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Centene Corp – ‘10-K’ for 12/31/19 – ‘EX-101.PRE’

On:  Tuesday, 2/18/20, at 5:17pm ET   ·   For:  12/31/19   ·   Accession #:  1071739-20-60   ·   File #:  1-31826

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  As Of               Filer                 Filing    For·On·As Docs:Size

 2/18/20  Centene Corp                      10-K       12/31/19  122:16M

Annual Report   —   Form 10-K   —   Sect. 13 / 15(d) – SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 10-K        Annual Report -- form10k                            HTML   2.40M 
 2: EX-4.1      Description of Securities                           HTML     55K 
 3: EX-10.25C   Credit Agreement Amendment                          HTML     73K 
 4: EX-21       List of Subsidiaries                                HTML     67K 
 5: EX-23       Consent of Experts or Counsel                       HTML     34K 
 6: EX-31.1     Certification -- §302 - SOA'02                      HTML     40K 
 7: EX-31.2     Certification -- §302 - SOA'02                      HTML     40K 
 8: EX-32.1     Certification -- §906 - SOA'02                      HTML     35K 
 9: EX-32.2     Certification -- §906 - SOA'02                      HTML     34K 
81: R1          Cover                                               HTML     96K 
38: R2          Consolidated Balance Sheets                         HTML    133K 
50: R3          Consolidated Balance Sheets (Parenthetical)         HTML     54K 
122: R4          Consolidated Statements of Operations               HTML    119K  
82: R5          Consolidated Statements of Comprehensive Earnings   HTML     67K 
39: R6          Consolidated Statements of Stockholders' Equity     HTML    108K 
51: R7          Consolidated Statements of Stockholders' Equity     HTML     40K 
                (Parenthetical)                                                  
121: R8          Consolidated Statements of Cash Flows               HTML    139K  
83: R9          Organization and Operations                         HTML     38K 
56: R10         Summary of Significant Accounting Policies          HTML    130K 
18: R11         Acquisitions                                        HTML    106K 
88: R12         Short-term and Long-term Investments, Restricted    HTML    199K 
                Deposits                                                         
101: R13         Fair Value Measurements                             HTML    182K  
55: R14         Property, Software and Equipment                    HTML     50K 
17: R15         Goodwill and Intangible Assets                      HTML    102K 
87: R16         Medical Claims Liability                            HTML    120K 
100: R17         Affordable Care Act                                 HTML     44K  
57: R18         Debt                                                HTML    111K 
15: R19         Leases                                              HTML     60K 
80: R20         Stockholders' Equity                                HTML     44K 
118: R21         Statutory Capital Requirements and Dividend         HTML     36K  
                Restrictions                                                     
54: R22         Income Taxes                                        HTML    130K 
41: R23         Stock Incentive Plans                               HTML     51K 
79: R24         Retirement Plan                                     HTML     37K 
117: R25         Commitments                                         HTML     40K  
53: R26         Contingencies                                       HTML     59K 
40: R27         Earnings Per Share                                  HTML     57K 
77: R28         Segment Information                                 HTML     97K 
119: R29         Quarterly Selected Financial Information            HTML     81K  
97: R30         Condensed Financial Information of Registrant       HTML    180K 
84: R31         Summary of Significant Accounting Policies          HTML    171K 
                (Policies)                                                       
19: R32         Summary of Significant Accounting Policies          HTML     60K 
                (Tables)                                                         
58: R33         Acquisitions (Tables)                               HTML     86K 
98: R34         Short-term and Long-term Investments, Restricted    HTML    194K 
                Deposits (Tables)                                                
85: R35         Fair Value Measurements (Tables)                    HTML    181K 
20: R36         Property, Software and Equipment (Tables)           HTML     49K 
59: R37         Goodwill and Intangible Assets (Tables)             HTML    104K 
96: R38         Medical Claims Liability (Tables)                   HTML    116K 
86: R39         Affordable Care Act (Tables)                        HTML     43K 
115: R40         Debt (Tables)                                       HTML     83K  
74: R41         Leases (Tables)                                     HTML     59K 
30: R42         Income Taxes (Tables)                               HTML    131K 
42: R43         Stock Incentive Plans (Tables)                      HTML     45K 
