County resource guide
Meade County, South Dakota
Local providers, school contacts, and support services for autism families in Meade County. South Dakota statewide resources also apply.
Local providers
10 listedDiagnostic clinics
Formal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Spearfish · multi-county
Monument Health Spearfish — Pediatric Services
Monument Health clinic in Spearfish offers pediatric and behavioral health services to Lawrence County and the northern Black Hills. Coordinates referrals to Monument's Rapid City autism specialists.
Sturgis · multi-county
Monument Health Sturgis Hospital — Developmental Referrals
Monument Health Sturgis Hospital provides pediatric primary care and developmental referrals for Meade County families. For comprehensive autism evaluations, families are referred to Monument Health Rapid City Hospital, the regional hub in the Black Hills.
Rapid City (~30 min) is the primary hub for full autism evaluations in the Black Hills region.
Early Intervention (0–3)
Free services for children under 3 under IDEA Part C.
Spearfish · multi-county
SD Birth to 3 — Lawrence County
IDEA Part C early intervention services for children under 3 in Lawrence County. Free evaluations and home-based therapy coordinated through the SD Department of Health.
FREE under IDEA Part C.
Sturgis
South Dakota Birth to 3 — Meade County
South Dakota's Part C early intervention program for children birth–3 with developmental delays. Provides in-home therapy, service coordination, and family support at no cost to eligible families in Meade County.
FREE under IDEA Part C for eligible children birth to age 3.
ABA therapy
Applied Behavior Analysis therapy — typically requires insurance authorization.
Spearfish · multi-county
Behavioral Health Services SD — Black Hills Region
ABA services for Lawrence County families through the Black Hills region network. Clinicians split time between Spearfish and Rapid City; in-home delivery available for rural clients.
SD Medicaid covers ABA. Commercial insurance ABA mandate also applies.
Sturgis · multi-county
Centria Autism — Telehealth ABA (Meade County)
Telehealth ABA therapy for Meade County families, including military families stationed at Ellsworth AFB. BCBA-supervised parent training and behavior support. SD Medicaid and TRICARE accepted.
TRICARE covers ABA therapy for military dependents. SD Medicaid also accepted for eligible children.
Occupational therapy & sensory
Occupational therapy, sensory integration, and sensory diets.
Spearfish · multi-county
Monument Health Rehabilitation — Spearfish OT
Occupational therapy services at Monument Health Spearfish, including sensory integration and sensory diet planning for autistic children in Lawrence County.
Parent & family support
Parent groups, sibling programs, and family peer support.
Sturgis
Autism Society of South Dakota
South Dakota's statewide autism chapter connects Meade County families to support groups, resource navigation, and family events across the state and in the Black Hills region.
Advocacy & legal
Legal advocates, special education advocates, and disability rights organizations.
Sturgis · multi-county
South Dakota Parent Connection
South Dakota's federally funded PTI offers free IEP advocacy, training, and one-on-one support for Meade County families navigating special education in the Black Hills area.
FREE. Federally funded PTI. Essential before any IEP meeting or school dispute in SD.
Spearfish · multi-county
South Dakota Parent Connection — Black Hills Outreach
SDPC IEP advocacy and parent training for Lawrence County. Deadwood-area and Spearfish families can access phone and in-person support through SDPC's Black Hills outreach.
FREE. Federally funded PTI.
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See all South Dakota resources
Waivers, PTI centers, and state programs apply to all families in South Dakota.
South Dakota state guide →