Are Loan Modifications still available?

Yes, but as the vast majority of homes have increased in value, lenders have little incentive to offer modifications, so they are much harder to get. 10-years ago, when homes were underwater, it made sense for lenders to try to keep you in the home as the potential loss was less with a modification versus a foreclosure. Today, most homes have increased in value to a point where you can either sell the house, or the lender won't lose if you get foreclosed.