When a referral to a specialist is authorized, the PCD must evaluate the need for follow-up with the patient after the specialty services have been provided. It is the responsibility of the PCD to schedule the patient for any appropriate follow-up treatment. When a referral to a specialist is denied, the PCD must evaluate the need to perform the services directly. It is the responsibility of the PCD to schedule the patient for appropriate treatment when a referral to a specialist has been denied.