Autism Resources in Custer County, Montana
17 providers in Miles City and nearby, plus 12 national programs. Waitlists change often, so it’s worth calling a few.
0 providers in Custer County. Filter by your child’s age — including 18+, which is the hardest to find anywhere.
Based in Custer County
Diagnostic clinics
1 providerFormal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Big Sky Medical Center — Miles City (Pediatric Referrals)
Miles City, MT · serves several counties
Big Sky Medical Center in Miles City is the primary healthcare facility for eastern Montana. Autism evaluations require travel to Billings (2.5 hrs). Eastern Montana's vast distances and proximity to Crow and Northern Cheyenne reservations mean tribal health services may also be relevant for some families.
Billings (2.5 hrs) is the nearest evaluation hub. Families near Crow or Northern Cheyenne reservations may access IHS services — coordinate with tribal health offices.
Early Intervention (0–3)
1 providerFree services for children under 3 under IDEA Part C.
Montana Infants and Toddlers Program — Custer County
Miles City, MT · serves several counties
Free IDEA Part C early intervention for children under 3 in Custer County. Miles City has some locally based EI service capacity as one of eastern Montana's larger towns. Itinerant providers cover the surrounding frontier region.
FREE under IDEA Part C. Custer County DPHHS coordinates EI. Miles City is a regional hub for eastern Montana.
ABA therapy
1 providerApplied Behavior Analysis therapy — typically requires insurance authorization.
Montana ABA Telehealth — Eastern Montana (Custer County)
Miles City, MT · serves several counties
Custer County has no in-person ABA providers. Telehealth ABA parent coaching from Billings-based or national telehealth providers is the most accessible option. Montana Medicaid covers ABA telehealth. Families near reservations should also inquire about IHS behavioral health services.
Montana Medicaid covers ABA including telehealth. Tribal families: IHS behavioral health at Crow Agency or Lame Deer may offer additional options.
Parent & family support
1 providerParent groups, sibling programs, and family peer support.
Autism Society Montana
Miles City, MT · serves several counties
Custer County families access Autism Society Montana's statewide support network. Given the distance to Billings (2.5 hrs), online and phone peer support may be more accessible than in-person events.
Online peer support recommended given distance to Billings. Contact Autism Society Montana for current resources in eastern Montana.
Also serving Custer County
These 25 are based elsewhere, or operate nationally, and list Custer County in the area they cover. Worth calling to confirm how far they actually travel, and whether telehealth or in-home visits are an option.
Diagnostic clinics
9 providersFormal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Billings Clinic — Telehealth and In-Person Developmental Services
Billings, MT · serves several counties
Billings Clinic provides telehealth developmental services for Fallon County families. Baker's proximity to the North Dakota border also makes Dickinson, ND an option for some specialty services for families with ND cross-coverage.
Billings Clinic — Telehealth Developmental Services
Billings, MT · serves several counties
Billings Clinic provides telehealth developmental evaluations for Dawson County families, reducing the 220-mile drive to Billings. In-person visits available for comprehensive assessments.
Billings Clinic — Telehealth Developmental Services
Billings, MT · serves several counties
Billings Clinic telehealth developmental services are the most realistic option for Carter County families given the county's extreme isolation. In-person visits to Billings (~4 hrs) are required for full comprehensive autism evaluations.
Billings Clinic — Telehealth Developmental Services
Billings, MT · serves several counties
Billings Clinic telehealth reduces the travel burden for Powder River County families. Comprehensive autism evaluations still require in-person visits to Billings (~175 miles) or Miles City (~75 miles).
Billings Clinic — Telehealth Developmental Services
Billings, MT · serves several counties
Billings Clinic telehealth provides developmental evaluation access for Prairie County families. Terry is approximately 165 miles from Billings — telehealth is strongly recommended for initial consultations.
Dahl Memorial Healthcare — Developmental Referrals
Ekalaka, MT · serves several counties
Dahl Memorial Healthcare in Ekalaka is Carter County's only hospital, serving one of the most remote counties in the contiguous United States. Autism evaluations require travel to Miles City (~2.5 hrs) or Billings (~4 hrs). Telehealth through Billings Clinic is the most practical starting point for most Carter County families.
See all 9 diagnostic clinics providersShow fewer
Fallon Medical Complex — Developmental Referrals
Baker, MT · serves several counties
Fallon Medical Complex in Baker connects southeastern Montana families to Miles City specialists for autism evaluations. Baker is approximately 90 miles from Miles City and 175 miles from Billings. Telehealth through Billings Clinic is strongly recommended.
Powder River Medical Clinic — Developmental Referrals
Broadus, MT · serves several counties
Powder River Medical Clinic in Broadus connects families to Miles City (~75 miles) or Billings (~175 miles) for developmental evaluations. Telehealth through Billings Clinic is the most practical starting point for Powder River County families.
Prairie Community Hospital — Developmental Referrals
Terry, MT · serves several counties
Prairie Community Hospital in Terry connects families to Miles City (~60 miles) or Glendive (~45 miles) for specialist referrals and developmental evaluations. Billings Clinic telehealth provides the most practical starting point.
