County resource guide
Rosebud County, Montana
Local providers, school contacts, and support services for autism families in Rosebud County. Montana statewide resources also apply.
Local providers
10 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.
Forsyth
Rosebud Health Care Center — Pediatric Referrals
Rosebud Health Care Center in Forsyth serves this eastern Montana county near the Northern Cheyenne Reservation. Autism evaluations require travel to Billings (~2.5 hrs). Tribal families on the Northern Cheyenne Reservation can access IHS services at the Lame Deer IHS clinic. Telehealth is the most realistic first step for most families.
Billings (2.5 hrs) is the nearest evaluation hub. Northern Cheyenne Reservation families: Lame Deer IHS (406-477-8900) can coordinate diagnostic referrals. Telehealth from Billings Clinic is strongly recommended.
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.
Forsyth
Montana Infants and Toddlers Program — Rosebud County
Free IDEA Part C early intervention for children under 3 in Rosebud County. Limited local EI providers; itinerant providers from Billings may serve the area. Northern Cheyenne tribal early childhood programs may supplement state EI for enrolled families.
FREE under IDEA Part C. Rosebud County DPHHS coordinates EI. Tribal families: inquire with Northern Cheyenne Tribe at (406) 477-6284 about tribal early childhood programs.
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.
Forsyth
Montana ABA Telehealth — Rosebud County
Rosebud County has no in-person ABA providers. Telehealth ABA parent coaching is the only realistic option. Tribal families may access some behavioral health support through the Northern Cheyenne IHS. Montana Medicaid covers ABA telehealth statewide.
Montana Medicaid covers ABA telehealth. Tribal families: Lame Deer IHS behavioral health (406-477-8900) may have additional support 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.
Forsyth
Autism Society Montana
Rosebud County families access Autism Society Montana's statewide support network. Billings events (2.5 hrs) are the nearest in-person option; online peer support is more practical for most families in this remote eastern Montana county.
Online peer support recommended. Billings events require a long drive. Contact Autism Society Montana for statewide resource navigation.
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.
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