# Scan Report: CMS.gov Scan —

- Issue: https://github.com/mgifford/open-scans/issues/165
- Submitted by: mgifford
- Scanned at: 2026-04-12T01:37:14.854Z
- Engines used: All engines (AXE, ALFA, Equal Access, AccessLint, QualWeb)
- Scan duration: 33.3 minutes
- Total URLs submitted: 100
- Accepted public URLs: 100
- Rejected URLs: 0
- 🎨 **Accessibility personalization (CSS media queries):**
  - 🌙 Dark mode: None of the scanned URLs support `prefers-color-scheme: dark`
  - ⚡ **Reduced motion:** 69 of 100 URLs (69%) support `prefers-reduced-motion: reduce`
  - 🔍 High contrast: None of the scanned URLs support `prefers-contrast: more`
  - 🖥️ **Forced colors:** 69 of 100 URLs (69%) support `forced-colors: active`
  - 🪟 Reduced transparency: None of the scanned URLs support `prefers-reduced-transparency: reduce`
- ALFA outcomes: 345711 passed, 4163 failed, 9058 cantTell, 5613 inapplicable
- axe outcomes: 74116 passed, 9 failed, 512 cantTell, 2944 inapplicable
- Equal Access outcomes: 141907 passed, 1639 failed (1141 unique, 498 duplicate), 1363 cantTell, 0 inapplicable
- AccessLint outcomes: 6061 passed, 287 failed (286 unique, 1 duplicate), 0 cantTell, 0 inapplicable
- QualWeb outcomes: 67273 passed, 219 failed, 4980 cantTell, 69 inapplicable
- Duplicate findings caught by later scanners: 4011

## 🎯 Pages with Most Errors

Focus your efforts on these pages to make the biggest impact (combined scanner unique failures):

| Page | axe Unique | ALFA Unique | Equal Access Unique | AccessLint Unique | QualWeb | Total Unique | Page Title |
|---|---:|---:|---:|---:|---:|---:|---|
| [View Page](https://www.cms.gov/) | 0 | 15 | 31 | 10 | 9 | **65** | Home - Centers for Medicare & Medicaid Services \| CMS |
| [View Page](https://www.cms.gov/medicare-medicaid-coordination/fraud-prevention/fraudabuseforprofs/focused-program-integrity-review-reports-state-or-territory) | 0 | 10 | 35 | 8 | 3 | **56** | Focused Program Integrity Reviews by State or Territory \| CMS |
| [View Page](https://www.cms.gov/about-cms/contact/newsroom) | 1 | 18 | 20 | 7 | 3 | **49** | Newsroom Homepage \| CMS |
| [View Page](https://www.cms.gov/medicare/payment/medicare-advantage-rates-statistics/ratebooks-supporting-data) | 0 | 10 | 25 | 6 | 3 | **44** | Ratebooks & Supporting Data \| CMS |
| [View Page](https://www.cms.gov/medicare/physician-fee-schedule/search/overview) | 1 | 11 | 18 | 5 | 7 | **42** | PFS Look-up Tool Overview \| CMS |
| [View Page](https://www.cms.gov/about-cms/web-policies-important-links/accessibility-nondiscrimination-disabilities-notice) | 0 | 11 | 23 | 4 | 3 | **41** | CMS Nondiscrimination, Accessibility, and Complaint Information \| CMS |
| [View Page](https://www.cms.gov/training-education/find-provider-type/employers-unions/top-five-medicare-enrollment) | 0 | 10 | 24 | 4 | 3 | **41** | 5 things you need to know about signing up for Medicare \| CMS |
| [View Page](https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings) | 1 | 12 | 19 | 4 | 4 | **40** | Improper Payment Findings \| CMS |
| [View Page](https://www.cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives) | 1 | 11 | 19 | 5 | 4 | **40** | Health Insurance Marketplace Quality Initiatives \| CMS |
| [View Page](https://www.cms.gov/medicare/medicaid-coordination/about/state-payment-premiums) | 1 | 11 | 19 | 5 | 3 | **39** | State Payment of Medicare Premiums \| CMS |