116: R44         Earnings Per Share (Tables)                         HTML     57K  
75: R45         Segment Information (Tables)                        HTML     97K 
31: R46         Quarterly Selected Financial Information (Tables)   HTML     81K 
43: R47         Condensed Financial Information of Registrant       HTML    177K 
                (Tables)                                                         
114: R48         Organization and Operations (Details)               HTML     34K  
76: R49         Summary of Significant Accounting Policies -        HTML     36K 
                Restricted Deposits (Details)                                    
95: R50         Summary of Significant Accounting Policies -        HTML     56K 
                Schedule Of Property, Software And Equipment                     
                Depreciation Periods (Details)                                   
108: R51         Summary of Significant Accounting Policies -        HTML     63K  
                Schedule Of Amortization Period For Intangible                   
                Assets (Details)                                                 
61: R52         Summary of Significant Accounting Policies -        HTML     42K 
                Schedule Of Allowance For Uncollectible Accounts                 
                (Details)                                                        
23: R53         Summary of Significant Accounting Policies -        HTML     40K 
                Significant Customers (Details)                                  
94: R54         Acquisitions - Narrative (Details)                  HTML     89K 
107: R55         Acquisitions - Proforma Information (Unaudited)     HTML     52K  
                (Details)                                                        
60: R56         Acquisitions - Schedule of Preliminary Allocation   HTML     95K 
                of Fair Value of Assets Acquired and Liabilities                 
                Assumed (Details)                                                
22: R57         Short-term and Long-term Investments, Restricted    HTML     78K 
                Deposits - By Investment Type (Details)                          
93: R58         Short-term and Long-term Investments, Restricted    HTML     46K 
                Deposits - Narrative (Details)                                   
109: R59         Short-term and Long-term Investments, Restricted    HTML     69K  
                Deposits - Fair Value of Available-for-Sale                      
                Investments in a Continuous Unrealized Loss                      
                Position (Details)                                               
46: R60         Short-term and Long-term Investments, Restricted    HTML     78K 
                Deposits - Contractual Maturities of Short-Term                  
                And Long-Term Investments And Restricted Deposits                
                (Details)                                                        
36: R61         Fair Value Measurements - Fair Value Measurements   HTML    148K 
                By Level for Assets and Liabilities Measured at                  
                Fair Value on a Recurring Basis (Details)                        
70: R62         Fair Value Measurements - Narrative (Details)       HTML     34K 
112: R63         Property, Software and Equipment (Details)          HTML     59K  
45: R64         Goodwill and Intangible Assets - Schedule Of        HTML     52K 
                Changes In Goodwill By Operating Segment (Details)               
35: R65         Goodwill and Intangible Assets - Narrative          HTML     42K 
                (Details)                                                        
69: R66         Goodwill and Intangible Assets - Schedule Of        HTML     64K 
                Intangible Assets (Details)                                      
111: R67         Goodwill and Intangible Assets -Schedule Of Future  HTML     44K  
                Amortization Expenses (Details)                                  
48: R68         Medical Claims Liability - Schedule of change In    HTML     67K 
                medical claims liability (Details)                               
32: R69         Medical Claims Liability - Narrative (Details)      HTML     34K 
25: R70         Medical Claims Liability - Cumulative incurred and  HTML     51K 
                Paid Claims (Details)                                            
65: R71         Medical Claims Liability - Incurred Claims and      HTML     51K 
                Allocated Claims Adjustment Expenses (Details)                   
103: R72         Affordable Care Act (Details)                       HTML     43K  
90: R73         Debt - Schedule Of Debt (Details)                   HTML     95K 
26: R74         Debt - Senior Notes (Details)                       HTML     87K 
66: R75         Debt - Interest Rate Swaps (Details)                HTML     60K 
104: R76         Debt - Revolving Credit Facility and Term Loan      HTML     65K  
                (Details)                                                        
91: R77         Debt - Mortgage Notes Payable (Details)             HTML     41K 
