Ulster County, New York

Harris · multi-county

Catskill Regional Medical Center — Developmental Referrals

Catskill Regional Medical Center in Harris serves as Sullivan County's primary hospital. Developmental pediatric screenings and referrals are available for autism concerns. Full ADOS-2 evaluations require travel to Garnet Health in Middletown (40 min), Westchester Medical Center, or telehealth specialists.

Full autism evaluation typically requires travel. Consider telehealth evaluation through Albany Med, Maria Fareri, or NYU Langone affiliates.

Catskill · multi-county

Columbia Memorial Health — Developmental Referrals

Columbia Memorial Health serves as a primary care and referral hub for Greene County families. Developmental concerns are screened and referred to Albany Medical Center (30–40 min north) for comprehensive autism evaluations. Columbia Memorial's pediatric team is familiar with the Capital Region evaluation pipeline.

Albany Medical Center (30–40 min north) is the primary evaluation destination for Greene County families.

Middletown · multi-county

Garnet Health Medical Center — Developmental Pediatrics

Garnet Health Medical Center (formerly Orange Regional Medical Center) in Middletown is the main hospital serving Orange County. The developmental pediatrics team provides initial autism screenings and referrals to regional evaluation centers. Families needing full ADOS-2 assessments are typically referred to Westchester Medical Center or Maria Fareri Children's Hospital.

For comprehensive autism evaluation, expect referral to Maria Fareri Children's Hospital in Valhalla.

Kingston · multi-county

HealthAlliance Hospital — Developmental Pediatrics Referral

HealthAlliance Hospital in Kingston is the primary hospital for Ulster County. While comprehensive autism evaluation requires referral to regional academic centers (Vassar Brothers or Maria Fareri), HealthAlliance developmental pediatricians provide initial screening and warm referrals. Telehealth evaluation options are available through affiliated practices for rural Ulster families.

For full autism evaluation, expect referral to Vassar Brothers (Poughkeepsie) or Maria Fareri (Valhalla). Telehealth options available.

Kingston

Ulster County Early Intervention Program

Ulster County's Early Intervention program connects families of children birth to age 3 with free evaluations and services when developmental delays or autism signs are present. Administered by the county Health Department, the program assigns service coordinators who develop an IFSP and support the family's transition to CPSE at age 3.

FREE for eligible children. Call as soon as you have concerns — early intervention windows matter.

Poughkeepsie · multi-county

Autism Learning Partners — Hudson Valley

In-home and center-based ABA therapy serving Dutchess County and the Hudson Valley with BCBA-supervised programming. Individualized treatment using naturalistic developmental behavioral intervention. Accepts commercial insurance under New York's ABA mandate and coordinates with Dutchess County CPSE teams and OPWDD service coordinators.

NY ABA insurance mandate applies. NY Medicaid covers ABA for eligible children.

Catskill · multi-county

BlueSprig Pediatrics — Greene County / Catskill Region

ABA therapy serving Greene County families through in-home and center-based services. Greene County is rural — in-home ABA is primary. Some families also access Capital Region ABA providers in Albany (40 min). Accepts commercial insurance under New York's ABA mandate and NY Medicaid.

Rural county. In-home ABA is primary. Albany Capital Region providers are accessible for some families.

Kingston · multi-county

Crossroads for Kids — Hudson Valley

Crossroads for Kids provides ABA and behavioral support services to children and families in Ulster and surrounding counties. BCBA-supervised home-based ABA with naturalistic strategies tailored to each child. Accepts commercial insurance under New York's ABA mandate; NY Medicaid billing available for eligible families.

Rural Hudson Valley — in-home services are key given limited center options in Ulster.

Monticello · multi-county

Crossroads for Kids — Sullivan County

ABA therapy serving Sullivan County families with in-home BCBA-supervised services. Sullivan County is rural with limited center-based options — in-home ABA is the primary service model. Accepts commercial insurance under New York's ABA mandate and NY Medicaid.

Rural county — in-home ABA is primary. NY ABA insurance mandate applies.

Newburgh · multi-county

Autism Society — Hudson Valley Chapter (Orange County)

The Hudson Valley Autism Society chapter serves Orange County families with parent support groups, family events, and resource navigation. Meetings are held at accessible locations in the Newburgh and Middletown areas, and the chapter maintains connections to Orange County's network of OPWDD and school-based services.

New York · multi-county

Advocates for Children of New York — Mid-Hudson Outreach

Advocates for Children of New York extends free legal advocacy and IEP support to families across the mid-Hudson Valley, including Ulster County. Staff advocates can assist with IEP disputes, school district conflicts, and special education placement decisions. Free services for income-eligible families.

FREE legal advocacy. Priority given to low-income families but services are broadly available.

Kingston · multi-county

OPWDD — Mid-Hudson DDSO

The Mid-Hudson Developmental Disabilities Services Office serves Ulster, Orange, Sullivan, and Rockland counties with OPWDD-funded services including day habilitation, community habilitation, respite, and Medicaid waiver supports. Families must establish OPWDD eligibility. The DDSO office provides information sessions and guides families through the eligibility process.

Apply for OPWDD eligibility well before adulthood. Waiver waitlists exist — get on them early.

Goshen · multi-county

OPWDD — Mid-Hudson DDSO (Orange County)

The Mid-Hudson DDSO serves Orange County families seeking OPWDD-funded autism and developmental disability services including day habilitation, respite, supported employment, and Medicaid waiver supports. OPWDD eligibility must be established. Orange County families can contact the DDSO office for eligibility information sessions and service planning guidance.

OPWDD services are funded through Medicaid waiver — eligibility and enrollment take time. Start early.

Monticello · multi-county

OPWDD — Mid-Hudson DDSO (Sullivan County)

Sullivan County families access OPWDD-funded autism and developmental disability services through the Mid-Hudson Developmental Disabilities Services Office. Services include day habilitation, community habilitation, respite, and Medicaid waiver supports. Sullivan County's rural setting means families often travel for some services.

Apply for OPWDD eligibility early. Rural location — some services require travel.

Catskill · multi-county

Parent Network of Western New York — Greene County

Federally funded PTI center providing free IEP coaching and IDEA rights support for Greene County families. Phone and virtual consultations are available for families throughout this rural county. Helpful for families in small Greene County school districts with limited special education capacity.

FREE PTI services by phone and video — primary access mode for rural Greene County.