The Home Improvement and Structural Alteration (HISA) Grant provides medically necessaryimprovements and structural alterations to veteran’s and servicemembers’ primary residences.

The veteran must have received a medical determination indicating that improvements are necessary or appropriate for the effective treatment of his/her disability.

HISA grants may be used for: *Allowing entrance or exit from the veteran’s home (Handicap ramps) *Improving access of lavatory and sanitary facilities (walk-in shower, grab bars, etc.) *Improving access to kitchen and bathroom counters *Handrails *Lowered electrical outlets and switches *Improving sidewalks or driveways *Improving plumbing/ electrical work for dialysis patients Before beginning a project, a veteran needs to make sure that a VA physician (typically the Veteran’s primary care provider) has written a prescription or approved the project. This should include the specific items required, the diagnosis with medical justification and the veteran’s name, address, social security number and phone number HISA consults are reviewed by the Major Medical Committee on a weekly basis, usually on Mondays unless there is a holiday. Veterans will receive a decision letter approximately a week after the committee meets. The letter will indicate approval, denial, or deferment.

For more information or to submit an application, contact Charles Mix-Douglas County Veteran’s Service Officer Jerry Seiner at the Charles Mix County Courthouse at 605-4877691 or the Douglas County Courthouse office at 605-7242750 or by cell at 605-481-1338. Office hours are Monday and Tuesday from 8:00 to 4:30 and 8:00 to 12:00 on the second and fourth Wednesday at the Lake Andes office and from 8:00 to 4:30 on the first and third Wednesday of each month at the Armour office.