Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

Rehabilitation and Prosthetic Services

Quick Links

Veterans Crisis Line Badge
My healthevet badge

Home Improvements and Structural Alterations (HISA)

Under the Home Improvements and Structural Alterations (HISA) program, Veterans with service-connected disabilities or Veterans with non-service-connected disabilities may receive assistance for any home improvement necessary for the continuation of treatment or for disability access to the home and essential lavatory and sanitary facilities.

A HISA grant is available to Veterans who have received a medical determination indicating that improvements and structural alterations are necessary or appropriate for the effective and economical treatment of his/her disability. A Veteran may receive both a HISA grant and either a Special Home Adaptation (SHA) grant or a Specially Adapted Housing (SAH) grant.

Please take a moment to watch the HISA Video for more information.

Applying for a HISA Grant

In order to receive a HISA grant, the Veteran must first have a prescription from a VA or fee-basis physician.  This must include:

  • Specific items required
  • The diagnosis with medical justification
  • The Veteran's name, address, SSN, and phone number(s)

To apply, the Veteran must first provide:

  • A completed VA Form 10-0103, VETERANS APPLICATION FOR ASSISTANCE In Acquiring Home Improvement and Structural Alterations
    • If a leased or rented property, written permission from the owner
    • Quotes from at least 3 licensed contractors (if required by state law), to include:
      • The contractors name, address, telephone, and Federal tax ID number or social security number
      • The Veteran's name, address, and telephone number
      • Plans and drawings
      • An itemized list of estimated materials, cost, and labor cost
      • All permits required (it is the contractors responsibility to obtain these)
    • A picture of the work site prior to construction

Examples of what HISA will pay for include:

  • Allowing entrance or exit from Veteran's home
  • Improving access for use of essential lavatory and sanitary facilities
  • Improving access to kitchen and bathroom counters
  • Handrails
  • Lowered electrical outlets and switches
  • Improving paths or driveways
  • Improving plumbing/electrical work for dialysis patients

HISA will not pay for:

  • Walkways to exterior buildings
  • Widening of driveways (in excess of a 7ft x 6ft area)
  • Spa, hot tub, or Jacuzzi
  • Exterior decking (in excess of 8ft x 8ft)

Limits on HISA Grants

The HISA program is available for both service-connected Veterans and non-service-connected Veterans.  On May 5, 2010 the President signed the Caregiver and Veterans Omnibus Health Service Act of 2010, increasing the amounts available under the HISA grant:

  • Home improvement benefits up to $6,800 may be provided for a:
    • service-connected condition
    • non-service-connected condition of a Veteran rated 50 percent or more service-connected
  • Home improvement benefits up to $2,000 may be provided to all other Veterans registered in the VA health care system
Before HISA improvements 
 
After HISA improvements