29: R78         Debt - Construction Loan (Details)                  HTML     44K 
63: R79         Debt - Letters of Credit & Surety Bonds (Details)   HTML     47K 
24: R80         Debt - Schedule Of Aggregate Maturities Of Debt     HTML     56K 
                (Details)                                                        
64: R81         Leases - Narrative (Details)                        HTML     65K 
102: R82         Leases - ROU Assets and Liabilities (Details)       HTML     41K  
89: R83         Leases - Operating Lease Maturity (Details)         HTML     51K 
27: R84         Leases - Future Minimum Lease Payments Under Topic  HTML     53K 
                840 (Details)                                                    
67: R85         Stockholders' Equity (Details)                      HTML     99K 
105: R86         Statutory Capital Requirements and Dividend         HTML     38K  
                Restrictions (Details)                                           
92: R87         Income Taxes - Consolidated Income Tax Expense      HTML     49K 
                (Details)                                                        
28: R88         Income Taxes - Reconciliation Of The Tax Provision  HTML     67K 
                At The U.S. Federal Statutory Rate To The                        
                Provision For Income Taxes (Details)                             
62: R89         Income Taxes - Tax Effects Of Temporary             HTML     85K 
                Differences Which Give Rise To Deferred Tax Assets               
                And Liabilities (Details)                                        
47: R90         Income Taxes - Narrative (Details)                  HTML     52K 
37: R91         Income Taxes - Schedule of Reserve for Uncertain    HTML     52K 
                Tax Positions That May BE Challenged (Details)                   
72: R92         Stock Incentive Plans - Narrative (Details)         HTML     67K 
113: R93         Stock Incentive Plans - Non-Vested Restricted       HTML     57K  
                Stock And Restricted Stock (Details)                             
44: R94         Retirement Plan (Details)                           HTML     36K 
34: R95         Commitments (Details)                               HTML     61K 
68: R96         Earnings Per Share (Details)                        HTML     68K 
110: R97         Segment Information (Details)                       HTML     62K  
49: R98         Quarterly Selected Financial Information (Details)  HTML     57K 
33: R99         Condensed Financial Information of Registrant -     HTML    120K 
                Condensed Balance Sheets (Details)                               
78: R100        Condensed Financial Information of Registrant -     HTML     57K 
                Condensed Balance Sheets Additional (Details)                    
120: R101        Condensed Financial Information of Registrant -     HTML    106K  
                Condensed Statements Of Operations (Details)                     
52: R102        Condensed Financial Information of Registrant -     HTML    107K 
                Condensed Statements Of Cash Flows (Details)                     
71: R9999       Uncategorized Items - form10k.htm                   HTML     33K 
99: XML         IDEA XML File -- Filing Summary                      XML    222K 
73: XML         XBRL Instance -- form10k_htm                         XML   4.24M 
106: EXCEL       IDEA Workbook of Financial Reports                  XLSX    146K  
11: EX-101.CAL  XBRL Calculations -- cnc-20191231_cal                XML    405K 
12: EX-101.DEF  XBRL Definitions -- cnc-20191231_def                 XML   1.00M 
13: EX-101.LAB  XBRL Labels -- cnc-20191231_lab                      XML   2.36M 
14: EX-101.PRE  XBRL Presentations -- cnc-20191231_pre               XML   1.54M 
10: EX-101.SCH  XBRL Schema -- cnc-20191231                          XSD    237K 
21: JSON        XBRL Instance as JSON Data -- MetaLinks              516±   792K 
16: ZIP         XBRL Zipped Folder -- 0001071739-20-000060-xbrl      Zip    576K

‘EX-101.PRE’   —   XBRL Presentations — cnc-20191231_pre

This Exhibit is an XBRL XML File.

                                                                                                                                                                                
<?xml version="1.0" encoding="windows-1252"?>
<!-- XBRL Document Created with Wdesk from Workiva -->
<!-- -->
