You agree that the terms of the Restrictive
Covenant Agreement and the Surviving Provisions shall continue by their own terms in full force and effect. You agree that the
terms of the Restrictive Covenant Agreement and the Surviving Provisions are reasonable and that the consideration set forth in
this Agreement shall also be considered additional consideration for your ratification of the Restrictive Covenant Agreement and
the Surviving Provisions. In addition, you acknowledge your duty to keep confidential Protected Health Information within the meaning
of federal HIPAA regulations, including, but not limited to, any patient-specific information derived from medical or financial
records or from electronic data files used in Company’s business operations. Under the terms of this Agreement, the restrictive
covenants and confidentiality obligations to the Company survive the execution of this Agreement. You acknowledge that your adherence
to the terms of the Restrictive Covenant Agreement, the Surviving Provisions, and compliance with your above-referenced obligations
to keep confidential Protected Health Information within the meaning of federal HIPAA regulations is important to the Company’s
business. You agree to familiarize yourself with the provisions of the Restrictive Covenant Agreement, the Surviving Provisions,
and the federal HIPAA regulations, as your violation of these confidentiality obligations may subject you to liability.


 


You further acknowledge and agree that you have
a common law duty of confidentiality to the Company that prevents you from using the Company’s confidential information during
or after employment, except on the Company’s behalf. You agree that you will not disclose to any person or entity any Confidential
Information relating to the Company or its past or present partners, shareholders, owners, officers, directors or employees. For
the purposes of this Agreement, the term Confidential Information shall mean information not in the public domain relating to the
Company’s past or present clients, business processes or methods, its trade secrets, marketing, promotional, public relations
or other plans, or other information involving the Company; the Company’s financial, payroll or wage information; or any
personal matters of any partner, shareholder, owner, officer, director or employee of the Company.






    	 	Page 6 of 21	 



     


    

F.                 
Nothing in this Agreement, including paragraphs 10(A) through 10(E), shall be construed to prevent you (or any of the Releasees)
from testifying truthfully, under oath, about any matter, if required to do so in any legal proceeding.


 


G.               
Nothing in this Agreement shall be construed to limit your right to initiate communications with, or participate or cooperate
in any investigation conducted by, any federal, state or local government agency or regulatory authority, even if the subject matter
of the communication or investigation concerns a right, claim or matter waived or released by this Agreement.


 


H.               
Nothing in this Agreement prohibits you from reporting possible violations of state or federal law or regulation to any
government agency, regulator, or legal authority, or making other disclosures that are protected under the whistleblower provisions
of state or federal law or regulation. You are not required to notify the Company that you have made any such reports or disclosures;
provided, however, that nothing herein authorizes the disclosure of information you obtained through a communication that was subject
to the attorney-client privilege, unless disclosure of the information would otherwise be permitted by an applicable law or rule.
Further, pursuant to the Defend Trade Secrets Act: “An individual shall not be held criminally or civilly liable under any
Federal or State trade secret law for the disclosure of a trade secret as defined in the Economic Espionage Act that (A) is made
(i) in confidence to a Federal, State, or local government official, either directly or indirectly, or to an attorney; and (ii)
solely for the purpose of reporting or investigating a suspected violation of law; or (B) is made in a complaint or other document
filed in a lawsuit or other proceeding, if such filing is made under seal. An individual who files a lawsuit for retaliation by
an employer for reporting a suspected violation of law may disclose the trade secret to the attorney of the individual and use
the trade secret information in the court proceeding, if the individual (A) files any document containing the trade secret under
seal; and (B) does not disclose the trade secret, except pursuant to court order.”


 


I.                   
Nothing in this Agreement shall be construed to release or waive any claim that may not be released or waived by law.


