RAMPS · HOME MODIFICATION · ACCESSIBLE HOUSING

Get a ramp.
Make home work.

Several different programs can pay for or build ramps and other home changes. Each has its own rules, so start with the route that fits your situation, and get approval before any work begins.

Find ramp and home programs near me

Six routes to try

For veterans

VA grants for ramps and adapted homes

HISA pays for medically needed changes such as ramps and bathroom access. SAH and SHA grants adapt or build a home for veterans with qualifying service-connected disabilities. TRA helps while staying with family.

Find your county veterans office

Coverage

Medicaid and waiver home modifications

Home and community-based waivers can pay for ramps, lifts, widened doors and bathroom changes when they are in an approved service plan. Ask before any work begins.

Find waiver and coverage routes

Developmental disabilities

County DD boards and DD waivers

In Ohio, county boards arrange service coordination and waiver home adaptations. Other states use similar agencies.

Find county boards

Community

Independent living centers

Disability-led centers often know local ramp builders, loan closets and volunteer groups, and can help you apply for funding.

Find an independent living center

Ramps & repairs

Ramp loans and home repair programs

Some states lend portable ramps or fund accessibility modifications. USDA rural home repair loans and grants can help eligible low-income homeowners.

See ramp and home programs

Equipment

Try before you buy

Assistive technology programs lend, demonstrate, finance and reuse equipment, and can help you decide what you need before you pay.

Find equipment programs

FEATURED ORGANIZATION

MIF designs open-source mobility equipment that people can repair, adapt and improve, including the Endurance power chair and the RozRover for children, and it speaks up for users’ right to repair. MIF is a 501(c)(3) nonprofit.

If you would like to support that work, you can donate to MIF.

Read MIF’s mission (new tab)

Mobility Talk is an independent site created by Travis Vought, who serves as Finance Officer of the Mobility Independence Foundation.

Before you spend anything

Preparation checklists

These list what the official programs ask for, in order. They are reminders, not applications. Your identifying details go only on the official forms.

HISA ramp or home accessibility modification

Check your VA care route

  • Ask the VA care team to document why the home alteration is medically needed and have a VA physician write or approve a prescription. (VA clinician and applicant)
  • Ask the VA facility's Prosthetic and Sensory Aids Service about eligibility, remaining lifetime HISA benefit and its application review process. (Applicant or caregiver)

Gather the HISA application package

  • Complete and sign VA Form 10-0103. It asks for identifying information; enter that only on the VA form, never in this website. (Applicant)
  • Have the VA physician's prescription describe the project location, proposed changes, alternatives, medical diagnosis and clinical justification. (VA physician)
  • Obtain a written, itemized contractor estimate for materials, labor, permits and inspections, with any project drawings or specifications. (Contractor and applicant)
  • Take a color photograph of the area before improvements. (Applicant)
  • If renting, obtain the property owner's signed and notarized authorization for the modification. (Applicant and owner)

Submit and follow up

  • Submit the HISA application package to the VA health care facility where the veteran receives care. (Applicant or caregiver)
  • Ask the VA facility to confirm receipt and whether an inspection or additional information is needed. Keep the approval decision and project records. (Applicant or caregiver)
  • After authorized work, ask the VA facility about final invoice, completion photograph, inspection and reimbursement instructions. (Applicant and contractor)

Where to submit: Submit to the VA health care facility where the veteran receives care—not through this website. VA HISA application form

After you submit: Call your VA facility's Prosthetic and Sensory Aids Service to confirm the package is complete and to learn the next review or inspection step.

Checked 2026-10-19. Sources: rehab.va.gov · www.va.gov

Specially Adapted Housing (SAH) grant

Check the correct housing grant

  • Review VA's SAH qualifying-disability and housing rules, or ask an accredited representative to help assess which grant to consider. (Applicant)
  • Have your Social Security number and VA file or claim number (if you have one) ready for the official VA application, not for this website. (Applicant)

Apply to VA

  • Apply online through VA.gov or complete VA Form 26-4555. (Applicant)
  • If applying on paper, mail Form 26-4555 to the VA Claims Intake Center, PO Box 4444, Janesville, WI 53547-4444, or bring it to a VA regional office. (Applicant)

After applying

  • Keep a copy of the application and confirmation, then look for VA's decision letter. (Applicant)
  • Check VA.gov for application status or contact VA before proceeding with the proposed alterations. (Applicant)

Where to submit: Apply online, mail VA Form 26-4555 to the listed VA Claims Intake Center, or bring it to a VA regional office. Official SAH/SHA application instructions

After you submit: Check application status on VA.gov and wait for VA's grant and construction instructions.

Checked 2026-10-19. Sources: www.va.gov · www.va.gov

Special Home Adaptation (SHA) grant

Check the correct housing grant

  • Review VA's SHA-specific qualifying-disability and housing rules; do not assume SAH and SHA criteria are interchangeable. (Applicant)
  • Have your Social Security number and VA file or claim number (if you have one) ready for the official VA application, not for this website. (Applicant)

Apply to VA

  • Apply online through VA.gov or complete VA Form 26-4555. (Applicant)
  • If applying on paper, mail Form 26-4555 to the VA Claims Intake Center, PO Box 4444, Janesville, WI 53547-4444, or bring it to a VA regional office. (Applicant)

After applying

  • Keep a copy of the application and confirmation, then look for VA's decision letter. (Applicant)
  • Check VA.gov for application status or contact VA before proceeding with the proposed alterations. (Applicant)

Where to submit: Apply online, mail VA Form 26-4555 to the listed VA Claims Intake Center, or bring it to a VA regional office. Official SAH/SHA application instructions

After you submit: Check application status on VA.gov and wait for VA's grant and construction instructions.

Checked 2026-10-19. Sources: www.va.gov · www.va.gov

Ohio Medicaid waiver accessibility modifications

Start with an authorized service plan

  • If already on an applicable home- and community-based waiver, ask your waiver case manager to assess and document the modification in the person-centered services plan. (Applicant and case manager)
  • If not enrolled in a qualifying waiver, ask your county aging agency or Ohio Medicaid for screening first; the home modification rule is not a standalone homeowner grant. (Applicant)
  • Ask whether an occupational therapist, physical therapist or other qualified professional must evaluate the home and prepare a written recommendation. (Case manager and qualified professional)

Have the approved provider prepare the proposal

  • Ask the authorized provider for a fixed-cost proposal with appropriate diagrams, materials, itemized material and labor costs, permits, timeline and warranties. (Provider)
  • Ensure the property owner provides written consent before work, including acknowledgement that the waiver will not restore the property to its previous condition. (Provider and property owner)
  • Have the waiver administrator or designee review proposals and authorize the lowest-cost option meeting the assessed need. Do not treat a contractor quote as automatic approval. (Waiver administrator or designee)

Completion and documentation

  • Have the provider obtain required permits and inspections and document that the modification functions as intended. (Provider)
  • Review the completed work with the provider and agency and obtain the final written acceptance required by the waiver. (Applicant and agency)

Where to submit: Work through the waiver case manager and the authorizing agency; the provider submits the proposal. There is no universal public application form for this modification service. Ohio home modification authorization rule

After you submit: Ask the case manager whether the service-plan amendment and provider proposal are approved, and who will schedule the work.

Checked 2026-10-19. Sources: codes.ohio.gov · codes.ohio.gov

Right to repair. Right to modify.

Home and equipment changes should not wait on one vendor. See where right to repair and right to modify stand.

Need a ramp or repair and cannot get coverage? Ask lawmakers for change or find your next step by state and problem.