Respite care
3 providersRespite care providers giving families a break — in-home, center-based, and overnight.
Montana Lifespan Respite Coalition — voucher program
Statewide, MT · serves several counties
The Coalition exists to build a statewide system of accessible, affordable respite for Montana caregivers regardless of the person's needs, and runs a respite voucher program. In a state where Montana states plainly that waiver services are limited and not entitled — with roughly 2,095 people waiting about seven years — a voucher that does not depend on the waiver is the practical route.
Area Agencies on Aging handle caregiver resources locally, including for families of children — do not be put off by the name.
ARCH National Respite Locator
Searchable by state, MT
A free national directory of respite providers and programs, run by ARCH, the National Respite Network and Resource Center. ARCH says it is not a complete list, so it works best alongside…
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
ARCH's advice is to contact your State Respite Coalition or Lifespan Respite program first. Before you pay out of pocket, also check what your state's Medicaid waiver funds.
Your state's Lifespan Respite program
39 states and DC have been funded, MT
Lifespan Respite programs are federally funded, state-run programs that help family caregivers of children or adults, regardless of special need, find and pay for respite.
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
ARCH lists every state's Lifespan Respite contact and respite coalition on this page. Ask specifically about voucher or stipend programs — that is the part families most often miss.
Parent & family support
1 providerParent groups, sibling programs, and family peer support.
Autism Society Montana
Terry, MT · serves several counties
Autism Society Montana supports Prairie County families through virtual peer support. Miles City events (~60 miles) are the nearest in-person option; virtual participation is recommended for ongoing community.
Advocacy & legal
1 providerLegal advocates, special education advocates, and disability rights organizations.
Montana Empowerment Center
Great Falls, MT · serves several counties
Montana's federally funded Parent Training and Information Center. Free, confidential help for families of children and young adults with disabilities, birth to 26: special education rights, IEPs, 504 plans and the move to adulthood.
Activities, clubs & recreation
11 providersClubs, sports, camps, and social programs that welcome autistic children and teens — inclusive, adaptive, and special-needs specific.
Montana Disability and Health Program - recreation resources
Missoula, MT · serves several counties
The University of Montana Rural Institute maintains recreation and exercise resources for disabled Montanans - the most useful statewide index in a state where organized provision is extremely sparse outside Bozeman, Missoula and Billings.
ACEing Autism
227 programs in 32 states, MT
Tennis clinics for kids, teens and, in some locations, adults on the autism spectrum.
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Cost varies by location and scholarships are available. Use the Find a Program search on their site with your zip code.
American Camp Association — camp finder
About 3,900 camps, MT
A free searchable directory of about 3,900 camps, with a filter for disabilities and other special needs alongside distance, activities, session length and cost. A good single starting…
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Choose day or overnight, then use the "Disabilities and Other Special Needs" filter. Specialized camps can fill early, so start looking in the winter before.
Best Buddies
All 50 states — find your local program, MT
One-to-one friendship matching between people with and without intellectual and developmental disabilities, with programs from elementary school through college and adulthood, plus…
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
A national organization, not a local listing — use the finder on their site, or call 1-800-89-BUDDY, to locate your nearest program.
Easterseals — camps and recreation
Local Easterseals across the country, MT
Day and residential camps for children and adults with disabilities, plus sports, social activities and community outings run by local Easterseals.
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Programs vary a great deal between locations — use the Find your Easterseals search on the page and check what yours actually runs.
iCan Shine (iCan Bike)
Camps hosted in different towns each year, MT
Teaches people with disabilities to ride a conventional two-wheeled bicycle over a five-day camp, 75 minutes a day. iCan Shine says about 80% of participants ride independently by the end…
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Check their Camp Locations page for dates — camps run in different towns each year, so somewhere near you may host this year and not next.
See all 11 activities, clubs & recreation providersShow fewer
KEEN (Kids Enjoy Exercise Now)
Six cities only: Chicago, DC–Baltimore, Los Angeles, New York, San Francisco, St. Louis, MT
Free, non-competitive, one-to-one recreation for youth ages 5 to 21 with physical or developmental disabilities, led by trained volunteer coaches.
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Free to families. KEEN runs in six cities plus two university campus chapters (Vanderbilt and the University of Virginia) — outside those, it is not available yet.
Little League Challenger Division
Through local Little Leagues — use the League Finder, MT
Little League's adaptive baseball program for anyone with a physical or intellectual challenge.
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Use the League Finder on their site to locate the nearest Challenger division, or ask about starting one. Little League's rule is that a player who can take part in regular Little League with reasonable accommodations should do so.
Miracle League
300 leagues — check for one near you, MT
Baseball for children and adults with physical or mental disabilities, played on custom-designed rubberized turf fields that accommodate wheelchairs and other assistive devices.
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Use the Find a Miracle League page on their site — there are 300 leagues, so coverage is good but not universal.
Special Olympics
Nationwide — find your local program, MT
Year-round sports training and competition for children and adults.
