County resource guide
Autism Resources in Custer County, Montana
Local providers, school contacts, and support services for autism families in Custer County. Montana statewide resources also apply.
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.
Provider directory
Local Providers14 providers in Custer County
About our listings
Provider listings on Autism Parent Club are submitted by practices or researched from public sources. All listings are reviewed for accuracy before publication. To suggest a correction, use the “Suggest a correction” link below.
Diagnostic 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.
Billings · multi-county
Billings Clinic — Telehealth and In-Person Developmental Services
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 · multi-county
Billings Clinic — Telehealth Developmental Services
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 · multi-county
Billings Clinic — Telehealth Developmental Services
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 · multi-county
Billings Clinic — Telehealth Developmental Services
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 · multi-county
Billings Clinic — Telehealth Developmental Services
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.
Ekalaka · multi-county
Dahl Memorial Healthcare — Developmental Referrals
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.
Baker · multi-county
Fallon Medical Complex — Developmental Referrals
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.
Broadus · multi-county
Powder River Medical Clinic — Developmental Referrals
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.
Terry · multi-county
Prairie Community Hospital — Developmental Referrals
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.
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.
Terry · multi-county
Autism Society Montana
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.
For providers
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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 →Nearby counties in Montana
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