<link:linkbase xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd" xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<link:roleRef roleURI="http://www.centene.com/role/Acquisitions" xlink:href="cnc-20191231.xsd#Acquisitions" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/AcquisitionsNarrativeDetails" xlink:href="cnc-20191231.xsd#AcquisitionsNarrativeDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/AcquisitionsProformaInformationUnauditedDetails" xlink:href="cnc-20191231.xsd#AcquisitionsProformaInformationUnauditedDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/AcquisitionsScheduleOfPreliminaryAllocationOfFairValueOfAssetsAcquiredAndLiabilitiesAssumedDetails" xlink:href="cnc-20191231.xsd#AcquisitionsScheduleOfPreliminaryAllocationOfFairValueOfAssetsAcquiredAndLiabilitiesAssumedDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/AcquisitionsTables" xlink:href="cnc-20191231.xsd#AcquisitionsTables" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/AffordableCareAct" xlink:href="cnc-20191231.xsd#AffordableCareAct" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/AffordableCareActDetails" xlink:href="cnc-20191231.xsd#AffordableCareActDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/AffordableCareActTables" xlink:href="cnc-20191231.xsd#AffordableCareActTables" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/Commitments" xlink:href="cnc-20191231.xsd#Commitments" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/CommitmentsDetails" xlink:href="cnc-20191231.xsd#CommitmentsDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/CondensedFinancialInformationOfRegistrant" xlink:href="cnc-20191231.xsd#CondensedFinancialInformationOfRegistrant" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/CondensedFinancialInformationOfRegistrantCondensedBalanceSheetsAdditionalDetails" xlink:href="cnc-20191231.xsd#CondensedFinancialInformationOfRegistrantCondensedBalanceSheetsAdditionalDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/CondensedFinancialInformationOfRegistrantCondensedBalanceSheetsDetails" xlink:href="cnc-20191231.xsd#CondensedFinancialInformationOfRegistrantCondensedBalanceSheetsDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/CondensedFinancialInformationOfRegistrantCondensedStatementOfCashFlowAdditionalDetails" xlink:href="cnc-20191231.xsd#CondensedFinancialInformationOfRegistrantCondensedStatementOfCashFlowAdditionalDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/CondensedFinancialInformationOfRegistrantCondensedStatementsOfCashFlowsDetails" xlink:href="cnc-20191231.xsd#CondensedFinancialInformationOfRegistrantCondensedStatementsOfCashFlowsDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/CondensedFinancialInformationOfRegistrantCondensedStatementsOfOperationsDetails" xlink:href="cnc-20191231.xsd#CondensedFinancialInformationOfRegistrantCondensedStatementsOfOperationsDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/CondensedFinancialInformationOfRegistrantTables" xlink:href="cnc-20191231.xsd#CondensedFinancialInformationOfRegistrantTables" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/ConsolidatedBalanceSheets" xlink:href="cnc-20191231.xsd#ConsolidatedBalanceSheets" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/ConsolidatedBalanceSheetsParenthetical" xlink:href="cnc-20191231.xsd#ConsolidatedBalanceSheetsParenthetical" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/ConsolidatedStatementsOfCashFlows" xlink:href="cnc-20191231.xsd#ConsolidatedStatementsOfCashFlows" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/ConsolidatedStatementsOfComprehensiveEarnings" xlink:href="cnc-20191231.xsd#ConsolidatedStatementsOfComprehensiveEarnings" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/ConsolidatedStatementsOfOperations" xlink:href="cnc-20191231.xsd#ConsolidatedStatementsOfOperations" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/ConsolidatedStatementsOfStockholdersEquity" xlink:href="cnc-20191231.xsd#ConsolidatedStatementsOfStockholdersEquity" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/ConsolidatedStatementsOfStockholdersEquityParenthetical" xlink:href="cnc-20191231.xsd#ConsolidatedStatementsOfStockholdersEquityParenthetical" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/Contingencies" xlink:href="cnc-20191231.xsd#Contingencies" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/Cover" xlink:href="cnc-20191231.xsd#Cover" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/Debt" xlink:href="cnc-20191231.xsd#Debt" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/DebtConstructionLoanDetails" xlink:href="cnc-20191231.xsd#DebtConstructionLoanDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/DebtInterestRateSwapsDetails" xlink:href="cnc-20191231.xsd#DebtInterestRateSwapsDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/DebtLettersOfCreditSuretyBondsDetails" xlink:href="cnc-20191231.xsd#DebtLettersOfCreditSuretyBondsDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/DebtMortgageNotesPayableDetails" xlink:href="cnc-20191231.xsd#DebtMortgageNotesPayableDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/DebtRevolvingCreditFacilityAndTermLoanDetails" xlink:href="cnc-20191231.xsd#DebtRevolvingCreditFacilityAndTermLoanDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/DebtScheduleOfAggregateMaturitiesOfDebtDetails" xlink:href="cnc-20191231.xsd#DebtScheduleOfAggregateMaturitiesOfDebtDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/DebtScheduleOfDebtDetails" xlink:href="cnc-20191231.xsd#DebtScheduleOfDebtDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/DebtSeniorNotesDetails" xlink:href="cnc-20191231.xsd#DebtSeniorNotesDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/DebtTables" xlink:href="cnc-20191231.xsd#DebtTables" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/EarningsPerShare" xlink:href="cnc-20191231.xsd#EarningsPerShare" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/EarningsPerShareDetails" xlink:href="cnc-20191231.xsd#EarningsPerShareDