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Aging in Place · Paying for the Work

The VA Grants Families Keep Missing

HISA pays up to $6,800 for medically justified modifications, and SAH reaches $126,526 in FY 2026. Who qualifies, what they cover, and the order to apply in.

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Of all the money available for adapting a home, the VA grants are the ones most often left on the table, usually because nobody in the family thought of the older person as a veteran. If the person served, this is the first call to make.

There are two separate systems, and they are worth keeping apart in your head.

Key figures

  • $6,800 HISA higher lifetime limit, eligibility conditions apply
  • $2,000 HISA other non-service-connected lifetime limit
  • $126,526 SAH maximum for qualifying disabilities, FY 2026

HISA: the practical one

Home Improvements and Structural Alterations is the grant most families will use. It is administered through VA health care rather than the home loan side, and it pays for medically necessary modifications.

The amounts, which are lifetime totals:

  • $6,800 for a service-connected disability, a disability treated as if service-connected, or a non-service-connected disability where the veteran has a service-connected rating of at least 50 percent.
  • $2,000 for other non-service-connected disabilities.

What it pays for, in VA’s own examples: allowing entrance to or exit from the primary residence, accessible bathroom work such as roll-in showers, lowering counters and sinks, construction of permanent ramping, and improvements to plumbing or electrical systems needed for medical equipment.

What it requires:

  1. A VA physician’s prescription describing the project and the medical justification.
  2. VA Form 10-0103.
  3. An itemised cost estimate from the contractor.
  4. A colour photograph of the area to be modified.
  5. If the veteran rents, a notarised authorisation from the owner.

The application goes through the local Prosthetic and Sensory Aids Service, which is also who to ask about anything unclear in your case.

A hand filling in a printed form on a wooden table
Everything in this system runs on the prescription. The clinician's description of why the work is needed is what the rest of the paperwork hangs from.

SAH and SHA: the large grants

These are administered by the home loan side of VA and are for veterans and service members with particular severe service-connected disabilities.

  • Specially Adapted Housing (SAH): up to $126,526 for FY 2026, for qualifying disabilities such as the loss of use of more than one limb, blindness in both eyes with very limited vision, or certain severe burns.
  • Special Home Adaptation (SHA): up to $25,350 for FY 2026, for qualifying disabilities such as the loss of use of both hands, certain severe burns, or particular respiratory injuries.

Both generally require that the veteran owns or will own the home. The amounts are maximums for the fiscal year, and an important detail is that the grant can be used up to six different times over a lifetime, so a family does not have to spend the entire entitlement in one project.

Worth knowing

Do not start the work before approval. Grant programmes generally will not reimburse work that has already been done, and the photograph requirement in the HISA application exists precisely because the “before” state has to be documented. If the situation is urgent, say so in the application rather than proceeding and hoping.

The order to do this in

  1. Confirm the veteran’s enrolment in VA health care, because HISA runs through that side.
  2. Ask the VA clinician for an assessment and, if appropriate, the prescription. An occupational therapist’s involvement makes the justification much stronger.
  3. Get an itemised estimate from a contractor who has done VA work before, if you can find one.
  4. Submit the HISA application with the form, estimate, photograph and any owner authorisation.
  5. Ask about SAH or SHA separately if the disability may qualify. The two systems are not the same queue, and eligibility for one does not decide the other.
  6. Keep a copy of everything, including the estimate and the prescription. You will need them if the scope changes.

Where families go wrong

  • Assuming a non-service-connected disability disqualifies them. HISA has a smaller tier precisely for that case.
  • Assuming a surviving spouse cannot ask. Some VA benefits extend to survivors; ask rather than assume.
  • Treating a contractor as the expert on eligibility. Contractors who advertise VA work are sometimes excellent and are never the decision maker.
  • Using the full grant on the first project. With SAH and SHA usable up to six times, spreading the entitlement can make more sense as needs change.
  • Forgetting state and county programmes, which stack with federal ones in many places.

What this does not cover

HISA and the housing grants pay for modifications to the home. They are not a source for ongoing care, for equipment the veteran uses (that is a separate VA prosthetics question), or for modifications with no medical justification. And nothing here is an eligibility determination: only VA can tell you what this veteran qualifies for, which is why the first step is always the clinician and the local office rather than a website.

Related reading: When the Bathroom Job Is a Medical Expense and Medicare Does Not Pay for Grab Bars.

Questions people ask

How much is the VA HISA grant?

Up to $6,800 lifetime where the need is service-connected, treated as if service-connected, or the veteran has a service-connected rating of at least 50 percent, and up to $2,000 lifetime for other non-service-connected disabilities.

What does HISA pay for?

Medically justified modifications, including access to enter or leave the home, accessible bathrooms such as roll-in showers, lowering counters and sinks, permanent ramping, and plumbing or electrical work required for medical equipment.

What are the SAH and SHA grant amounts?

For FY 2026, up to $126,526 for Specially Adapted Housing and up to $25,350 for Special Home Adaptation, for veterans with specific qualifying service-connected disabilities. The grants can be used up to six times over a lifetime.

Can I start the work before the VA approves it?

Better not. Grant programmes generally do not reimburse work already completed, and the HISA application requires a photograph of the area before modification along with an itemised estimate and a physician's prescription.

Where these figures come from

  1. Home Improvements and Structural Alterations (HISA) US Department of Veterans Affairs · prosthetics.va.gov
  2. Disability housing grants for Veterans US Department of Veterans Affairs · va.gov
  3. How to apply for a VA housing grant US Department of Veterans Affairs · va.gov

Figures last checked September 2026.

Researched and written by

Home & Porch Editorial

Every figure in this guide comes from a published source, linked above, and was checked before publication. No affiliate links and no sponsored posts.

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