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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)

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


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

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

 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