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CARE CAPITATION AGENCY (SoCalGas)

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BECOME A
CARE CAPITATION AGENCY
WHAT IS CARE?
The California Alternate Rates for Energy (CARE)
program provides eligible SoCalGas
®
customers
a 20% discount on their monthly natural gas bill.
Program eligibility is based on the household
income or if someone in the household is enrolled
in a public assistance program (see chart on page
2). Participants are required to recertify their
eligibility every two or four years when requested,
depending on their qualifications.
The CARE program is available to residential,
multi-family dwelling units and mobile home parks
with submeters to all individuals. Learn more at
socalgas.com/CARE
HOW YOU CAN PARTICIPATE:
SoCalGas is offering community-based
organizations, under agreement, compensation
for enrolling their program participants in
the CARE program. You can help non-English
speaking communities, ethnically diverse groups,
seniors, rural residents, veterans and other hard-
to-reach groups learn more about CARE.
?
WHAT YOU NEED TO KNOW:
• Agencies are accepted based on SoCalGas’
geographic needs and the agency’s ability to
incorporate the program into their existing
services.
• Agencies will be compensated for all approved
CARE applications that are submitted to SoCalGas.
• The program will not compensate for ineligible
customers, incomplete applications, or customers
already enrolled in the CARE program.
HOW TO GET STARTED IN THE
CARE CAPITATION AGENCIES
PROGRAM:
• Complete the enclosed questionnaire and email or
mail it to the address below.
• Agencies selected for the program will be notified
by SoCalGas. Accepted agencies will be required
to sign a service agreement and return with a
certificate of insurance and a W-9 Tax form.
• Training will be provided to all new agencies.
CALIFORNIA ALTERNATE RATES FOR ENERGY (CARE)
QUALIFICATIONS FOR THE CARE PROGRAM
• Medi-Cal/Medicaid
• Medi-Cal for Families A & B
• Women, Infants, & Children (WIC)
• CalWORKs (TANF)
1
/ Tribal TANF
• Head Start Income Eligible — Tribal Only
• Bureau of Indian Affairs General Assistance
• CalFresh (Food Stamps)
• National School Lunch Program (NSLP)
• Low-Income Home Energy Assistance Program (LIHEAP)
• Supplemental Security Income
PUBLIC ASSISTANCE PROGRAMS
If you or another person in your household receives
benefits from any of the following programs:
For each additional household member, add $8,960
*Includes current household income from all sources before deductions.
1
Includes Welfare-to-Work
MAXIMUM HOUSEHOLD INCOME
(effective June 1, 2020 to May 31, 2021)
OR
Total Annual
Income
*
$34,480
$43,440
$52,400
$61,360
$70,320
$79,280
$88,240
1-2
3
4
5
6
7
8
Number of Persons
in Household
TWO WAYS TO QUALIFY
Page 2
CONTACT US
For more information, please email
Alice Lee at aylee@socalgas.com or call
(213) 244-4635.
THERE ARE TWO WAYS TO QUALIFY
CONTACT INFORMATION:
ORGANIZATION NAME:
CONTACT NAME:
JOB TITLE:
ADDRESS: CITY: STATE:
PHONE: FAX:
EMAIL ADDRESS:
WEB PAGE URL:
TYPE OF ORGANIZATION: PRIVATE NON-PROFIT
SERVICES PROVIDED:
California Alternate Rates for Energy
Capitation Program Questionnaire
Please provide the following information and EMAIL this form back to us at aylee@socalgas.com, FAX it to (818) 701-3960 or
MAIL it to
SoCalGas, CARE Program GT19A1, PO Box 3249, Los Angeles, CA 90051-1249
. If your application is approved, you will
receive an email or call from our Program Manager inviting your organization to become a capitation agency.
DOES YOUR ORGANIZATION PARTICIPATE IN:
SENIOR PROGRAMS
SENIOR DAYCARE
INDEPENDENT LIVING CENTER
CONVALESCENT HOMES
HUD ORGANIZATIONS ACTIVITIES
MEDICAL/DENTAL
BLIND/VISUALLY IMPAIRED
DEVELOPMENTALLY DISABLED
SOCALGAS CARE
SOCAL EDISON CARE
SOCALGAS GAS ASSISTANCE FUND/UNITED WAY
SOCALGAS ENERGY SAVINGS ASSISTANCE PROGRAM
LIHEAP
WIC
MEDI-CAL
HEALTHY FAMILIES
EMPLOYMENT DEVELOPMENT DEPARTMENT
TANF/AFDC
CONTRACTOR REFERRAL ONLY NO
ORGANIZATION INFORMATION:
Page 3
OTHER INFORMATION
OUTREACH ACTIVITIES
© 2020 Southern California Gas Company. Trademarks are property of their respective owners. All rights reserved. Some materials used under license, with all rights reserved by licensor.
The CARE program is funded by California utility customers and administered by SoCalGas under the auspices of the California Public Utilities Commission. Program funds will be allocated on a
first-come, first-served basis until such funds are no longer available. This program may be modified or terminated without prior notice.
*The additional cost your organization will incur by adding the CARE program to the services currently provided.
N20E0152A 0620
GEOGRAPHIC AREAS YOUR SERVICES COVER
COUNTY
CITIES
RURAL
URBAN
SPECIAL EVENTS
WALK-INS / FOOT TRAFFIC
DOOR-TO-DOOR SOLICITATION
OTHER (please describe)
TOTAL NUMBER OF CARE CUSTOMERS YOUR ORGANIZATION IS
COMMITTING TO HELP ENROLL IN THE CARE PROGRAM THIS YEAR, 2020
INDICATE INCREMENTAL COST* PER SUCCESSFUL CARE ENROLLMENT:
NUMBER OF PEOPLE REACHED PER YEAR
TARGETS GROUPS
SENIORS
YOUTH
DISABLED
BLIND
OTHER(S)
LANGUAGES REACHED
ARMENIAN
CHINESE
KOREAN
RUSSIAN
SPANISH
VIETNAMESE
OTHER(S)
(Provide a percentage of interaction with each group)
= 100%
(Provide a percentage of interaction with each group)
= 100%
%
%
%
%
%
%
%
%
%
%
%
%
COMPENSATION
COMMENTS
Page 4
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Completed 28 May 2021

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