This paper will focus on communication and why it is so important during literacy routines in the classroom. The research will serve as a gateway into understanding the world of how communication and literacy tie together and what the impact of using Augmentative and Alternative Communication devices could do for a student. The research will focus on emergent literacy routines for students with significant cognitive disabilities and complex communication needs and to what degree the communication systems help the students communicate and com-prehend the questions being asked of them.