Objective: The objective was to explore and identify the needs for parents and their children in communication during hospitalization. Design: qualitative study. Methodology: The sample of research consisted six mothers of children with autism, with more than one experience with hospitalization. As technique was used semi standardized interview. Results: Based on data analysis were determined three main categories: A) communication and understanding among children with autism, B) communication with a child with autism in the home environment or in a group, and C) communication with a child with autism in medical facilities. Conclusion: an exploratory research shows that communicating with autistic children in hospitals means a problem because of little attention. On the other way are school facilities, doesn´t matter if they are regular elementary school with an assistant, special classes or schools for children with autism spectrum disorder (ASD). They have for communication special equipment for augmentative and alternative communication (AAC), which are available. Trained teachers work with these equipment too. But in medical facilities are missing the necessary knowledge in communication with autistic children. On the special department are missing equipment AAK and due to minimum of staff is not possible to make an individual contact for these children.