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    7 min read 6 stepsMay 8, 2026Verified May 2026

    How to Get an HISA Grant for Home Modifications

    Plain-English steps for disabled senior veterans applying for a Home Improvements and Structural Alterations grant from the VA for ramps, bathrooms.

    At a Glance

    Category
    Government & Civic
    Difficulty
    Intermediate
    Read Time
    7 min read
    Steps
    6
    Topics covered
    veterans
    va
    hisa
    home-modifications
    accessibility
    seniors
    1

    Confirm You Meet the HISA Eligibility Rules

    ~50s
    HISA is open to two groups of veterans. The first group is veterans with a VA service-connected disability of any rating percentage. These veterans qualify for up to $6,800 lifetime in HISA grants. The second group is veterans without a service-connected disability who have a non-service-connected medical condition that affects mobility, vision, or the ability to do daily tasks. These veterans qualify for up to $2,000 lifetime. You must be enrolled in VA health care to use HISA. You can be a homeowner, a renter with written permission from the landlord, or a veteran living in a family member's home with that family member's permission. The home must be the veteran's main residence, not a vacation house or rental property.

    Quick Tip

    If you rent, get your landlord's written permission before you apply. The VA will not approve a HISA grant for a rental without it, and most landlords will agree to changes that add value to the property.

    2

    Talk to Your VA Doctor and Get a Prescription for the Work

    ~50s
    HISA requires a written prescription from a VA physician, nurse practitioner, or physical therapist describing the home changes that are medically needed. Schedule a routine appointment with your primary care team or rehabilitation provider. Tell the provider specifically what you struggle with at home: stairs you cannot climb, doorways too narrow for your walker, a bathtub you cannot get into safely, a kitchen counter too high to use from a wheelchair, or a front entrance with no railing. The provider will write a prescription that names the modifications recommended. The clearer the prescription, the smoother the rest of the process. Ask for a copy of the prescription to keep at home.

    Warning

    A prescription from a private doctor is not enough by itself. The VA needs the recommendation in your VA medical record. If you see a private specialist, ask your VA primary care provider to add the recommendation to your VA chart.

    3

    Contact the HISA Coordinator at Your Local VA Medical Center

    ~49s
    Every VA medical center has a HISA coordinator who manages the grant for veterans in that catchment area. To find yours, open your web browser, type va.gov/find-locations in the address bar, and press Enter. Search for your nearest VA medical center, then call the main phone number and ask for the HISA coordinator or social work department. The coordinator will mail or email you the HISA application packet, which includes VA Form 10-0103 and a list of required attachments. Many VA medical centers also have a Prosthetic and Sensory Aids Service that handles HISA. Ask either department which one runs the program at your location. The coordinator can answer eligibility questions and is the same person who approves payment to your contractor at the end.

    Quick Tip

    Save your HISA coordinator's direct phone number and email. You will work with this person from application to final payment, and a direct line speeds things up.

    4

    Get Two or Three Written Estimates from Licensed Contractors

    ~48s
    The HISA grant requires written cost estimates from licensed contractors. Get at least two, and ideally three, written estimates for the same work. Each estimate should list the changes to be made, the materials, the labor cost, the start date, and the estimated finish date. Contractors must be licensed and insured for the type of work in your state. Ask each contractor if they have done HISA work before. Many local contractors are familiar with VA paperwork and can complete it faster. For ramps and small projects, an estimate may run a few pages. For full bathroom or kitchen remodels, expect longer estimates. The HISA coordinator may also accept estimates from non-profits like Habitat for Humanity or Rebuilding Together, which sometimes do veteran work at lower cost.

    Warning

    Do not start any work or pay any contractor before HISA approves the application. Work done before approval cannot be reimbursed.

    5

    Submit the HISA Application Packet to Your VA Medical Center

    ~45s
    The completed HISA application packet contains VA Form 10-0103, the doctor's prescription, the contractor estimates, a sketch or photo of the proposed work, your DD-214 if it is not already in your VA file, proof of home ownership or written landlord permission, and a copy of a recent utility bill showing the home is your main residence. Mail or hand-deliver the packet to the HISA coordinator. Keep a copy of every page in a folder at home. The VA medical center HISA review committee meets monthly or quarterly depending on the location, and most complete applications are decided within 30 to 60 days. The HISA coordinator will call or write with the decision and dollar amount approved.

    Quick Tip

    Hand-delivering the packet to the HISA coordinator's office, when possible, often shaves two to three weeks off the timeline compared to mailing.

    6

    Have the Work Done and Submit the Final Paperwork for Payment

    ~51s
    Once approved, the HISA coordinator will send you a letter authorizing the work and naming the approved contractor. Schedule the work with the contractor. Most projects take one to four weeks depending on size. When the work is complete, walk through with the contractor to confirm everything was done as described, then sign the contractor's final invoice. Submit the signed invoice and a final inspection photo to the HISA coordinator. The VA pays the contractor directly within two to six weeks, or, if you paid out of pocket and submitted receipts, the VA reimburses you. After the project is closed, the VA records the dollar amount used against your lifetime limit. The remaining balance is available for future projects in your home as long as you stay under the cap.

    Warning

    Keep every receipt and signed document for at least five years. The VA can audit any HISA project, and missing paperwork can mean having to repay the grant.

    You Did It!

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    A Home Improvements and Structural Alterations grant, called HISA, is money the Department of Veterans Affairs pays to veterans to modify their homes to fit a disability. The program covers ramps, wider doorways, walk-in showers, grab bars, lower kitchen counters, accessible entrances, and many other changes. The HISA grant is separate from the VA's larger Specially Adapted Housing or Special Housing Adaptation grants, which are bigger and for veterans with the most severe service-connected conditions. HISA is open to many more veterans and runs through your local VA medical center, not through Washington.

    As of May 2026, the HISA grant pays up to $6,800 lifetime for a veteran with a service-connected disability and up to $2,000 lifetime for a veteran with a non-service-connected disability that affects mobility, vision, or daily function. These dollar amounts are set by federal law and are reviewed every few years. The grant is paid as a one-time benefit. But you can request changes for several different rooms over time as long as the total stays under your limit. For example, a service-connected veteran might use $3,500 of the $6,800 for a bathroom remodel one year, then $3,000 for a wheelchair ramp two years later.

    HISA covers physical changes that improve access for the disabled veteran. Examples include installing wheelchair ramps, widening doorways for wheelchairs or walkers, installing roll-in showers, adding grab bars and handrails, lowering counters and sinks, raising or lowering electrical outlets, installing accessible toilets, and creating accessible entrances. HISA does not pay for general home repairs like roof leaks or new flooring unless the work directly serves a disability need. HISA does not pay for medical equipment like stairlifts, ceiling lifts, or hospital beds. Those go through the VA prosthetics department under different programs.

    The HISA process is faster than most VA benefits. Many requests are approved within 30 to 60 days from a complete application, and the VA pays the contractor directly through the local VA medical center. You do not have to pay out of pocket and wait for reimbursement, though some veterans choose that route. The work must be done by a licensed contractor. You cannot get paid for doing the work yourself or for materials only. Free help with the application is available from your VA medical center's social work department and from accredited Veterans Service Officers at the American Legion, VFW, DAV, or your county Veterans Affairs office.

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    veterans
    va
    hisa
    home-modifications
    accessibility
    seniors

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