Exhibit 12.1

Centene Corporation
Computation of ratio of earnings to fixed charges
($ in thousands)
	For the Nine Months Ended			Year Ended December 31,
	September 30, 2010			2009			2008		2007		2006		2005
Earnings:
Pre-tax earnings from continuing operations	$	110,940		$	137,508		$	136,616	$	64,071	$	27,165	$	48,079
Addback:
Fixed charges		18,256			23,104			23,128		20,612		13,909		6,158
Subtract:
Non-controlling interest		(2,515	)		(2,574	)		-		-		-		-
Interest capitalized		(1,089	)		(116	)		-		-		-		-
Total earnings	$	125,592		$	157,922		$	159,744	$	84,683	$	41,074	$	54,237
Fixed Charges:
Interest expensed and capitalized	$	13,629		$	16,434		$	16,673	$	15,626	$	10,574	$	3,985
Interest component of rental payments (1)		4,627			6,670			6,455		4,986		3,335		2,173
Total fixed charges	$	18,256		$	23,104		$	23,128	$	20,612	$	13,909	$	6,158
Ratio of earnings to fixed charges		6.88			6.84			6.91		4.11		2.95		8.81
(1) Estimated at 33% of rental expense as a reasonable approximation of the interest factor.