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Despite federal laws requiring all students with disabilities to have access to the general education curriculum and participate in statewide assessments (Every Student Succeeds Act, 2015; Individuals with Disabilities Education Act, 1997), it has been challenging to meaningfully include students who communicate using exclusively non-symbolic modes. This paper describes an approach to developing and implementing an alternate assessment system designed to promote access for non-symbolic communicators. We present evidence about how these students can demonstrate what they know and can do relative to grade-level alternate academic standards and discuss implications for assessment design and access to the general education curriculum.