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Eligibility requires an intellectual disability, a cognitive delay measured by formal assessment, or significant learning or vocational problems due to cognitive delay, identified by an agency or professional. If your child is autistic without a cognitive delay, have a direct conversation about fit before signing up rather than after. Ask your local program about any costs.
TOPSoccer (US Youth Soccer)
Through local soccer clubs, MT
The Outreach Program for Soccer — recreational soccer for children and adults with intellectual, emotional or physical disabilities, offered through local US Youth Soccer clubs.
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Find your state association's TOPSoccer clubs through the link on their page, or ask your state association office directly — it is often not advertised on the club's own website.
Not sure which kind of therapy you need?
Start with our plain-language guide to ABA, speech and OT — what each one is, and questions to ask on the first call.
Read the guideFor providers
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About autism services in Custer County
Custer County (Miles City) is a regional hub in eastern Montana. Custer Medical Center provides services. Miles City Public Schools provides special education. PLUK is Montana's federally funded PTI providing free statewide advocacy. Families seeking specialized evaluations travel to Billings.
Helpful guides
Guides for Custer County families
Step-by-step help on the topics that matter most.
School & IEP
Navigating the IEP process
Your rights under IDEA, how evaluations work, and what every IEP section means.
Finding help
ABA, OT, speech and waitlists
How to find qualified providers, navigate insurance, and get off waitlists faster.
Getting started
Where to start after diagnosis
A week-by-week checklist for the first 90 days — from evaluation to early intervention.
Benefits & money
SSI, Medicaid waivers, ABLE accounts
Federal benefits your child may qualify for and how to apply without losing your spot.
Mental health
Co-occurring conditions and support
Managing anxiety, ADHD, and depression alongside an autism diagnosis.
Daily life
Sensory processing and OT
Understanding sensory needs, sensory diets, and how occupational therapy helps.
Adulthood
Employment, housing, legal planning
Supported employment, housing options, guardianship alternatives, and ABLE accounts.
See all Montana resources
Waivers, PTI centers, and state programs apply to all families in Montana.
Montana state guide →Common questions
Answered from the providers currently listed for this county — these update as the directory does.
How many autism providers serve Custer County, Montana?
We list 17 providers serving Custer County, covering parent & family support, diagnostic clinics, ABA therapy, activities, clubs & recreation and advocacy & legal, plus 2 more. Some are based in the county and others serve it from nearby areas. Every listing is reviewed by a person before it is published.
Where can I find ABA therapy in Custer County?
ABA providers serving Custer County are listed in the ABA therapy section of this page, with phone numbers and websites. Many deliver services in the family's home or at school as well as in a clinic. Ask about waitlists when you call — they vary widely and change month to month.
Are there telehealth autism services for Custer County families?
Yes — 10 providers serving Custer County offer telehealth or virtual sessions. This is often the fastest route to support for families in rural areas or on long local waitlists.
Does Medicaid pay for autism services in Montana?
Montana families can apply to the 0208 Comprehensive Waiver, a Medicaid waiver that can fund respite, therapies and in-home support. The typical wait is About seven years, with roughly 2,095 waiting, and your place is usually set by the date you apply — so applying early matters even if you are unsure what services you need. Many waivers also disregard parental income, so families who don't qualify for regular Medicaid often still qualify here.
What if I can't find an autism provider in Custer County?
If none of the Custer County providers is the right fit, these Montana counties currently have the most listed providers: Yellowstone County (19), Dawson County (17), Lewis and Clark County (14), Missoula County (14). Many providers travel or offer telehealth, so it is worth calling even if they are not based nearby. You can also tell us about a provider we are missing.
Nearby counties in Montana
You know things we don’t
Still missing from Custer County
These are the things no database has and every parent knows. If you can answer one of them, another family in Custer Countygets an afternoon back. It takes about a minute and you don’t need to know the business details — a name and a rough location is enough for us to check.
- Which dentist here has managed a cleaning without it becoming a fight?
- Who cuts your child's hair without a meltdown?
- Is there a group here where your child has made a friend?
- Which pediatrician here actually listens, and doesn't rush the appointment?
We check everything before it goes up, and nobody pays to be listed. How we verify.
Get told when this page changes
New provider in Custer County? We'll email you.
One email when we verify a new provider in Custer County — no newsletter, no digest, nothing else. Some counties hear from us a few times a year and some stay quiet for months; we would rather send you nothing than send you filler.
We store your address and county, and nothing else. How we handle it.
See something that needs fixing?
Providers move, phone numbers change, and links break — it happens. If anything on this page is out of date, wrong, or no longer working, please tell us and we’ll fix it. Keeping this accurate for autism families is the whole reason we’re here.
Report a correction →Help the community
Know a great provider in Custer County?
If a therapist, clinic, or specialist helped your family, tell us about them and we’ll add them to the directory so other families can find them too.
Tell us about a provider →For providers
Are you a provider serving Custer County?
Add your practice so families searching for help can find you. Listings are free.
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