ABA and AAC Devices: Building Communication Together

9 min read · Updated June 2026 · ABA Therapy Now editorial team

A father and his young child walking and holding hands on a green park path at golden hour

In short: Augmentative and Alternative Communication (AAC) devices-from simple picture boards to speech-generating devices-can be powerfully combined with Applied Behavior Analysis (ABA) therapy. ABA provides the teaching strategies and data-driven approach to systematically build communication skills using AAC, while AAC gives the individual a voice. This combination is often covered by insurance and Medicaid, and ABA Therapy Now helps families find providers who specialize in this integrated approach.

Key takeaways

  • AAC devices range from low-tech options like PECS and picture boards to high-tech speech-generating apps and dedicated devices.
  • ABA therapy uses prompting, reinforcement, and shaping to teach AAC use step-by-step.
  • Collaboration between a BCBA and a Speech-Language Pathologist is critical for effective AAC implementation.
  • Insurance and Medicaid often cover both AAC devices and ABA therapy when medically necessary.

What is AAC and Why Does It Matter?

Augmentative and Alternative Communication (AAC) refers to any method of communication that supplements or replaces spoken language. For autistic individuals who are nonverbal, minimally verbal, or whose speech is not reliably functional, AAC provides a way to express wants, needs, thoughts, and feelings. AAC can be low-tech, like picture exchange systems (PECS) or laminated choice boards, or high-tech, including tablet-based apps (e.g., Proloquo2Go, LAMP Words for Life) and dedicated speech-generating devices.

AAC is not a "crutch" or a last resort; research shows it often supports spoken language development rather than hindering it. Many autistic individuals use AAC throughout their lives as a primary or supplemental form of communication. The goal is always to give the person a reliable, efficient voice.

Parents and their young child laughing together candidly on a couch in a bright

🔗 Related reading: Ohio Regional Centers: Family Support Programs Guide · Local ABA Therapy

How ABA Therapy Supports AAC Use

Applied Behavior Analysis (ABA) is a scientific approach to understanding behavior and teaching new skills. When combined with AAC, ABA provides the structured teaching strategies needed to help an individual learn how to use their device or system effectively. A Board Certified Behavior Analyst (BCBA) designs individualized goals and collects data to track progress.

Key ABA Techniques Used for AAC

  • Prompting: The therapist gives gentle cues (e.g., pointing to a button, modeling a touch) to help the learner initiate communication.
  • Reinforcement: Successful communication using AAC is immediately reinforced (e.g., access to a preferred toy, praise) to increase the likelihood the behavior is repeated.
  • Shaping: Complex AAC skills are broken into small steps-first touching the device, then selecting a specific icon, then building phrases.
  • Errorless learning: The therapist prompts early to prevent frustration and ensures the learner experiences success.
  • Natural environment teaching: AAC practice happens during everyday activities (snack time, play, bath) so communication is meaningful and motivating.

ABA sessions typically involve frequent opportunities to communicate. For a child using a speech-generating app, a therapist might set up a situation where the child must request a toy using the device. Over time, the goal expands to making comments, asking questions, and initiating conversations.

Collaboration with Speech-Language Pathologists

While BCBAs are experts in behavior, AAC device selection and programming usually involve a Speech-Language Pathologist (SLP). Effective AAC implementation requires close collaboration between these professionals. The SLP may conduct a comprehensive AAC evaluation, recommend the device or app, and customize vocabulary layouts. The BCBA then integrates that system into daily ABA sessions, ensuring consistent use across environments.

Parents should expect their BCBA and SLP to communicate regularly, share data, and adjust strategies based on the learner's progress. Many clinics offer interdisciplinary teams that include both BCBAs and SLPs, making coordination seamless.

A parent cheering as a young child proudly builds a tall tower of colorful blocks

🔗 Related reading: NJ Autism Resources: Support & Services for Families · Get ABA Therapy

Common Mistakes to Avoid with AAC and ABA

Combining ABA and AAC can be highly effective, but there are pitfalls families should watch for:

  • Waiting too long to introduce AAC. Some providers or parents worry AAC will delay speech. Research shows it usually promotes speech. Start as early as possible.
  • Using AAC only during structured therapy. AAC must be available and modeled throughout the day-at home, school, and in the community.
  • Focusing only on requesting. AAC should also support commenting, protesting, sharing feelings, and social interaction. A robust vocabulary is essential.
  • Neglecting programming updates. As the learner grows, their AAC system needs new words and more complex language structures.
  • Lack of caregiver training. Parents and siblings need coaching on how to model AAC use and respond to communication attempts. ABA sessions often include caregiver training components.

