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Comparison Guide

SAH vs SHA vs HISA: Which VA Grant Am I Eligible For?

Last updated: April 19, 2026

The VA runs three distinct home-modification benefits, each built for a different disability profile and project size. This side-by-side guide walks you through which one fits your situation and how the programs can be combined.

The Three Programs at a Glance (FY2026)

FeatureSAHSHAHISA
Maximum$126,526$25,350$6,800 SC / $2,000 NSC
EligibilitySevere mobility loss, 5/200 vision, major burns, severe TBILess severe vision loss, loss of hands, burns, respiratoryMedical need documented by VA provider
Administered byVA regional officeVA regional officeVA medical center (prosthetics)
Form26-455526-455510-0103
Typical timeline6–12 months3–6 months30–90 days
Ownership requiredYes (some family-home exceptions)Yes (some family-home exceptions)No — renters OK with landlord consent
Medical justificationNot explicitly requiredNot explicitly requiredRequired

Verify current amounts at VA.gov — caps adjust annually.

Quick Decision Flow

Use these questions in order. The first yes usually points to the right starting program.

1. Do you have severe mobility loss, 5/200 vision or less, severe TBI, or major burns?

Start with SAH. It's the largest grant and is built for whole-home accessibility. See the SAH guide.

2. Do you have vision loss (less severe than SAH threshold), loss of both hands, severe burns, or qualifying respiratory conditions?

SHA is likely your program. It targets bathroom, kitchen, and entry modifications. See the SHA guide.

3. Do you rent, have a smaller project, or need something that a VA provider will document as medically necessary?

HISAis the fit. It's the fastest program, covers renters, and is open to non-service-connected veterans. See the HISA guide.

4. Close call or unsure?

Call your VA regional office or a VSO benefits counselor before applying. Borderline ratings often affect which program is the right first application.

Can You Stack Them?

Yes, within the VA's rules. SAH/SHA and HISA are administered separately and have separate lifetime caps, so combining them is routine:

  • SAH + HISA: Use SAH for a major remodel (elevator, roll-in shower, widened halls), then use HISA later for smaller add-ons like a new exterior ramp or additional grab bars.
  • SHA + HISA: Use SHA for the primary bathroom and entry work, then use HISA to cover a specific medical-need item outside the SHA scope.
  • SAH vs SHA (not both simultaneously): Veterans typically qualify for one or the other based on disability profile — not both.

A few ground rules: you can't double-bill the same modification across programs, and each program has its own paperwork. If you're stacking, tell your regional office and prosthetics coordinator so scopes don't overlap.

Example Veteran Profiles

Profile A: Wheelchair user, owns a two-story home

An example veteran with a spinal cord injury who uses a wheelchair and owns a two-story single-family home.

Likely best fit: SAH. The scope (residential elevator or stair lift, roll-in shower, widened halls, accessible kitchen) exceeds the SHA cap. SAH's $126,526 FY2026 limit leaves room for a comprehensive accessibility overhaul.

Profile B: Vision loss below SAH threshold, owns a single-story home

An example veteran with service-connected vision loss that qualifies for SHA but not SAH, living in a home they own.

Likely best fit: SHA. A $25,350 scope comfortably covers high-contrast and tactile switches, voice-activated controls, improved lighting, and bathroom safety upgrades. If an additional need appears later, HISA can supplement.

Profile C: Renter, service-connected, needs a ramp and grab bars now

An example veteran who rents an apartment, has a service-connected mobility issue, and needs an exterior ramp and bathroom grab bars as soon as possible.

Likely best fit: HISA. SAH and SHA require ownership in most cases; HISA is available to renters with landlord consent, moves faster, and the $6,800 service-connected cap covers a ramp-plus-grab-bars scope with room to spare.

Profile D: Non-service-connected veteran with mobility decline

An example veteran enrolled in VA healthcare, with a non-service-connected mobility condition documented by their VA primary care provider.

Likely best fit: HISA non-service-connected tier. SAH and SHA require a qualifying service-connected rating, but HISA's $2,000 non-service-connected tier is available here. That's enough for basic accessibility items — grab bars, a threshold ramp, simple bathroom upgrades.

Paperwork and Timeline Differences

One practical reason to understand these three programs in parallel is that their paperwork and workflows are genuinely different. A plan that assumes they're interchangeable tends to stall.

  • SAH and SHAshare VA Form 26-4555 and move through the VA regional office. The review includes benefits counselors and, in some cases, a C&P exam. Plan for 4–8 weeks just for the eligibility decision before contractor work begins.
  • HISAuses VA Form 10-0103 and routes through the medical center's prosthetics department. The gating item isn't the regional office — it's your VA provider's documentation of medical need. Once that's in place, reviews are typically faster.
  • Contractor selection is similar across the three: licensed and insured, estimates that match the approved scope, and willingness to work with VA paperwork. A contractor already familiar with VA processes can save weeks.

For a full pre-application checklist covering SAH and SHA, see our application checklist. For HISA, the corresponding checklist comes from your medical center's prosthetics department.

Common Misconceptions

"If I don't qualify for SAH, I don't qualify for anything."

Not true. SHA and HISA each have their own eligibility pools. Many veterans who don't meet SAH's strict standard still qualify for SHA, HISA, or both.

"HISA is only for service-connected veterans."

Not true. The non-service-connected tier is $2,000 lifetime — smaller than the service-connected tier but still useful, and often overlooked.

"Renters can't get VA home modifications."

Not true for HISA. SAH and SHA do generally require ownership, but HISA works for renters with written landlord consent.

"These grants are loans I'll have to pay back."

Not true. All three are grants. You don't repay them.

Estimate Your Project Cost

Our free calculator estimates a realistic contractor scope based on your location and disability profile, then shows which VA grant (or combination) is likely to cover it.

Ready to estimate your own project?

Run the Free Calculator

Official Resources

AdaptHome.vet is not affiliated with the U.S. Department of Veterans Affairs. Always verify current grant amounts, eligibility rules, and forms through official VA channels. Your VA regional office (SAH/SHA) or VA medical center prosthetics department (HISA) is the authoritative source for your specific application.

Official VA Housing Grants Information

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