 


J.                  
You understand and agree that you shall not after your Separation Date contact or communicate with employees of the Company,
other than the Company’s Executive Vice President, General Counsel, its Executive Vice President, Chief Administrative &
Human Resources Officer, or a member of the Company’s Human Resources department, with regard to the subject matter of this
Agreement. Nothing herein shall preclude you from discussing in general terms your duties and responsibilities while at the Company.






    	 	Page 7 of 21	 



     


    

K.               
You acknowledge that you have no entitlement to severance pay or any benefit resulting from your termination. You further
understand that your receiving the consideration set forth in this Agreement is conditional upon your signing this Agreement. You
acknowledge that the Separation Payment to be made to you under this Agreement is in addition to anything of value to which you
are already entitled.


 


11.             
Cooperation


 


Following the Separation Date, you agree to
cooperate with the Company in regard to the transition of the business matters you handled on behalf of the Company. You also agree
to reasonably cooperate with the Company and its counsel in the defense or prosecution of any claims or actions now in existence
or which may be brought in the future against or on behalf of the Company which relate in any way to events or occurrences that
transpired while you were employed by the Company, subject to your rights in paragraph 10(G) above. Your cooperation in connection
with such claims or actions will include, but not be limited to, being available to meet with the Company’s counsel to prepare
for discovery, trial, or any legal proceeding, and to act as a witness on behalf of the Company at mutually convenient times. The
Company will reimburse you for all reasonable, pre-approved out-of-pocket costs and expenses (but not including attorneys’
fees and costs) that you incur and compensate you at an hourly rate based on the base salary paid to you at the time of your separation
(which is intended to be a fair and reasonable estimate of the total value of your lost time and is not intended to influence or
in any way alter the substance of any testimony you may provide) in connection with your performance of your obligations under
this paragraph of the Agreement, to the extent permitted by law.


 


12.             
Remedy in the Event of a Breach


 


In the event you breach any portion of this
Agreement, you shall immediately, upon written demand, return to the Company all monies paid to you pursuant to this Agreement
(except the payment(s) set forth in paragraphs 4(A) and (C)), and the Company shall retain all rights to pursue legal and equitable
remedies to: (a) enforce the terms of this Agreement, and/or (b) seek damages for any breach.


 


13.             
Additional Representations


 


By signing this Agreement, you further acknowledge,
understand, and agree that by signing this Agreement, you are knowingly and voluntarily agreeing to waive and release, among other
claims, any and all claims under the ADEA and the Older Workers Benefit Protection Act you have had or may have against the Company
and/or the Releasees. Further, you understand and agree that:


 


A.               
You will have a period of twenty-one (21) calendar days from the date you receive this Agreement to review and deliberate
whether or not to sign it, any or all of which period you may waive;


 


B.                
You are hereby advised to consult with an attorney before executing this Agreement;






    	 	Page 8 of 21	 



     


    

C.               
You have carefully read and understand the terms of this Agreement, and have had a full and fair opportunity to review this
Agreement with an attorney of your choice;


 


D.               
You have signed this Agreement freely and voluntarily and without fraud, duress or coercion and with full knowledge and
understanding of its terms and of its significance and consequences and of the rights relinquished, surrendered, released and discharged
hereunder; and


 


E.                
The only consideration for signing this Agreement is stated herein, and no other promise, agreement or representation of
any kind has been made to you by any person or entity whatsoever to cause you to sign this Agreement.


 


14.             
Manner of Acceptance


 


In order to accept the terms of this Agreement,
you must return a signed copy to the Company (at the address set forth in paragraph 16 hereof) by the twenty-first (21st)
calendar day after the date you receive this Agreement. In the event a timely acceptance is made, and you do not revoke your signature
pursuant to paragraph 15, the Company shall provide the consideration described in paragraph 4(B).


 


In the event the twenty-first (21st)
day falls on a Saturday, Sunday or on a day that the Company’s office is closed, your time to accept the terms of this Agreement
shall be extended until the next regular business day that the Company’s office is open.


