Since the late 1990s, the law, education, and intervention regarding childhood developmental disorders in Ethiopia have experienced significant reforms and development. However, education and intervention for children with severe developmental disabilities, especially children with autism spectrum disorders (ASD), still suffer the greatest challenges in the field. This paper aims to give readers an overview of the current situation of children with ASD in Ethiopia. The paper first addresses the issues of prevalence of ASD and offers an introduction to the diagnostic process. A review of legislation and policy related to disability and access to education services for children with disabilities and a description of current intervention options and access to educational services for children with ASD are provided. The paper introduces different service providers in Ethiopia, their roles and implications for future research in the field.