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/EarningsPerShareTables" xlink:href="cnc-20191231.xsd#EarningsPerShareTables" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/FairValueMeasurements" xlink:href="cnc-20191231.xsd#FairValueMeasurements" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/FairValueMeasurementsFairValueMeasurementsByLevelForAssetsAndLiabilitiesMeasuredAtFairValueOnRecurringBasisDetails" xlink:href="cnc-20191231.xsd#FairValueMeasurementsFairValueMeasurementsByLevelForAssetsAndLiabilitiesMeasuredAtFairValueOnRecurringBasisDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/FairValueMeasurementsNarrativeDetails" xlink:href="cnc-20191231.xsd#FairValueMeasurementsNarrativeDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/FairValueMeasurementsTables" xlink:href="cnc-20191231.xsd#FairValueMeasurementsTables" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/GoodwillAndIntangibleAssets" xlink:href="cnc-20191231.xsd#GoodwillAndIntangibleAssets" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/GoodwillAndIntangibleAssetsNarrativeDetails" xlink:href="cnc-20191231.xsd#GoodwillAndIntangibleAssetsNarrativeDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/GoodwillAndIntangibleAssetsScheduleOfChangesInGoodwillByOperatingSegmentDetails" xlink:href="cnc-20191231.xsd#GoodwillAndIntangibleAssetsScheduleOfChangesInGoodwillByOperatingSegmentDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/GoodwillAndIntangibleAssetsScheduleOfFutureAmortizationExpensesDetails" xlink:href="cnc-20191231.xsd#GoodwillAndIntangibleAssetsScheduleOfFutureAmortizationExpensesDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/GoodwillAndIntangibleAssetsScheduleOfIntangibleAssetsDetails" xlink:href="cnc-20191231.xsd#GoodwillAndIntangibleAssetsScheduleOfIntangibleAssetsDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/GoodwillAndIntangibleAssetsTables" xlink:href="cnc-20191231.xsd#GoodwillAndIntangibleAssetsTables" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/IncomeTaxes" xlink:href="cnc-20191231.xsd#IncomeTaxes" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/IncomeTaxesConsolidatedIncomeTaxExpenseDetails" xlink:href="cnc-20191231.xsd#IncomeTaxesConsolidatedIncomeTaxExpenseDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/IncomeTaxesNarrativeDetails" xlink:href="cnc-20191231.xsd#IncomeTaxesNarrativeDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/IncomeTaxesReconciliationOfTaxProvisionAtUSFederalStatutoryRateToProvisionForIncomeTaxesDetails" xlink:href="cnc-20191231.xsd#IncomeTaxesReconciliationOfTaxProvisionAtUSFederalStatutoryRateToProvisionForIncomeTaxesDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/IncomeTaxesScheduleOfReserveForUncertainTaxPositionsThatMayBeChallengedDetails" xlink:href="cnc-20191231.xsd#IncomeTaxesScheduleOfReserveForUncertainTaxPositionsThatMayBeChallengedDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/IncomeTaxesTables" xlink:href="cnc-20191231.xsd#IncomeTaxesTables" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/IncomeTaxesTaxEffectsOfTemporaryDifferencesWhichGiveRiseToDeferredTaxAssetsAndLiabilitiesDetails" xlink:href="cnc-20191231.xsd#IncomeTaxesTaxEffectsOfTemporaryDifferencesWhichGiveRiseToDeferredTaxAssetsAndLiabilitiesDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/Leases" xlink:href="cnc-20191231.xsd#Leases" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/LeasesFutureMinimumLeasePaymentsUnderTopic840Details" xlink:href="cnc-20191231.xsd#LeasesFutureMinimumLeasePaymentsUnderTopic840Details" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/LeasesNarrativeDetails" xlink:href="cnc-20191231.xsd#LeasesNarrativeDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/LeasesOperatingLeaseMaturityDetails" xlink:href="cnc-20191231.xsd#LeasesOperatingLeaseMaturityDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/LeasesRouAssetsAndLiabilitiesDetails" xlink:href="cnc-20191231.xsd#LeasesRouAssetsAndLiabilitiesDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/LeasesTables" xlink:href="cnc-20191231.xsd#LeasesTables" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/MedicalClaimsLiability" xlink:href="cnc-20191231.xsd#MedicalClaimsLiability" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/MedicalClaimsLiabilityCumulativeIncurredAndPaidClaimsDetails" xlink:href="cnc-20191231.xsd#MedicalClaimsLiabilityCumulativeIncurredAndPaidClaimsDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/MedicalClaimsLiabilityIncurredClaimsAndAllocatedClaimsAdjustmentExpensesDetails" xlink:href="cnc-20191231.xsd#MedicalClaimsLiabilityIncurredClaimsAndAllocatedClaimsAdjustmentExpensesDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/MedicalClaimsLiabilityNarrativeDetails" xlink:href="cnc-20191231.xsd#MedicalClaimsLiabilityNarrativeDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/MedicalClaimsLiabilityScheduleOfChangeInMedicalClaimsLiabilityDetails" xlink:href="cnc-20191231.xsd#MedicalClaimsLiabilityScheduleOfChangeInMedicalClaimsLiabilityDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.centene.com/role/MedicalClaimsLiabilityTables" xlink:href="cnc-20191231.xsd#MedicalClaimsLiabilityTables" xlink:type="simple"/>
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