 


If you do not revoke your signature to this
Agreement, the eighth (8th) day after your date of acceptance will be the effective date of this Agreement (the “Effective
Date”).


 


15.             
Right to Revoke


 


You may revoke your signature (thereby rescinding
your acceptance of the terms of this Agreement) within seven (7) calendar days from the date on which you sign this Agreement.
If the seventh (7th) day falls on a Saturday, Sunday or on a day that the Company’s office is closed, your time
to revoke your signature shall be extended until the next regular business day that the Company’s office is open. In the
event you wish to revoke your signature, you must give written notice to that effect pursuant to paragraph 16 hereof. If you timely
revoke your signature on this Agreement, or if you do not timely sign and return this Agreement to the Company (pursuant to paragraph
14), this Agreement shall be null, void and of no effect, and you shall not be entitled to any of the consideration described in
paragraph 4(B).


 


16.             
Addresses for Notices


 


Any notice required pursuant to this Agreement
shall be sent via registered mail, return receipt requested, or overnight mail with delivery confirmation to the following addresses:


 


If to the Company: HMS, 5615 High Point
Drive, Irving, Texas 75038, Attention: Tracy South, Human Resources Department.


 


If to You:






    	 	Page 9 of 21	 



     


    

Any Notice sent in accordance with this paragraph
shall be deemed effective upon receipt. Notwithstanding anything to the contrary contained herein, at any time after the execution
of this Agreement any Party may modify the address(es) (including telephone number(s)) to which it desires notices to be sent by
advising the other, in writing as provided in this paragraph. Such modification shall be deemed effective upon receipt.


 


17.             
General Legal Matters


 


A.               
The invalidity or unenforceability of any provision of this Agreement shall not affect the validity or enforceability of
any other provision hereof. In the event any provision of this Agreement is determined by a court of competent jurisdiction to
be invalid, unlawful or unenforceable, it shall be severed from the Agreement, and the court shall be permitted to redraft the
language so as to conform the severed language to the Parties’ intent. If any provision, or portion thereof, of this Agreement
is determined to be invalid under applicable statute or rule of law, only such provision, and only to the extent determined to
be invalid, shall be deemed omitted from this Agreement, the remainder of which shall remain in full force and effect. In the event
the general release provisions of this Agreement are determined to be invalid, you shall immediately execute a modified general
release that is valid that shall be effective as of the date this Agreement becomes effective.


 


B.                
This Agreement (including the exhibits attached hereto), the Restrictive Covenant Agreement, and the Surviving Provisions
reflect the entire agreement among the parties relating to the matters set forth herein and relating to your employment. With the
exception of the agreements described in paragraph 10(E) and any Non-Qualified Stock Option/Restricted Stock Unit Agreement that
you may have received during your employment, which agreements shall remain in full force and effect in accordance with their respective
terms and conditions, any other agreements, understandings, promises or commitments among the Parties are superseded by this Agreement.
This Agreement (including the exhibits attached hereto) has been negotiated, drafted and reviewed by the Parties and/or their designated
counsel. No language herein shall be construed for or against the interests of any Party on the ground that either Party was the
proponent or draftsperson thereof. This Agreement may not be changed unless the change is in writing and signed by you and the
Company.


 


C.                
This Agreement will be governed by and construed as a sealed instrument under and in accordance with the laws of the State
of Texas without regard to conflicts of law provisions. Any action, suit or other legal proceeding that is commenced to resolve
any matter arising under or relating to any provision of this Agreement must be commenced only in a court of the State of Texas
(or, if appropriate, a federal court located within the State of Texas) and the Company and you each consents to the jurisdiction
of such a court. With respect to any such court action, the Company and you (a) submit to the personal jurisdiction of such courts;
(b) consent to service of process by the means specified under paragraph 16; and (c) waive any other requirement (whether imposed
by statute, rule of court, or otherwise) with respect to personal jurisdiction, inconvenient forum, or service of process. The
Company and you each hereby irrevocably waives any right to a trial by jury in any action, suit or other legal proceeding arising
under or relating to any provision of this Agreement.






