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MakeHuman exports in .obj which can be imported into Milkshape or Blender, and I see they have instructions on using it with Blender. From there you'd use TS4 CASTools or Sims 4 Studio if using Blender to convert the mesh. That's for clothing meshes. For morphs you use game meshes.
However, remember TS4 is a low poly game. It looks like MakeHuman produces meshes which might be too high poly unless you can decimate them.
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