Background: For unilateral cochlear implant (CI) candidates, benefit can be enriched by adding a hearing aid to the opposite ear, termed bimodal hearing. The best results are obtained when their hearing, speech, and language abilities are properly verified. The Arabic version of auditory perception of alphabet letters (APAL) is a reliable test of speech perception appropriate for use with kids who speak Arabic but have hearing impairment and a limited vocabulary. Aim: Children who use linked hearing aids and cochlear implants were evaluated to test the correlation between the (APAL) test and auditory abilities, language acquirement and speech parameters. Design: Eleven children were studied twice first 3 months after unilateral CI turn on and second 3 months after fitting linked hearing aid (HA) in non-implanted ear (6 months after CI turn on). Assessment of APAL test was performed in the audio-vestibular medicine department and the evaluation of speech characteristics, language, and auditory skills in the ENT department's Phoniatric Unit. Zagazig University. The findings were compiled and statistically evaluated. Results: A statistically significant increase in correct scores of APAL test as well as language and auditory assessment after bimodal stimulation. There was a statistically significant +ve correlation (r=0.70 & p=0.02) between APAL and CAP among the studied cases. Conclusion: APAL can be regarded as a reliable speech discrimination test that predicts the progress of a number of pre-lingual bimodal children's skills.