    	 	Page 10 of 21	 



     


    

D.               
Paragraph headings used in this Agreement are for informational purposes only and shall not be construed or interpreted
as part of this Agreement. Usage of the singular shall include the plural and vice versa. Use of male pronouns shall be read to
include the female and vice versa.


 


E.                
This Agreement is intended to comply with Section 409A of the Internal Revenue Code of 1986, as amended (the “Code”),
if and to the extent applicable, and will be interpreted and applied in a manner consistent with that intention. Toward that end,
unless permitted sooner by Section 409A of the Code, severance amounts otherwise payable within six (6) months after termination
of employment will be deferred until and become payable on the first (1st) day of the seventh (7th) month
following termination of employment. Further, to the extent Section 409A of the Code is applicable, the phrase “termination
of employment” shall have the same meaning as a “separation from service” as defined in Section 409A of the Code
and its accompanying regulations. Notwithstanding any provision of this Agreement, to the extent required by Section 409A, if the
time period in which this Agreement may be signed and revoked spans two (2) taxable years, the Separation Payments shall be made
or commence in the latter year.


 


F.                 
This Agreement can be executed in any number of counterparts, each of which shall be effective only upon delivery and thereafter
shall be deemed an original, and all of which shall be taken to be one and the same instrument for the same effect as if all Parties
hereto had signed the same signature page. A facsimile or e-mail copy of any Party’s signature shall be deemed as legally
binding as the original signature.


 


[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]


 


 






    	 	Page 11 of 21	 



     


    

I hereby provide this Separation, Waiver and General Release
Agreement as of the date set forth below and acknowledge that my execution of this Separation, Waiver and General Release Agreement
is in further consideration of the separation benefits that I acknowledge I would not be entitled to if I did not sign it. I intend
this Separation, Waiver and General Release Agreement to become a binding agreement between the Company and me if I do not revoke
my acceptance within seven (7) days of the date set forth next to my signature below.


 


RELEASOR:


 


	  /s/ Semone Neuman	 	January 9, 2019
	Semone Neuman	 	Date







         



 


 


 


FOR THE RELEASEES:


 


	/s/ Tracy South	 




By: Tracy South


Executive Vice President,


Chief Administrative & Human Resources Officer


 


 



    	 	Page 12 of 21	 



     


    




 


 


 






    	 	Page 13 of 21	 



     


    

EXHIBIT B


 


Waiver and General Release Agreement


 


This Waiver and General Release Agreement (“Release”),
entered into by and between Semone Neuman (referred to herein as “You” or “Releasor”) and HMS Holdings
Corp. For purposes of this Release, the term “Company” shall refer to HMS Holdings Corp and its corporate affiliates
and their respective direct and indirect subsidiaries and successors and assigns. Terms used in this Release with initial capital
letters that are not otherwise defined herein shall have the meanings ascribed to such terms in the Separation, Waiver and General
Release Agreement, dated _________ ___, 2019, by and between you and the Company (the “Agreement”). The Company,
together with its past and present parents, subsidiaries, affiliates, shareholders, owners, partners, members, officers, directors,
representatives, employees, agents, counsel, successors and assigns, benefit plans, benefit plan trustees and administrators are
referred to collectively herein as the “Releasees.” You and the Releasees shall be referred to collectively
herein as the “Parties” and individually as a “Party.”


 


WHEREAS, you and the Company are parties
to the Agreement; and


 


WHEREAS, paragraph 4(B) of the Agreement
provides that you will be entitled to certain payments and benefits if you sign a release of claims agreement;


 


NOW, THEREFORE, in consideration of the mutual promises
and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged,
the Parties agree as follows:


 


1.                 
Nature of Agreement and Non-Admission of Liability


 


This is an agreement of settlement and compromise,
and by entering into this Release none of the Parties agree or concede in any manner whatsoever that they violated any law or statute
of any jurisdiction, breached any duty, responsibility or contract, or acted improperly in any manner. It is understood and agreed
that nothing in this Release shall be interpreted or construed as the admission of any wrongdoing by any or all the Releasees or
by any person or entity acting for or on behalf of any or all of the Releasees.


