For veterans · VA HISA grant
Concrete work for your VA HISA grant
The VA’s Home Improvements and Structural Alterations grant helps veterans pay for medically necessary changes to their home. If your VA provider has recommended a safer walkway, a ramp or an accessible entry, we build it, and we write the itemized estimate your application needs.
Rose Concrete is a veteran-owned, family-run San Diego contractor. We know the VA process and we’ll walk you through it.
- Up to $6,800 lifetime for service connected conditions
- Up to $2,000 lifetime for non service connected conditions
- We help with the paperwork, start to finish
- Itemized estimate with photos for your application
- Same price as any homeowner. No grant markup.
Questions? Call (619) 537-9408
Sound familiar?
Does your walkway look like this?
Cracked slabs, heaved edges and patched sections are trip hazards, especially with a cane, walker or wheelchair. These photos are from a real San Diego walkway we were just asked to replace. If yours looks like this, it may be worth asking your VA provider about HISA.
What it can cover
Concrete projects we can quote for your application
The VA decides what is covered, based on your provider's prescription. If it makes getting around your home safer, ask us. These are the concrete projects we see most.
Demo and replace old walkways
Tear out cracked, broken or patched walkways and pour a new, smooth path with an even surface.
New walkways and wider paths
Add a walkway where there is only dirt, gravel or loose pavers, or widen a narrow path so a wheelchair or walker fits.
Trip hazard removal
Remove lifted edges, sunken slabs and lips between sections that catch a foot, a cane or a wheel.
Drainage fixes for slippery surfaces
Regrade and add drains where water sits on the concrete and turns it slick, so it drains away from the path and the house.
Concrete ramps
Replace steps at an entry with a ramp sloped for a wheelchair, walker or scooter.
Entries and landings
Widen or level a front or back entry, and pour a flat landing at the door so it opens safely.
Gentler slopes
Rebuild steep sections of a walkway or side yard so the slope is easier and safer to walk.
Patio and driveway access
Level patio or driveway sections that create trip hazards, so you can get to the car and the yard safely.
How it works
From prescription to finished walkway
Four steps. We handle the estimate and the construction; the VA handles approval and payment.
- 1
Talk to your VA provider
Your VA doctor or occupational therapist writes a prescription saying the home change is medically necessary.
- 2
Get our itemized estimate
We visit, measure and write a line by line estimate with photos, laid out the way the VA application asks for.
- 3
Apply through VA Prosthetics
You submit VA Form 10-0103, the prescription and our estimate to the Prosthetics office at your VA medical center.
- 4
We build it after approval
Once you have written approval, we schedule the work and give you the detailed final invoice you need for your VA payment.
Important: wait for written VA approval before any work starts. Work done before approval may not be paid for.
Questions
VA HISA grant FAQ
What is the VA HISA grant?
HISA stands for Home Improvements and Structural Alterations. It is a VA health care benefit that helps veterans pay for changes to their home that a VA provider says are medically necessary, like an accessible walkway, a ramp or a safer entry.
How much does HISA pay?
It is a lifetime benefit. As of 2026, veterans with a service connected condition (or a service connected rating of 50% or more) can receive up to $6,800. Veterans with a non service connected condition can receive up to $2,000. If the project costs more than your remaining benefit, you pay the difference.
The VA sets these amounts and can change them, so confirm your balance with your VA Prosthetics office.
Who qualifies?
You must be enrolled in VA health care, and a VA provider must prescribe the change as medically necessary for your condition. The VA makes every eligibility decision. We cannot approve or guarantee a grant, but we can give you the estimate you need to apply.
Can you help with the paperwork?
Yes. We walk you through VA Form 10-0103 line by line, give you the itemized estimate and photos the VA asks for, and answer the VA's questions about the work. After the job, we give you the detailed final invoice you need for your final payment. You sign and submit the application yourself, and the prescription has to come from your VA provider, but we make sure nothing is missing.
Should the work start before the VA approves it?
No. Wait until you have written approval from the VA before any work begins. Work done before approval may not be paid for.
How does payment work?
The VA pays the veteran, not the contractor. Under current VA rules, you receive an advance of half the approved amount after approval, and the rest after the work is done and you submit the itemized costs. You pay us under the terms of your agreement with Rose Concrete, and we give you a detailed final invoice for your VA paperwork.
What if my project needs more than HISA covers?
Veterans with certain severe service connected disabilities may qualify for the VA Specially Adapted Housing (SAH) or Special Home Adaptation (SHA) grants, which pay much more for bigger accessibility projects. For fiscal year 2026, SAH pays up to $126,526 and SHA up to $25,350. Ask your VA team whether you qualify.
Do you charge more because a grant is paying?
Never. You get the same price any homeowner gets for the same work. We price the real scope of the job, not the size of the grant.
Rose Concrete is an independent contractor and is not affiliated with or endorsed by the U.S. Department of Veterans Affairs. The VA makes all eligibility and payment decisions. Grant amounts shown are as of 2026; confirm current amounts with your VA medical center.
Ready to apply? Start with the estimate.
Call or send the form and we'll set up a visit to measure and write your itemized estimate.