## 🔧 Most Common Issues (ALFA)

These ALFA accessibility issues appear most frequently across your pages:

| Rule | Pages Affected | Documentation |
|---|---:|---|
| [SIA-R111](https://alfa.siteimprove.com/rules/sia-r111): Interactive elements have a sufficient target size | **69** of 100 | [View Rule](https://alfa.siteimprove.com/rules/sia-r111) |
| [SIA-R61](https://alfa.siteimprove.com/rules/sia-r61): Documents start with a level 1 heading | **69** of 100 | [View Rule](https://alfa.siteimprove.com/rules/sia-r61) |
| [SIA-R73](https://alfa.siteimprove.com/rules/sia-r73): Text spacing can be adjusted without loss of content | **69** of 100 | [View Rule](https://alfa.siteimprove.com/rules/sia-r73) |
| [SIA-R1](https://alfa.siteimprove.com/rules/sia-r1): id attributes are unique within the document | **27** of 100 | [View Rule](https://alfa.siteimprove.com/rules/sia-r1) |
| [SIA-R4](https://alfa.siteimprove.com/rules/sia-r4): Page has a descriptive title | **27** of 100 | [View Rule](https://alfa.siteimprove.com/rules/sia-r4) |
| [SIA-R59](https://alfa.siteimprove.com/rules/sia-r59): Document has at least one heading to identify its main content | **27** of 100 | [View Rule](https://alfa.siteimprove.com/rules/sia-r59) |
| [SIA-R87](https://alfa.siteimprove.com/rules/sia-r87): First focusable element is a skip link | **27** of 100 | [View Rule](https://alfa.siteimprove.com/rules/sia-r87) |
| [SIA-R53](https://alfa.siteimprove.com/rules/sia-r53): Headings follow a logical hierarchy | **4** of 100 | [View Rule](https://alfa.siteimprove.com/rules/sia-r53) |
| [SIA-R78](https://alfa.siteimprove.com/rules/sia-r78): Headings of same level have text content between them | **2** of 100 | [View Rule](https://alfa.siteimprove.com/rules/sia-r78) |
| [SIA-R42](https://alfa.siteimprove.com/rules/sia-r42): Elements with an explicit ARIA role have the required parent element | **1** of 100 | [View Rule](https://alfa.siteimprove.com/rules/sia-r42) |

> 💡 **Tip**: Click on the rule documentation links to learn how to fix each issue.


## 🔧 Most Common Issues (axe)

These axe accessibility issues appear most frequently across your pages:

| Rule | Pages Affected | Documentation |
|---|---:|---|
| heading-order | **5** of 100 | [View Rule](https://dequeuniversity.com/rules/axe/4.11.1/heading-order) |
| valid-lang | **1** of 100 | [View Rule](https://dequeuniversity.com/rules/axe/4.11.1/valid-lang) |
| landmark-unique | **1** of 100 | [View Rule](https://dequeuniversity.com/rules/axe/4.11.1/landmark-unique) |
| empty-heading | **1** of 100 | [View Rule](https://dequeuniversity.com/rules/axe/4.11.1/empty-heading) |

> 💡 **Tip**: Click on the rule documentation links to learn how to fix each issue. Consider fixing the most common issues first for maximum impact.

> 🤖 **Future Enhancement**: This report will soon include AI-powered fix suggestions for authenticated GitHub users (opt-in only, no auto-run AI).

## 🔍 Cross-Page Patterns: Common HTML Issues

These HTML patterns cause the same accessibility errors across multiple pages. **Fix the pattern once in your codebase to fix it everywhere!**

### 🎯 Top Patterns to Fix (Highest Impact)

#### Pattern 1: Affects 69 page(s) - 69 occurrence(s)

**Scanner**: ALFA
**Rule**: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**Issue**: Target has insufficient size

**HTML Pattern**:
```html
<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>
```

**XPath** (use in browser DevTools):
```
/a[@class="menu-item-link"]
```

**How to Replicate**:
1. Open any affected page in your browser
2. Press F12 to open DevTools
3. Go to Console tab
4. Run: `$x('/a[@class="menu-item-link"]')`
5. The element will be highlighted

**Affected Pages**:
- https://cms.gov/digital-service/findsupportgov
- https://cms.gov/
- https://cms.gov/digital-service/digital-accessibility
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results
- *...and 64 more page(s)*