 


2.                 
Release


 


In exchange for the consideration provided by
the Company under the terms of the Agreement in paragraph 4(B), you irrevocably and unconditionally release and discharge the Releasees
jointly and severally, from any and all debts, claims, liabilities, demands and causes of action of every kind, nature and description,
in law, or in equity, which against the Releasees, you, your heirs, executors, administrators, successors and assigns ever had,
now have or hereafter can, shall or may have for, upon or by reason of any matter, cause or thing whatsoever, from the beginning
of time to the date you sign this Release. You represent that you have not assigned or otherwise transferred any interest in any
claim that is the subject of this Release.






    	 	Page 14 of 21	 



     


    

This Release covers, without limitation, any
claims of harassment and/or discrimination on the basis of sex, sexual orientation, gender identification, pregnancy, disability
(including claims concerning a history or record of a disability, predisposing genetic condition, and claims that you were regarded
as having a disability), handicap, genetic information, race, color, religion, creed, national origin, ancestry, age, citizenship,
ethnic characteristics, marital status or military/veteran status and also includes, no matter how denominated or described, any
claims under any federal, Texas, South Carolina (or other state) state or local law, statute, rule, regulation, ordinance or executive
order of discrimination and/or retaliation and non-payment of wages, bonuses, commissions or other compensation, including, without
limitation, the Age Discrimination in Employment Act of 1967 (“ADEA”), Older Workers Benefit Protection Act,
Employee Retirement Income Security Act of 1974, Title VII of the Civil Rights Act of 1964, Civil Rights Act of 1866, The Civil
Rights Act of 1991, Rehabilitation Act of 1973, Executive Order 11246, Executive Order 11141, Genetic Information Nondiscrimination
Act of 2008, Americans with Disabilities Act of 1990 (“ADA”), ADA Amendments Act, Family and Medical Leave Act,
Occupational Safety and Health Act, Fair Labor Standards Act, Worker Adjustment and Retraining Notification Act, Fair Credit Reporting
Act, Texas Labor Code Annotated § 21.001 et seq. (Texas civil rights law), Texas Labor Code Annotated § 21.055
et seq. (Texas whistleblower protection law), Texas Commission on Human Rights Act, Texas Law on Communicable Diseases,
Texas Breast-Feeding Rights and Policies Law, the South Carolina Human Affairs Law, as amended, the South Carolina Payment of Wages
Law, as amended, and all other federal, state and local laws, and including without any limitation, any claims of wrongful or tortious
discharge or termination, breach of contract, breach of the implied covenant of good faith and fair dealing, written or oral, express
or implied, breach of promise, public policy, negligence, intentional infliction of emotional distress, negligent infliction of
emotional distress, assault, battery, false imprisonment, defamation, libel, slander, invasion of privacy, impairment of economic
opportunity, loss of business opportunity, fraud, misrepresentation, and whistleblower activities, and any claim or damage arising
out of your employment with and/or separation from the Company (including a claim for retaliation) under any common law theory
or any federal, state or local law, statute, rule, regulation, ordinance or executive order not expressly referenced above.


 


This Release does not apply to any claims or
rights that may arise after the date you sign this Release. Excluded from this Release are any claims which cannot be waived by
law, including but not limited to, the right to participate in an investigation conducted by certain government agencies. You do,
however, waive your right to any monetary recovery from the Company or the Releasees should any agency (e.g., the Equal
Employment Opportunity Commission) pursue any claims on your behalf, unless otherwise prohibited by law. You represent and warrant
that you have not filed any complaint, charge, or lawsuit against the Company with any government agency or any court.


