EXHIBIT 12.1

Centene Corporation
Computation of ratio of earnings to fixed charges
($ in thousands)
	For the Three Months Ended		Year Ended December 31,
	3/31/2008		2007		2006		2005		2004		2003
Earnings:
Pre-tax earnings from continuing operations	$	40,705	$	63,636	$	33,582	$	57,387	$	69,429	$	51,893
Addback:
Fixed charges		5,654		20,863		14,402		6,338		2,951		1,232
Total earnings	$	46,359	$	84,499	$	47,983	$	63,724	$	72,380	$	53,125
Fixed Charges:
Interest expense	$	3,994	$	15,626	$	10,636	$	3,990	$	680	$	194
Interest component of rental payments (1)		1,660		5,237		3,766		2,348		2,271		1,038
Total fixed charges	$	5,654	$	20,863	$	14,402	$	6,338	$	2,951	$	1,232
Ratio of earnings to fixed charges		8.20		4.05		3.33		10.05		24.53		43.12
Dollar amount of deficiency		-		-		-		-		-		-
(1) Estimated at 33% of rental expense as a reasonable approximation of the interest factor.