Guide to Applying for the VA HISA Grant for Your Bathroom Remodel

For many veterans, adapting their bathrooms to accommodate service-related or age-related disabilities is essential for maintaining independence and quality of life. The U.S. Department of Veterans Affairs (VA) recognizes this need and offers the Home Improvements and Structural Alterations (HISA) grant to help eligible veterans cover the costs of medically necessary modifications. 

This guide—presented by Safe Showers, a leader in accessible bathroom remodeling—walks you through everything you need to know about the HISA program, from eligibility to the application process.

Understanding the HISA Grant

The HISA grant is part of the VA’s Prosthetic & Sensory Aids Service (PSAS) and provides financial assistance for home modifications that improve safety, accessibility and functionality—particularly in areas like the bathroom, where safety is critical. These improvements must be medically necessary, as determined by a VA physician.

Funding Limits

• Veterans with service-connected disabilities or those with a non-service-connected condition but a 50% or more service-connected rating can receive up to $6,800.
• Veterans with non-service-connected disabilities are eligible for up to $2,000.

These amounts are lifetime benefits and include both completed work and advance payments.

What the Grant Covers

Eligible bathroom modifications include:

• Converting a traditional bathtub into a barrier-free, roll-in shower with grab bars and a built-in seat to support mobility needs.
• Installing an ADA-compliant toilet that is taller and easier to use for individuals with limited leg strength or balance.
• Lowering sink countertops and adding knee clearance to allow for wheelchair accessibility, as well as replacing faucet handles with lever-style or motion-sensor controls.
• Adding anti-slip tile flooring and reinforced walls to accommodate safety rails and transfer benches.
• Upgrading bathroom ventilation and lighting systems to meet medical needs or reduce hazards for visually impaired individuals.

What It Doesn’t Cover

The HISA grant does not fund:

• Home security systems
• Portable ramps or lifts
• Routine home repairs or cosmetic upgrades
• Outdoor work not connected to medical access, such as decks or patios

Step-by-Step Guide to Applying

Step 1: Enroll in VA Health Care

To apply for a HISA grant, you must be enrolled in the VA health care system. If you aren’t already enrolled, you can do so by visiting the VA Health Benefits website.

Step 2: Obtain a Medical Prescription

You need a prescription from your VA physician. This must include:

• Your full name and medical diagnosis
• A detailed description of the bathroom modification required
• The medical justification for the change

This prescription validates that the bathroom remodel is not just helpful but necessary for your health and independence.

Step 3: Gather Required Documentation

The application package must include:

• VA Form 10-0103: This is the official application form for HISA assistance. Be sure to indicate if you’re requesting an advance payment.
• Photographs: A clear photo of the area in your bathroom that needs modification.
• Contractor Estimate: An itemized estimate including labor, materials, permits, and any necessary inspections. Safe Showers will provide a professional quote that meets VA standards.
• Landlord Consent: If you rent your home, you must submit a notarized statement from the landlord or property owner granting permission for the modifications.

Make sure all documents are complete and accurately reflect the scope and cost of the work.

Step 4: Submit Your Application

Send your completed package to the Prosthetic & Sensory Aids Service (PSAS) department at your local VA Medical Center. Use the VA facility locator tool to find the appropriate contact.

Step 5: Review and Inspection

Once submitted, a multidisciplinary HISA committee will review your application. This team typically includes medical, rehabilitation, and construction experts. They may schedule a site inspection before or after the work is completed to verify the necessity and scope of the bathroom modification.

Step 6: Payment and Reimbursement

If approved, the VA can cover up to 50% of the estimated cost in advance, with the remainder reimbursed after the work is completed. Be sure to keep all receipts and documentation to ensure timely reimbursement.

How Long Does the Process Take?

The timeline for receiving a HISA grant can vary significantly depending on several factors, including how complete your application is, the workload of your local VA medical center, and whether a home inspection is required. On average, here’s what to expect:

• Application Preparation (1–2 weeks): Gathering the necessary documents, obtaining a prescription, collecting estimates from contractors like Safe Showers, and filling out the VA Form 10-0103 typically takes one to two weeks, depending on how quickly you can coordinate with your VA physician and contractors.
• Review and Approval (2–6 weeks): Once submitted, your application will be reviewed by a local HISA committee. This process can take anywhere from two to six weeks. If the committee needs additional information or clarification, or if a site inspection is required, the review period may be extended.
• Advance Payment and Work Scheduling (1–2 weeks): If you requested an advance payment, expect another one to two weeks for the VA to disburse funds. Once the funds are received, you can schedule and begin the bathroom modifications.
• Completion and Final Reimbursement (2–4 weeks): After the work is finished, you’ll need to submit final invoices and documentation. The VA may conduct a post-completion inspection before issuing the final reimbursement, which can take another two to four weeks.

Total Estimated Timeline: 6 to 12 weeks

This estimate assumes that everything moves smoothly and without delays. To keep the process on track, ensure your documentation is complete and accurate, and maintain open communication with both your VA case manager and your contractor. Being proactive can help minimize delays and ensure you receive your benefits as quickly as possible.

Tips for a Successful Application

• Be Thorough: Incomplete applications are the most common cause of delays. Double-check that all documents, estimates, and forms are included.
• Get Professional Help: Use licensed, insured, and bonded contractors. Safe Showers specializes in HISA-compliant bathroom remodels.
• Communicate Clearly: Make sure your VA physician understands what you’re asking for and why. A detailed and medically justified prescription is crucial.
• Take Quality Photos: Clearly show the bathroom area that requires improvement to help the committee visualize the modification.
• Ask About Advance Payment: If upfront costs are a barrier, be sure to request an advance when filling out VA Form 10-0103.

Helpful Resources and Links

Safe Showers is proud to be on the list of approved contractors from the Department of Veteran Affairs to provide bathroom remodels under the HISA grant program. Our team has the expertise to guide you through the process and install your home improvement and structural alterations. 

• VA HISA Overview: Official page with detailed program guidelines
• VA Form 10-0103: Downloadable form needed to apply
• VHA Directive 1173.14: Policy framework for the HISA program

Get Started With Your HISA Grant Application

The HISA grant program is a lifeline for veterans who need to make their bathrooms safer and more accessible. While the process may seem daunting, the steps are straightforward when approached methodically. From obtaining a medical prescription to submitting thorough documentation, each part of the process is designed to ensure that you receive the support you need.

By leveraging these government resources, eligible veterans can make meaningful bathroom improvements that promote independence, safety, and comfort. Don’t hesitate to start the process today and take advantage of this valuable benefit—with Safe Showers by your side every step of the way.