Exhibit 12.1

AMERIGROUP Corporation

Computation of Ratio of Earnings to Fixed Charges

	Years Ended December 31,
	2011		2010		2009		2008			2007
Earnings:
Income (loss) before income taxes	$	309,846	$	437,171	$	201,419	$	(2,256	)	$	179,894
Add: fixed charges		27,454		22,569		24,414		30,439			27,287
Total earnings	$	337,300	$	459,740	$	225,833	$	28,183		$	207,181
Fixed charges:
Interest expensed	$	20,550	$	16,011	$	16,266	$	20,514		$	18,962
Amortization of debt issuance cost		1,315		1,315		2,444		4,313			3,410
Interest component of rental payments (1)		5,589		5,243		5,704		5,612			4,915
Total fixed charges	$	27,454	$	22,569	$	24,414	$	30,439		$	27,287
Ratio of earnings to fixed charges		12.3		20.4		9.3		0.9			7.6
Total additional earnings required to achieve 1:1 coverage ratio of fixed charges	$	—	$	—	$	—	$	2,089		$	—

(1) Estimated at 33% of rental expense as a reasonable approximation of the interest factor.