Research on Autism Spectrum Disorders (ASD) has found significant disparities in access to services and outcomes in rural communities. Little is known about service providers and families of children with ASD who reside in rural communities. The purpose of this study was to learn and describe the barriers and unmet needs experienced by parents and providers providing support to children with ASD in rural communities through a life course perspective. Eight parents and eight service providers participated in the focus groups from rural counties in Illinois, United States. Parents discussed barriers to accessing and coordinating services, from ASD diagnosis to transition and future planning. Overall themes highlighted the scarcity of qualified professionals trained to work with and serve children and youth with ASD and the resourcefulness caregivers and providers need to fill the gaps in education, health care, transition, and future planning. We present recommendations shared by parents and providers on ways to improve access to services and support for families in rural areas. The current study reports important implications for policy and practice regarding services and support for families of children and youth with ASD residing in rural communities.