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Rehabilitation and Prosthetic Services


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Home Improvements and Structural Alterations (HISA)

This grant provides medically necessary improvements and structural alterations to Veterans/Servicemembers’ primary residence for the following purposes:

  • Allowing entrance to or exit from their homes
  • Use of essential lavatory and sanitary facilities (e.g. roll in showers or walk in tubs)
  • Allowing accessibility to kitchen or bathroom sinks or counters (e.g. lowering counters/sinks)
  • Improving entrance paths or driveways in immediate area of the home to facilitate access to the home through construction of permanent ramping
  • Improving plumbing or electrical systems made necessary due to installation of home medical equipment

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)

HISA Grant Amounts

Lifetime HISA benefit up to $6,800 may be provided for:

  • Veterans and Servicemembers who have a service connected condition
  • Veterans who have a non-service connected condition rated 50% or more service connected

Lifetime benefit up to $2,000 may be provided for Veterans who have a non-service connected condition

What does HISA exclude?

Some excluded HISA structural alterations are exterior decking; purchase or installation of spa/ hot tubs/ Jacuzzi type tubs; home security systems; removable equipment or appliances such as portable ramps; porch lifts, and stair glides; and routine repairs.

Additional Information

Applying for a HISA Grant

When applying for the HISA benefit, a completed HISA application package must include the following:

(1) A prescription written or approved by a VA physician which includes:

  • The beneficiaries name, address and telephone number
  • Identify the improvement or structural alteration
  • The diagnosis and medical justification for the improvement or structural alteration

(2) A completed and signed  VA Form 10-0103, VETERANS APPLICATION FOR ASSISTANCE In Acquiring Home Improvement and Structural Alterations

  • If applying for an advanced payment, request on application

(3) FOR RENTERS: A signed and notarized statement from the owner authorizing the improvement or structural alteration

(4) A written itemized estimate of costs for labor, materials, permits, and inspections for the home improvement and structural alteration

(5) A color photograph of the unimproved area

NOTE: An inspection of the site by VA may be warranted.

Before HISA improvements 
After HISA improvements