---

#### Pattern 2: Affects 69 page(s) - 69 occurrence(s)

**Scanner**: ALFA
**Rule**: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**Issue**: Target has insufficient size

**HTML Pattern**:
```html
<a href="/data-research" class="menu-item-link" data-drupal-link-system-path="node/132891" data-once="navigationLinkMatch">Data & Research</a>
```

**XPath** (use in browser DevTools):
```
/a[@class="menu-item-link"]
```

**How to Replicate**:
1. Open any affected page in your browser
2. Press F12 to open DevTools
3. Go to Console tab
4. Run: `$x('/a[@class="menu-item-link"]')`
5. The element will be highlighted

**Affected Pages**:
- https://cms.gov/digital-service/findsupportgov
- https://cms.gov/
- https://cms.gov/digital-service/digital-accessibility
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results
- *...and 64 more page(s)*

---

#### Pattern 3: Affects 69 page(s) - 69 occurrence(s)

**Scanner**: ALFA
**Rule**: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**Issue**: Target has insufficient size

**HTML Pattern**:
```html
<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>
```

**XPath** (use in browser DevTools):
```
/a[@class="footer-menu-item-link"]
```

**How to Replicate**:
1. Open any affected page in your browser
2. Press F12 to open DevTools
3. Go to Console tab
4. Run: `$x('/a[@class="footer-menu-item-link"]')`
5. The element will be highlighted

**Affected Pages**:
- https://cms.gov/digital-service/findsupportgov
- https://cms.gov/
- https://cms.gov/digital-service/digital-accessibility
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results
- *...and 64 more page(s)*

---

#### Pattern 4: Affects 69 page(s) - 69 occurrence(s)

**Scanner**: ALFA
**Rule**: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**Issue**: Target has insufficient size

**HTML Pattern**:
```html
<a href="https://www.medicaid.gov/" class="footer-menu-item-link" title="Medicaid.gov" data-once="navigationLinkMatch">Medicaid.gov</a>
```

**XPath** (use in browser DevTools):
```
/a[@class="footer-menu-item-link"]
```

**How to Replicate**:
1. Open any affected page in your browser
2. Press F12 to open DevTools
3. Go to Console tab
4. Run: `$x('/a[@class="footer-menu-item-link"]')`
5. The element will be highlighted

**Affected Pages**:
- https://cms.gov/digital-service/findsupportgov
- https://cms.gov/
- https://cms.gov/digital-service/digital-accessibility
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results
- *...and 64 more page(s)*

---

#### Pattern 5: Affects 69 page(s) - 69 occurrence(s)

**Scanner**: ALFA
**Rule**: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**Issue**: Target has insufficient size

**HTML Pattern**:
```html
<a href="https://www.insurekidsnow.gov/" class="footer-menu-item-link" title="InsureKidsNow.gov" data-once="navigationLinkMatch">InsureKidsNow.gov</a>
```

**XPath** (use in browser DevTools):
```
/a[@class="footer-menu-item-link"]
```

**How to Replicate**:
1. Open any affected page in your browser
2. Press F12 to open DevTools
3. Go to Console tab
4. Run: `$x('/a[@class="footer-menu-item-link"]')`
5. The element will be highlighted

**Affected Pages**:
- https://cms.gov/digital-service/findsupportgov
- https://cms.gov/
- https://cms.gov/digital-service/digital-accessibility
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results
- *...and 64 more page(s)*

---

#### Pattern 6: Affects 69 page(s) - 69 occurrence(s)

**Scanner**: ALFA
**Rule**: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**Issue**: Target has insufficient size

**HTML Pattern**:
```html
<a href="https://www.healthcare.gov/" class="footer-menu-item-link" title="HealthCare.gov" data-once="navigationLinkMatch">HealthCare.gov</a>
```

**XPath** (use in browser DevTools):
```
/a[@class="footer-menu-item-link"]
```

**How to Replicate**:
1. Open any affected page in your browser
2. Press F12 to open DevTools
3. Go to Console tab
4. Run: `$x('/a[@class="footer-menu-item-link"]')`
5. The element will be highlighted

**Affected Pages**:
- https://cms.gov/digital-service/findsupportgov
- https://cms.gov/
- https://cms.gov/digital-service/digital-accessibility
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results
- *...and 64 more page(s)*