 


You agree never to sue the Company or the Releasees
in any forum for any claim covered by the above waiver and release language, except that you may bring a claim against the Company
under the ADEA to challenge this Release. If you violate this Release by suing the Company or the Releasees, other than under the
ADEA or as otherwise set forth above, you shall be liable to the Company and/or the Releasees for their reasonable attorneys’
fees and other litigation costs incurred in defending against such a suit. Nothing in this Release is intended to reflect any party’s
belief that your waiver of claims under ADEA is invalid or unenforceable, it being the interest of the Company and you that such
claims are waived.


 






    	 	Page 15 of 21	 



     


    

The Parties intend this Release to be construed
and interpreted to the fullest extent permitted by law as a general release. The terms of this Release are accepted by you as full
and complete resolution, accord and satisfaction of any and all claims, demands or grievances you have made against, and/or could
have made against any of the Releasees.


 


3.                 
Acknowledgements


 


You acknowledge that you have no knowledge of
any violations by the Company of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”),
the Fair Debt Collection Practices Act, the civil or criminal provisions of the federal False Claims Act, the Civil Monetary Penalties
Statute, Titles XVIII and XIX of the Social Security Act (the Medicare and Medicaid statutes), the Health Care Benefit Program
False Statements Statute, the Health Care Fraud Statute, any and all of the statutory provisions referenced in the Federal Health
Care Offense Definitions Statute, or any other federal or state laws relating to negligence, fraud and abuse in health care (collectively,
the “Health Care Laws”), or the Sarbanes Oxley Act. You have received instruction from the Company on how to
report claims or violations under the Health Care Laws and the Sarbanes Oxley Act, and as of the date of executing this Release,
have no claims to report under the Health Care Laws or the Sarbanes Oxley Act. You further certify that you have not reported to
any government authority or other entity any such healthcare compliance concerns, issues, and/or violations or potential violations,
which remain unanswered or unresolved. Furthermore, in connection with the foregoing acknowledgements, you have signed the Corporate
Compliance Statement - Return of Company Property & Information document, attached to the Agreement as Exhibit A,
and hereby reaffirm the representations therein.


 


4.                 
Non-Waiver or Release of Subsequent Rights or Claims


 


Nothing contained herein is intended to or shall
constitute a waiver or release of any rights or claims that arise after the date you sign this Release.


 


5.                 
Non-Waiver of Rights Under this Release


 


Nothing herein is intended to or constitutes
a waiver of any rights the Parties may have under this Release.


 


6.                 
Representations and Warranties


 


As a material part of this Release, you make
the following representations and warranties:


 


A.               
You have not commenced or asserted an administrative charge or complaint, and you have not commenced or asserted, and shall
not commence or assert, any lawsuit, arbitration, claim or legal proceeding, against any or all of the Releasees that is designed
to remedy or seek redress for any right or rights waived and/or released by this Release.


 


B.                
You agree to keep confidential all information relating to this Release, including its negotiation, terms and existence.
You may communicate or publish any information relating to this Release to your immediate family (defined herein as parents, siblings,
parents-in-law, spouse, domestic partner or children), legal and financial representatives, and tax preparer. Before such information
is disclosed by you to any such person(s), however, you shall advise such person(s) that the information they will receive is to
be kept confidential, and such person(s) must agree to maintain the confidentiality of the information they receive.






    	 	Page 16 of 21	 



     


    

C.                
You are not aware of any facts or circumstances suggesting that the Company has engaged in any wrongful or unlawful conduct.


 


7.                 
Remedy in the Event of a Breach


 


In the event you breach any portion of this
Release, you shall immediately, upon written demand, return to the Company all monies paid to you pursuant to paragraph 4(B) of
the Agreement, and the Company shall retain all rights to pursue legal and equitable remedies to: (a) enforce the terms of this
Release, and/or (b) seek damages for any breach.


