VA Home Improvements and Structural Alterations (HISA)

Home Improvements/Structural Alterations (HISA) is a medical benefit provided through the U.S. Department of Veterans Affairs under the Prosthetic and Sensory Aids Service (PSAS).

The VA home improvements and structural alterations HISA program provides medically necessary modifications to a Veteran or Servicemember’s primary residence. The benefit supports accessibility and safety when changes are clinically justified.

The VA home improvements and structural alterations grant HISA is a lifetime benefit and must be medically prescribed or approved by a VA physician.

From grab bars to wheelchair ramps, stair lifts, and full bathroom renovations, every modification is completed with precision, compassion, and a commitment to long-term safety.

What the Home Improvements and Structural Alterations HISA Benefit Covers

Allowing entrance to or exit from the primary residence.
Enabling use of essential lavatory and sanitary facilities (for example, roll-in showers).
Improving access to kitchen or bathroom sinks and counters (such as lowering counters or sinks).
Constructing permanent ramps to improve access to the home.
Modifying plumbing or electrical systems when required for home medical equipment.

Key Limitations of the VA HISA Grant Program

The VA Home Improvements and Structural Alterations (HISA) Grant has specific guidelines and restrictions. Below are the main limitations explained clearly:
The grant only covers medically necessary structural modifications.
Improvements must be directly related to a documented medical need.
Cosmetic or aesthetic home upgrades are not eligible.
General home renovations or luxury additions are not covered.
Temporary, portable, or removable equipment does not qualify.
Routine maintenance or standard home repairs are excluded.
All work must receive VA approval before installation begins.
Funding limits are determined by the VA based on eligibility status.
The HISA program strictly focuses on essential structural changes that improve safety, accessibility, and medical functionality within the home.

How to Apply for Home Improvements/Structural Alterations (HISA)

A prescription written or approved by a VA physician that includes:Beneficiary name, address, and phone number, Description of the project and area of the home to be modified, Type of modification and alternatives considered, Diagnosis and medical justification.
A completed and signed VA Form 10-0103 (Veterans Application for Assistance in Acquiring Home Improvement and Structural Alterations).
For renters: A signed and notarized statement from the property owner authorizing the alteration.
A written, itemized estimate of costs (labor, materials, permits, inspections).
A color photograph of the unimproved area.

Veterans can use the VA Facility Locator to contact their local Prosthetic and Sensory Aids Service office for eligibility guidance regarding VA home improvements and structural alterations HISA.

This program is separate from housing grants such as Specially Adapted Housing (SAH) or Special Housing Adaptation (SHA).

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