Exhibit 12.1

Centene Corporation

Computation of ratio of earnings to fixed charges

($ in thousands)

	For the Three Months Ended		Year Ended December 31,
	March 31, 2009		2008		2007		2006		2005		2004
Earnings:
Pre-tax earnings from continuing operations	$	30,539	$	136,616	$	64,071	$	27,165	$	48,079	$	53,669
Addback:
Fixed charges		5,660		23,128		20,612		13,909		6,158		2,781
Subtract:
Non-controlling interest		787		-		-		-		-		-
Total earnings	$	35,412	$	159,744	$	84,683	$	41,074	$	54,237	$	56,450
Fixed Charges:
Interest expense	$	3,986	$	16,673	$	15,626	$	10,574	$	3,985	$	680
Interest component of rental payments (1)		1,674		6,455		4,986		3,335		2,173		2,101
Total fixed charges	$	5,660	$	23,128	$	20,612	$	13,909	$	6,158	$	2,781
Ratio of earnings to fixed charges		6.26		6.91		4.11		2.95		8.81		20.30
Dollar amount of deficiency		-		-		-		-		-		-
(1) Estimated at 33% of rental expense as a reasonable approximation of the interest factor.