 


8.                 
Additional Representations


 


By signing this Release, you further acknowledge,
understand, and agree that by signing this Release, you are knowingly and voluntarily agreeing to waive and release, among other
claims, any and all claims under the ADEA and the Older Workers Benefit Protection Act you have had or may have against the Company
and/or the Releasees. Further, you understand and agree that:


 


A.               
You may not sign this Release until after the close of business on the Separation Date;


 


B.                
You are hereby advised to consult with an attorney before executing this Release;


 


C.               
You have carefully read and understand the terms of this Release, and have had a full and fair opportunity to review this
Release with an attorney of your choice;


 


D.               
You have signed this Release freely and voluntarily and without fraud, duress or coercion and with full knowledge and understanding
of its terms and of its significance and consequences and of the rights relinquished, surrendered, released and discharged hereunder;
and


 


E.                
The only consideration for signing this Release is stated herein, and no other promise, agreement or representation of any
kind has been made to you by any person or entity whatsoever to cause you to sign this Release.


 


9.                 
Manner of Acceptance


 


In order to accept the terms of this Release,
you must return a signed copy to the Company (at the address set forth in paragraph 11 hereof) on or within seven (7) calendar
days after the Separation Date (provided that you may not sign this Release until after the close of business on the Separation
Date). In the event a timely acceptance is made, and you do not revoke your signature pursuant to paragraph 10, the Company
shall provide the consideration described in paragraph 4(B) of the Agreement.






    	 	Page 17 of 21	 



     


    

In the event the seventh (7th) day
falls on a Saturday, Sunday or on a day that the Company’s office is closed, your time to accept the terms of this Release
shall be extended until the next regular business day that the Company’s office is open.


 


If you do not revoke your signature to this
Release, the eighth (8th) day after your date of acceptance will be the effective date of this Release.


 


10.             
Right to Revoke


 


You may revoke your signature (thereby rescinding
your acceptance of the terms of this Release) within seven (7) calendar days from the date on which you sign this Release. If the
seventh (7th) day falls on a Saturday, Sunday or on a day that the Company’s office is closed, your time to revoke
your signature shall be extended until the next regular business day that the Company’s office is open. In the event you
wish to revoke your signature, you must give written notice to that effect pursuant to paragraph 11 hereof. If you timely revoke
your signature on this Release, or if you do not timely sign and return this Release to the Company (pursuant to paragraph 9),
this Release shall be null, void and of no effect, and you shall not be entitled to any of the consideration described in paragraph
4(B) of the Agreement.


 


11.             
Addresses for Notices


 


Any notice required pursuant to this Release
shall be sent via registered mail, return receipt requested, or overnight mail with delivery confirmation to the following addresses:


 


If to the Company: HMS, 5615 High Point
Drive, Irving, Texas 75038, Attention: Tracy South, Human Resources Department.


 


If to You:


 


Any Notice sent in accordance with this paragraph
shall be deemed effective upon receipt. Notwithstanding anything to the contrary contained herein, at any time after the execution
of this Release any Party may modify the address(es) (including telephone number(s)) to which it desires notices to be sent by
advising the other, in writing as provided in this paragraph. Such modification shall be deemed effective upon receipt.


 


12.             
General Legal Matters


 


A.               
The invalidity or unenforceability of any provision of this Release shall not affect the validity or enforceability of any
other provision hereof. In the event any provision of this Release is determined by a court of competent jurisdiction to be invalid,
unlawful or unenforceable, it shall be severed from the Release, and the court shall be permitted to redraft the language so as
to conform the severed language to the Parties’ intent. If any provision, or portion thereof, of this Release is determined
to be invalid under applicable statute or rule of law, only such provision, and only to the extent determined to be invalid, shall
be deemed omitted from this Release, the remainder of which shall remain in full force and effect. In the event the general release
provisions of this Release are determined to be invalid, you shall immediately execute a modified general release that is valid
that shall be effective as of the date this Release becomes effective.






