HISA vs. SAH/SHA
SAH/SHA, Major Adaptive Construction ($25K-$126K)
Requires specific qualifying conditions (limb loss, blindness, severe burns). For major structural changes. Generally requires homeownership.
HISA, Targeted Modifications ($6,800 SC / $2,000 Non-SC)
Any SC condition creating a medical need for modification qualifies. Works in rented homes. Covers smaller but critical modifications. Starts with a VA OT referral, not a disability claim.
What HISA Covers
Covered Modifications
Roll-in showers and barrier-free bathroom access. Wheelchair ramps (interior and exterior). Grab bars and handrails. Widened doorways for wheelchairs. Electrical modifications for VA-prescribed medical equipment (CPAP, oxygen concentrators). Plumbing modifications for medical equipment. Stair lifts and vertical platform lifts.
How to Get Started
Start with Your VA Physician, Not a Contractor
Ask for a referral to Occupational Therapy (OT) for a home assessment. The VA OT documents medical necessity and submits the HISA request. Do NOT hire a contractor or begin work before receiving written VA authorization, unauthorized work will not be reimbursed.
Frequently Asked Questions
Can renters use the HISA grant?
Yes, HISA applies to rented homes with written landlord permission. This makes it significantly more accessible than SAH/SHA grants, which generally require homeownership.
Can HISA and SAH/SHA be used together?
Yes, they are separate programs with separate funding caps. A veteran doing a full SAH renovation can also use HISA for a specific medical equipment modification in another room.