Introduction
For individuals who are nonverbal or have significant speech impairments due to conditions like autism, cerebral palsy, ALS, or stroke, an AAC device (Augmentative and Alternative Communication device) can be life-changing.
The good news? Medicaid often covers the cost of these speech-generating devices (SGDs). However, navigating the process can be overwhelming.
This blog breaks down how to get an AAC device through Medicaid — step-by-step — so you or your loved one can access the communication support needed.
What Is an AAC Device?
An AAC device is a tool that helps people with speech or language impairments communicate more effectively. These devices can range from simple picture boards to high-tech tablets with voice output.
Types of AAC Devices:
- Low-tech: Picture boards, communication books
- Mid-tech: Simple voice-output devices
- High-tech: Tablets or computers with specialized speech-generating software (e.g., Proloquo2Go, TouchChat, LAMP Words for Life)
High-tech devices are often covered by Medicaid when prescribed as medically necessary.
Step-by-Step: How to Get an AAC Device Through Medicaid
Step 1: Get a Speech-Language Evaluation
Start with a Speech-Language Pathologist (SLP) certified by ASHA (American Speech-Language-Hearing Association). They will:
- Assess the individual’s communication abilities
- Determine the appropriate AAC device
- Provide a formal evaluation report (a Medicaid requirement)
Step 2: Obtain a Physician’s Prescription
You’ll need a written prescription or referral from the individual’s primary care provider or specialist. This confirms the medical necessity of the AAC device.
The prescription typically includes:
- Diagnosis (e.g., nonverbal autism, cerebral palsy)
- Recommendation for an AAC evaluation or device
Step 3: Work With an AAC Vendor or Supplier
Medicaid requires that the device be obtained through an approved Durable Medical Equipment (DME) provider. Examples include:
- PRC-Saltillo
- Lingraphica
- Tobii Dynavox
- Talk To Me Technologies
The vendor helps coordinate:
- Device trial period (often required)
- Paperwork and pre-authorization with Medicaid
- Device customization and training
Step 4: Trial Period (If Required)
Some states require a device trial before full approval. This ensures the recommended AAC device meets the user’s needs. The trial:
- Lasts a few weeks
- Is monitored by the SLP
- Informs the final device recommendation
Step 5: Submit Medicaid Prior Authorization
Your SLP and AAC vendor will submit a prior authorization request to Medicaid. This includes:
- SLP evaluation report
- Trial results (if applicable)
- Physician prescription
- Justification of medical necessity
- Device specs and cost
Step 6: Wait for Approval
Medicaid will review the application. Response times vary by state but generally take 2–8 weeks. If approved, the device will be delivered to the individual’s home or therapy center.
What If Medicaid Denies the Request?
If denied, don’t panic. You can:
- Appeal the decision
- Submit additional documentation
- Try a different AAC device or vendor
- Explore alternative funding options like grants, school districts, or private insurance
Does Medicaid Really Cover AAC Devices?
Yes — most state Medicaid programs cover AAC devices under durable medical equipment (DME) if:
- The device is medically necessary
- It’s prescribed by a doctor
- It’s supported by an SLP evaluation
Medicaid may also cover:
- Mounting systems (wheelchair or table)
- Training sessions for the user and caregivers
- Software if it’s part of the medical need
📝 Important: Medicaid typically will not cover general-purpose tablets like iPads unless they are locked into AAC mode and can’t be used for games or videos.
FAQs
1. Can a child get an AAC device through Medicaid?
Yes. Children with speech impairments due to autism, developmental delays, or other conditions are often eligible with proper documentation.
2. How long does the process take?
The entire process can take 4 to 12 weeks, depending on evaluations, trial periods, and Medicaid approval timelines.
3. Is an AAC device considered durable medical equipment (DME)?
Yes. Most high-tech speech devices are classified as DME, which is why Medicaid covers them under that category.
4. What brands or devices does Medicaid cover?
Popular Medicaid-approved AAC devices include:
- PRC Accent with LAMP
- Tobii Dynavox I-Series
- Lingraphica TouchTalk
- iPad with locked AAC app (if medically justified)
5. Do I have to reapply if the device breaks or needs updates?
Possibly. Medicaid may cover repairs or replacements if the damage isn’t due to neglect and the device is still considered medically necessary.
Final Thoughts
Getting an AAC device through Medicaid can feel like a long road, but it’s worth the effort. With the right team — a skilled SLP, a supportive physician, and an experienced AAC vendor — the process becomes much smoother.
Whether you’re helping a child find their voice or supporting an adult with lost speech, AAC devices open doors to connection, learning, and independence.