    	 	Page 18 of 21	 



     


    

B.                
This Release, together with the Agreement, reflects the entire agreement among the parties relating to the matters set forth
herein and relating to your employment. With the exception of the Agreement, the agreements described in paragraph 10(E) of the
Agreement and any Non-Qualified Stock Option/Restricted Stock Unit Agreement that you may have received during your employment,
which agreements shall remain in full force and effect in accordance with their respective terms and conditions, any other agreements,
understandings, promises or commitments among the Parties are superseded by this Release. This Release, together with the Agreement,
has been negotiated, drafted and reviewed by the Parties and/or their designated counsel. No language herein shall be construed
for or against the interests of any Party on the ground that either Party was the proponent or draftsperson thereof. This Release
may not be changed unless the change is in writing and signed by you and the Company.


 


C.                
This Release will be governed by and construed as a sealed instrument under and in accordance with the laws of the State
of Texas without regard to conflicts of law provisions. Any action, suit or other legal proceeding that is commenced to resolve
any matter arising under or relating to any provision of this Release must be commenced only in a court of the State of Texas (or,
if appropriate, a federal court located within the State of Texas) and the Company and you each consents to the jurisdiction of
such a court. With respect to any such court action, the Company and you (a) submit to the personal jurisdiction of such courts;
(b) consent to service of process by the means specified under paragraph 11; and (c) waive any other requirement (whether imposed
by statute, rule of court, or otherwise) with respect to personal jurisdiction, inconvenient forum, or service of process. The
Company and you each hereby irrevocably waives any right to a trial by jury in any action, suit or other legal proceeding arising
under or relating to any provision of this Release.


 


D.               
Paragraph headings used in this Release are for informational purposes only and shall not be construed or interpreted as
part of this Release. Usage of the singular shall include the plural and vice versa. Use of male pronouns shall be read to include
the female and vice versa.


 


E.                
This Release is intended to comply with Section 409A of the Internal Revenue Code of 1986, as amended (the “Code”),
if and to the extent applicable, and will be interpreted and applied in a manner consistent with that intention. Toward that end,
unless permitted sooner by Section 409A of the Code, severance amounts otherwise payable within six (6) months after termination
of employment will be deferred until and become payable on the first (1st) day of the seventh (7th) month
following termination of employment. Further, to the extent Section 409A of the Code is applicable, the phrase “termination
of employment” shall have the same meaning as a “separation from service” as defined in Section 409A of the Code
and its accompanying regulations. Notwithstanding any provision of this Release, to the extent required by Section 409A, if the
time period in which this Release may be signed and revoked spans two (2) taxable years, the Separation Payments shall be made
or commence in the latter year.


 


F.                 
This Release can be executed in any number of counterparts, each of which shall be effective only upon delivery and thereafter
shall be deemed an original, and all of which shall be taken to be one and the same instrument for the same effect as if all Parties
hereto had signed the same signature page. A facsimile or e-mail copy of any Party’s signature shall be deemed as legally
binding as the original signature.


 






    	 	Page 19 of 21	 



     


    

 


 


[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]


 


 


 


 


 


 






    	 	Page 20 of 21	 



     


    

I hereby provide this Waiver and General Release Agreement as
of the date set forth below and acknowledge that my execution of this Waiver and General Release Agreement is in further consideration
of the separation benefits that I acknowledge I would not be entitled to if I did not sign it. I intend this Waiver and General
Release Agreement to become a binding agreement between the Company and me if I do not revoke my acceptance within seven (7) days
of the date set forth next to my signature below.


 


RELEASOR:


 


 


 


 


	 	 	 
	Semone Neuman	 	Date







         



 


 


 


FOR THE RELEASEES:


 





	 	 






By: Tracy South


Executive Vice President,


Chief Administrative & Human Resources Officer




 


 


 


Page 21 of 21