---

#### Pattern 7: Affects 69 page(s) - 69 occurrence(s)

**Scanner**: ALFA
**Rule**: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**Issue**: Target has insufficient size

**HTML Pattern**:
```html
<a href="https://www.hhs.gov/" class="footer-menu-item-link" title="HHS.gov" data-once="navigationLinkMatch">HHS.gov</a>
```

**XPath** (use in browser DevTools):
```
/a[@class="footer-menu-item-link"]
```

**How to Replicate**:
1. Open any affected page in your browser
2. Press F12 to open DevTools
3. Go to Console tab
4. Run: `$x('/a[@class="footer-menu-item-link"]')`
5. The element will be highlighted

**Affected Pages**:
- https://cms.gov/digital-service/findsupportgov
- https://cms.gov/
- https://cms.gov/digital-service/digital-accessibility
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results
- *...and 64 more page(s)*

---

#### Pattern 8: Affects 69 page(s) - 69 occurrence(s)

**Scanner**: ALFA
**Rule**: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**Issue**: Target has insufficient size

**HTML Pattern**:
```html
<a href="https://www.hhs.gov/open/index.html" class="footer-menu-item-link" title="HHS.gov/Open" data-once="navigationLinkMatch">HHS.gov/Open</a>
```

**XPath** (use in browser DevTools):
```
/a[@class="footer-menu-item-link"]
```

**How to Replicate**:
1. Open any affected page in your browser
2. Press F12 to open DevTools
3. Go to Console tab
4. Run: `$x('/a[@class="footer-menu-item-link"]')`
5. The element will be highlighted

**Affected Pages**:
- https://cms.gov/digital-service/findsupportgov
- https://cms.gov/
- https://cms.gov/digital-service/digital-accessibility
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results
- *...and 64 more page(s)*

---

#### Pattern 9: Affects 69 page(s) - 69 occurrence(s)

**Scanner**: ALFA
**Rule**: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**Issue**: Target has insufficient size

**HTML Pattern**:
```html
<a href="/about-cms" title="About CMS" class="footer-menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About Us</a>
```

**XPath** (use in browser DevTools):
```
/a[@class="footer-menu-item-link"]
```

**How to Replicate**:
1. Open any affected page in your browser
2. Press F12 to open DevTools
3. Go to Console tab
4. Run: `$x('/a[@class="footer-menu-item-link"]')`
5. The element will be highlighted

**Affected Pages**:
- https://cms.gov/digital-service/findsupportgov
- https://cms.gov/
- https://cms.gov/digital-service/digital-accessibility
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results
- *...and 64 more page(s)*

---

#### Pattern 10: Affects 69 page(s) - 69 occurrence(s)

**Scanner**: ALFA
**Rule**: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**Issue**: Target has insufficient size

**HTML Pattern**:
```html
<a href="/about-cms/work-with-us/careers" class="footer-menu-item-link" data-drupal-link-system-path="node/169611" data-once="navigationLinkMatch">Careers</a>
```

**XPath** (use in browser DevTools):
```
/a[@class="footer-menu-item-link"]
```

**How to Replicate**:
1. Open any affected page in your browser
2. Press F12 to open DevTools
3. Go to Console tab
4. Run: `$x('/a[@class="footer-menu-item-link"]')`
5. The element will be highlighted

**Affected Pages**:
- https://cms.gov/digital-service/findsupportgov
- https://cms.gov/
- https://cms.gov/digital-service/digital-accessibility
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results
- *...and 64 more page(s)*

---

#### Pattern 11: Affects 69 page(s) - 69 occurrence(s)

**Scanner**: ALFA
**Rule**: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**Issue**: Target has insufficient size

**HTML Pattern**:
```html
<a href="/acronyms" title="Acronyms" class="footer-menu-item-link" data-drupal-link-system-path="acronyms" data-once="navigationLinkMatch">Acronyms</a>
```

**XPath** (use in browser DevTools):
```
/a[@class="footer-menu-item-link"]
```

**How to Replicate**:
1. Open any affected page in your browser
2. Press F12 to open DevTools
3. Go to Console tab
4. Run: `$x('/a[@class="footer-menu-item-link"]')`
5. The element will be highlighted

**Affected Pages**:
- https://cms.gov/digital-service/findsupportgov
- https://cms.gov/
- https://cms.gov/digital-service/digital-accessibility
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results
- *...and 64 more page(s)*

