Note 13 - Commitments and Contingencies (Details Textual) - Dennis Demetre and Lori Lewis v. HMS Holdings Corp [Member] - USD ($) $ in Millions	Jun. 27, 2018	Nov. 03, 2017
Loss Contingency, Damages Awarded, Value		$ 60
Payments for Legal Settlements	$ 20

Amount of damages awarded to the plaintiff in the legal matter.

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 450
-SubTopic 20
-Section 50
-Paragraph 9
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=82911808&loc=d3e14557-108349

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 450
-SubTopic 20
-Section 50
-Paragraph 4
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=82911808&loc=d3e14435-108349

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 450
-SubTopic 20
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=82911808&loc=d3e14326-108349

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Balance Type:	debit
Period Type:	duration