County resource guide
Custer County, Montana
Local providers, school contacts, and support services for autism families in Custer County. Montana statewide resources also apply.
Local providers
6 listedDiagnostic clinics
Formal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Miles City · multi-county
Big Sky Medical Center — Miles City (Pediatric Referrals)
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)
Free services for children under 3 under IDEA Part C.
Miles City · multi-county
Montana Infants and Toddlers Program — Custer County
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
Applied Behavior Analysis therapy — typically requires insurance authorization.
Miles City · multi-county
Montana ABA Telehealth — Eastern Montana (Custer County)
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
Parent groups, sibling programs, and family peer support.
Miles City · multi-county
Autism Society Montana
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.
Advocacy & legal
Legal advocates, special education advocates, and disability rights organizations.
Miles City · multi-county
Parents Let's Unite for Kids (PLUK)
PLUK provides free IEP advocacy for Custer County families. Miles City Schools and other eastern Montana districts — PLUK's statewide knowledge is the most reliable advocacy resource for families far from Billings or Helena.
FREE. Federally funded PTI. Phone and virtual support — no local Miles City office.
Forsyth · multi-county
Parents Let's Unite for Kids (PLUK)
PLUK provides free IEP advocacy for Rosebud County families including those near the Northern Cheyenne Reservation. Phone and virtual consultations cover Colstrip and Forsyth school districts. PLUK can advise on both state and tribal education rights.
FREE. Federally funded PTI. No local Forsyth office — contact main Billings number. Virtual and phone consultations available.
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See all Montana resources
Waivers, PTI centers, and state programs apply to all families in Montana.
Montana state guide →