---

#### Pattern 12: Affects 69 page(s) - 69 occurrence(s)

**Scanner**: ALFA
**Rule**: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**Issue**: Target has insufficient size

**HTML Pattern**:
```html
<a href="/about-cms/web-policies-important-links/about-website/archive" class="footer-menu-item-link" title="Archive" data-drupal-link-system-path="node/1581331" data-once="navigationLinkMatch">Archive</a>
```

**XPath** (use in browser DevTools):
```
/a[@class="footer-menu-item-link"]
```

**How to Replicate**:
1. Open any affected page in your browser
2. Press F12 to open DevTools
3. Go to Console tab
4. Run: `$x('/a[@class="footer-menu-item-link"]')`
5. The element will be highlighted

**Affected Pages**:
- https://cms.gov/digital-service/findsupportgov
- https://cms.gov/
- https://cms.gov/digital-service/digital-accessibility
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results
- *...and 64 more page(s)*

---

#### Pattern 13: Affects 69 page(s) - 69 occurrence(s)

**Scanner**: ALFA
**Rule**: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**Issue**: Target has insufficient size

**HTML Pattern**:
```html
<a href="/glossary" title="Glossary" class="footer-menu-item-link" data-drupal-link-system-path="glossary" data-once="navigationLinkMatch">Glossary</a>
```

**XPath** (use in browser DevTools):
```
/a[@class="footer-menu-item-link"]
```

**How to Replicate**:
1. Open any affected page in your browser
2. Press F12 to open DevTools
3. Go to Console tab
4. Run: `$x('/a[@class="footer-menu-item-link"]')`
5. The element will be highlighted

**Affected Pages**:
- https://cms.gov/digital-service/findsupportgov
- https://cms.gov/
- https://cms.gov/digital-service/digital-accessibility
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results
- *...and 64 more page(s)*

---

#### Pattern 14: Affects 69 page(s) - 69 occurrence(s)

**Scanner**: ALFA
**Rule**: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**Issue**: Target has insufficient size

**HTML Pattern**:
```html
<a href="/about-cms/web-policies-important-links/web-policies/privacy" class="footer-menu-item-link" data-drupal-link-system-path="node/414586" data-once="navigationLinkMatch">Privacy Policy</a>
```

**XPath** (use in browser DevTools):
```
/a[@class="footer-menu-item-link"]
```

**How to Replicate**:
1. Open any affected page in your browser
2. Press F12 to open DevTools
3. Go to Console tab
4. Run: `$x('/a[@class="footer-menu-item-link"]')`
5. The element will be highlighted

**Affected Pages**:
- https://cms.gov/digital-service/findsupportgov
- https://cms.gov/
- https://cms.gov/digital-service/digital-accessibility
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results
- *...and 64 more page(s)*

---

#### Pattern 15: Affects 69 page(s) - 69 occurrence(s)

**Scanner**: ALFA
**Rule**: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**Issue**: Target has insufficient size

**HTML Pattern**:
```html
<a href="https://www.medicare.gov/about-us/plain-writing" class="footer-menu-item-link" title="Plain Language" data-once="navigationLinkMatch">Plain Language</a>
```

**XPath** (use in browser DevTools):
```
/a[@class="footer-menu-item-link"]
```

**How to Replicate**:
1. Open any affected page in your browser
2. Press F12 to open DevTools
3. Go to Console tab
4. Run: `$x('/a[@class="footer-menu-item-link"]')`
5. The element will be highlighted

**Affected Pages**:
- https://cms.gov/digital-service/findsupportgov
- https://cms.gov/
- https://cms.gov/digital-service/digital-accessibility
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results
- *...and 64 more page(s)*

---

> 💡 **Pro Tip**: These patterns likely come from shared components or templates in your codebase. Fix them in the component/template source, and the fix will propagate to all affected pages.

