Section 152.26 - Appeals procedures(a)General. A PCIP shall establish and maintain procedures for individuals to appeal eligibility and coverage determinations.(b)Minimum requirements. The appeals procedure must, at a minimum, provide: (1) A potential enrollee with the right to a timely redetermination by the PCIP or its designee of a determination regarding PCIP eligibility, including a determination of whether the individual is a citizen or national of the United States, or is lawfully present in the United States.(2) An enrollee with the right to a timely redetermination by the PCIP or its designee of a determination regarding the coverage of a service or the amount paid by the PCIP for a service.(3) An enrollee with the right to a timely reconsideration of a redetermination made under paragraph (b)(2) of this section by an entity independent of the PCIP.