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.
Is your child talking less than other kids their age?
In San Antonio, you can get a free speech evaluation. ECI helps if your child is under 3, and your public school district helps from age 3. Below you’ll find who to call, what happens next and simple ways to practice at home while you wait.

If something on this list worries you, you don’t need to wait and see. You can ask for a free evaluation right away.
An evaluation is a check of how your child talks and understands words. It usually happens through play, often with a speech therapist.
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.
Your public school district evaluates children from age 3 for free, even before they start school. If you live in San Antonio ISD, send a short written request to its special education office.
A UT Health San Antonio speech-language pathologist treats children’s speech, language and feeding concerns. You can ask for an appointment through the provider page.
These services are run independently of Speech Blubs.
Watch and respond together.Getting an appointment can take time. Speech Blubs gives you short activities to do together: your child watches other kids say words and make sounds, then tries too.
Pick a topic your child loves, like animals or snacks.
Watch together and pause. Give your child time to look, point or say a word.
Use the word later, at snack time or in a book.
If your child sees a therapist, ask which activities fit.
The app content is available in English, German, Spanish, French, Italian, Portuguese, Czech, Swedish, Polish, Hebrew, Hungarian, Lithuanian and Romanian. You can switch the language in the app menu. Read the language FAQ.
Use a walk, a book, or a snack as a reason to talk together. Follow what interests your child.

The public park that shares the neighborhood’s name, good for a slow walk and a chat.
Name something your child notices with a short phrase, such as “big tree.” Pause for their response.

A San Antonio Public Library branch with garden paths and a playground on its grounds.
Choose a picture your child likes and talk about it together. Connect it to a toy at home.

Offer two familiar toys or foods and name each one. Give your child time to respond. Follow a look, gesture, sound, or word.
Opening hours change, so check the website before you go.
Short answers about free help, costs and the app.
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.
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.
Not for ECI or the school district: you can contact them yourself. The school district must answer a written request for an evaluation in writing within 15 school days. Texas Medicaid and many insurance plans need a referral from your child’s doctor. Find free help.
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.
No. It gives you short activities to practice together at home. A speech therapist evaluates your child and plans the therapy. See how the app works.
Speech Blubs is available in English and Spanish, plus 11 more languages. You can switch the language in the app menu. See how the app works.
Speech Blubs is a subscription. You’ll see the current price and any trial in the quiz before you pay. Choose your child’s age.

Start with the quiz to learn about the app for your child.
In Mahncke Park, you can ask for a free speech evaluation through ECI or your public school district. The neighborhood’s own park and Landa Library, with garden paths and a playground, are good places to practice talking.
If your child is under 3, call ECI (Early Childhood Intervention). It’s Texas’s program for babies and toddlers up to 36 months. The evaluation is free, and if therapy is needed, the cost depends on your family’s size and income. No family is turned away. From age 3, your public school district evaluates children for free. Your district depends on your street address. Ask in writing, and the district must answer in writing within 15 school days.
Mahncke Park is the public park that shares the neighborhood’s name. Walk slowly and look for one plant, one sound or one person passing by. Point and name it: “pretty flower”, “dog barks”. Follow whatever catches your child’s eye, and talk about that. Give them time to answer with a look, a sound or a word. A few minutes like this is a great visit.
Landa Library has garden paths and a playground on its grounds. Start with a short book visit, then choose together whether to play outside. Pick a picture book about plants or seeds. At home, plant a seed in a cup and use words from the book: “dirt”, “water”, “grow”. Say one word at a time and wait for your child to copy or point. Check on the cup together each day.
We last checked these details in October 2026.
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