Abstract

This article will address an important issue related to speech-generating devices (SGDs) and augmentative and alternative communication (AAC) software applications (apps) in relation to the widespread adoption of mobile devices. This article will explore each of the three definitions of application including (a) a software application, (b) putting something into practice or operation, and (c) sustained effort. We hope that these three “app” definitions and discussion of our use of the Student, Environments, Tasks, and Tools (SETT) Framework can be a quick, easy, and memorable way to convey to families, therapists, and teachers that tools are made powerful when they are combined with good teaching and processes that sustain the use of AAC. A review of The Centers for Medicare and Medicaid Services updated 2015 National Coverage Decision for SGDs will be included, highlighting the major change to this updated coverage which includes the expansion of the definition of speech.

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