For parents in Texas

Speech therapy for kids in Texas.

Is your child talking less than other kids their age?

In Texas, you can get a free speech evaluation. ECI helps if your child is under 3, and your public school district helps from age 3. Choose your city to see who to call and what happens next.

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Texas, United StatesOfficial sources
Is my child on track?

Signs to look for, by age.

If something on this list worries you, you don’t need to wait and see. You can ask for a free evaluation right away.

By 18 months
Tries to say at least 3 words besides “mama” or “dada.”
By 2 years
Puts two words together, like “more milk.”
By 3 years
Has a short back-and-forth conversation with you.
At any age
Stops saying words they used to say.
Free and paid help in Texas

Where to get help in Texas.

An evaluation is a check of how your child talks and understands words. It usually happens through play, often with a speech therapist.

Under 3 · free evaluation

ECI (Early Childhood Intervention)

ECI is Texas’s early intervention program for babies and toddlers up to 36 months. You can call ECI yourself, without a doctor’s referral.

The evaluation is free. If your child needs therapy, the cost depends on your family’s size and income. No family is turned away because they can’t pay.
Find ECI by ZIP code
Age 3 and up · free evaluation

Your public school district

Your public school district evaluates children from age 3 for free, even before they start school. Send a short written request to its special education office.

The district must answer in writing within 15 school days. School speech services are free if your child qualifies.
Find your school district
Any age · doctor or clinic

Your child’s doctor or a speech therapist

Your child’s doctor can refer you to a speech therapist. You can also contact a children’s hospital, a university clinic or a private clinic.

Texas Medicaid covers speech therapy for children when it’s medically necessary. Your child’s doctor can write the referral.
Find a clinic in your city

These services are run independently of Speech Blubs.

Questions parents ask in Texas.

Short answers about free help, costs and the app.

Is speech therapy free in Texas?

The evaluation is free: through ECI under age 3, or through your public school district from age 3. School speech services are free if your child qualifies. ECI therapy costs depend on family size and income, and no family is turned away because they can’t pay. Find free help.

Does Medicaid or insurance cover speech therapy?

Texas Medicaid covers speech therapy for children when it’s medically necessary. Private plans differ, so call the number on your insurance card and ask about pediatric speech therapy. Find free help.

Do I need a doctor’s referral?

Not for ECI or the school district: you can contact them yourself. Texas Medicaid and many insurance plans need a referral from your child’s doctor. Find free help.

My 2-year-old only says a few words. Should I worry about a speech delay?

Many 2-year-olds put two words together, like “more milk.” If your child doesn’t yet, it’s a good time to ask ECI for a free evaluation. You don’t need to wait and see. Find free help.

Does Speech Blubs replace a speech therapist?

No. Speech Blubs is an app with short activities to practice together at home. A speech therapist evaluates your child and plans the therapy.