Costs and Insurance Coverage

AAC devices can range from free apps on an existing tablet to dedicated devices costing several thousand dollars. ABA therapy is commonly covered by private insurance, including many plans that also cover AAC evaluations and devices. Medicaid and state waivers often fund both services as well. Under the Individuals with Disabilities Education Act (IDEA), schools may provide AAC devices as part of a child's Individualized Education Program (IEP).

Before investing, families should check their insurance benefits. ABA Therapy Now can help you find providers who accept your insurance and have experience with AAC. The matching service is free and does not require any commitment.

Close-up from above of a young child's hands and a parent's hands drawing with crayons on paper

Getting Started: How ABA Therapy Now Can Help

Finding a provider who skillfully integrates ABA and AAC can be overwhelming. ABA Therapy Now is a free matching service that connects families with vetted, BCBA-led providers in their area. Our network includes clinics and home-based agencies that specialize in communication-focused ABA, including AAC. We take into account your location, insurance, preferred setting (clinic, home, school), and your child's specific needs.

Once matched, you can schedule a consultation to discuss the provider's approach to AAC. Ask about their experience with different types of AAC, how they collaborate with SLPs, and what caregiver training looks like. The right provider will see AAC not as a separate tool but as an integral part of your child's communication journey.

Communication is a fundamental human right. By combining the evidence-based teaching of ABA with the empowerment of AAC, families can open doors to connection, independence, and quality of life. Start today by visiting ABA Therapy Now for a free match.

Sources & further reading
About this guide. Written and reviewed by the ABA Therapy Now editorial team. This article is general educational information, not medical advice - please consult a qualified professional such as a BCBA or your pediatrician about your child's needs. Last updated June 2026.

Frequently asked questions

What is the difference between low-tech and high-tech AAC?

Low-tech AAC includes non-electronic systems like picture cards, PECS, or laminated boards that do not require batteries. High-tech AAC involves electronic devices such as tablets with communication apps or dedicated speech-generating devices that produce digitized or synthesized speech. Both are valuable; the choice depends on the individual's fine motor skills, visual abilities, and communication needs.

How does ABA therapy teach AAC use?

ABA uses systematic teaching methods like prompting, reinforcement, and shaping to build AAC skills. A BCBA breaks down communication into small steps-first touching the device, then selecting a symbol, then combining symbols-and provides immediate positive feedback for correct attempts. Data is collected to track progress and adjust the teaching plan.

Do I need a speech therapist too if my child is in ABA?

Yes, ideally. A Speech-Language Pathologist (SLP) is trained in AAC assessment, device selection, and language development. The BCBA and SLP should collaborate to ensure the AAC system is properly programmed and used consistently across therapy and daily life. Many clinics offer integrated teams or coordinate care between providers.

Is AAC only for nonverbal individuals?

No. AAC can benefit anyone who has difficulty with spoken communication, including individuals who are minimally verbal, have speech that is hard to understand, or experience communication breakdowns in stressful situations. AAC can support speech development and reduce frustration across a wide range of abilities.

Does insurance cover AAC devices and ABA therapy?

Most private insurance plans, as well as Medicaid, cover ABA therapy when prescribed as medically necessary for autism. AAC devices and evaluations may also be covered, though prior authorization is often required. ABA Therapy Now can help you find providers who accept your insurance and understand AAC funding options.

How can I find a provider who combines ABA and AAC?

ABA Therapy Now offers a free matching service that connects families with BCBA-led providers experienced in AAC. You can request a match based on your location, insurance, and therapy setting preferences. The matched providers will typically discuss their AAC approach during a free consultation.

More from the blog

More ABA guides from across our network

From across our ABA network

Ready to find ABA care near you?

Free, fast, and no obligation.

Get matched now →