Much has been written about family-centered care (FCC) as a best practice for children with special health care needs. There is limited research on the extent to which children with autism spectrum disorders and their families receive FCC or to delineate what elements of FCC are particularly important to meet their needs. We will examine the extant literature on FCC as a collaborative and empowering practice, the perceptions of parents of children with disabilities about FCC in both the healthcare and education fields, and will review the limited research on the specific needs of families that have a child with ASD. As part of this review, we will identify future directions for research and practice in caring for children with ASD and their families.KEYWORDS autism spectrum disorders, children with special health care needs, family-centered care, medical home, parents Of all the challenges a parent may ever face, caring for a child with special health care needs is among the most life changing. Children with special health care needs (CSHCN) are children who have or who are at risk for ''chronic physical, developmental, behavioral, or emotional conditions and who require health and related services of a type and amount beyond that required by children generally'' (McPherson et al., 1998, p. 138). Over the years a growing body of literature has pointed to the importance of caring for CSHCN in the context of the family and including family members as equal partners in care. This approach, commonly referred to as family-centered care (FCC), acknowledges and values the central role families play in children's health and well-being and encourages collaboration, information sharing, empowerment, and joint decision making