## 📊 Detailed Results

Complete scan results for all tested pages:

| Submitted URL | Final URL | Status | HTTP | Redirected | Time (ms) | axe Unique | ALFA Unique | Equal Access Unique | AccessLint Unique | Duplicates | Notes |
|---|---|---:|---:|---:|---:|---:|---:|---:|---:|---:|---|
| https://cms.gov/digital-service/findsupportgov | https://www.cms.gov/digital-service/findsupportgov | OK | 200 | yes | 32891 | 0 | 9 | 18 | 3 | 62 | Findsupport.gov \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, list_markup_review, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name |
| https://cms.gov/ | https://www.cms.gov/ | OK | 200 | yes | 28391 | 0 | 15 | 31 | 10 | 61 | Home - Centers for Medicare &amp; Medicaid Services \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R42 (Elements with an explicit ARIA role have the required parent element), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content), SIA-R78 (Headings of same level have text content between them) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_parent_required, aria_role_redundant, aria_role_valid, aria_widget_labelled, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: adaptable/aria-required-parent, keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/digital-service/digital-accessibility | https://www.cms.gov/digital-service/digital-accessibility | OK | 200 | yes | 25370 | 0 | 9 | 14 | 3 | 39 | Digital Accessibility \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name |
| https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings | https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings | OK | 200 | yes | 28491 | 1 | 12 | 19 | 4 | 62 | Improper Payment Findings \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R7 (lang attributes within the html element have a valid primary language subtag), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | axe failed rules: valid-lang |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_lang_valid, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, readable/valid-lang |
| https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results | https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results | OK | 200 | yes | 27775 | 0 | 10 | 15 | 4 | 53 | Error Rate Findings and Results \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-d-ipm/error-rate-findings-results | https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-d-ipm/error-rate-findings-results | OK | 200 | yes | 27819 | 0 | 10 | 16 | 4 | 52 | Error Rate Findings and Results \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/payment-error-rate-measurement-perm/perm-error-rate-findings-and-reports | https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/payment-error-rate-measurement-perm/perm-error-rate-findings-and-reports | OK | 200 | yes | 32431 | 0 | 11 | 18 | 4 | 168 | PERM Error Rate Findings and Reports \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, table_headers_exists, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/priorities/innovation/data-and-reports/2020/cpc-evaluation-findings-annual-report-2 | https://www.cms.gov/priorities/innovation/data-and-reports/2020/cpc-evaluation-findings-annual-report-2 | OK | 200 | yes | 2063 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/priorities/innovation/data-and-reports/2020/ocm-annual-report-2-findings-glance | https://www.cms.gov/priorities/innovation/data-and-reports/2020/ocm-annual-report-2-findings-glance | OK | 200 | yes | 1647 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/priorities/innovation/data-and-reports/2021/bpci-yr2-annual-report-findings-aag | https://www.cms.gov/priorities/innovation/data-and-reports/2021/bpci-yr2-annual-report-findings-aag | OK | 200 | yes | 1573 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/priorities/innovation/data-and-reports/2021/cjr-py4-ar-findings-aag | https://www.cms.gov/priorities/innovation/data-and-reports/2021/cjr-py4-ar-findings-aag | OK | 200 | yes | 1581 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/priorities/innovation/data-and-reports/2021/cpc-plus-third-annual-report-findings | https://www.cms.gov/priorities/innovation/data-and-reports/2021/cpc-plus-third-annual-report-findings | OK | 200 | yes | 1648 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/priorities/innovation/data-and-reports/2022/bpci-adv-ar3-findings-aag | https://www.cms.gov/priorities/innovation/data-and-reports/2022/bpci-adv-ar3-findings-aag | OK | 200 | yes | 1620 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/priorities/innovation/data-and-reports/2022/cpc-plus-fourth-annual-report-findings | https://www.cms.gov/priorities/innovation/data-and-reports/2022/cpc-plus-fourth-annual-report-findings | OK | 200 | yes | 1531 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/priorities/innovation/data-and-reports/2023/bpci-adv-ar4-findings-aag | https://www.cms.gov/priorities/innovation/data-and-reports/2023/bpci-adv-ar4-findings-aag | OK | 200 | yes | 1722 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/priorities/innovation/data-and-reports/2023/cjr-py5-ar-findings-aag | https://www.cms.gov/priorities/innovation/data-and-reports/2023/cjr-py5-ar-findings-aag | OK | 200 | yes | 1554 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/priorities/innovation/data-and-reports/2023/cjr-py5-ar-transf-findings-aag | https://www.cms.gov/priorities/innovation/data-and-reports/2023/cjr-py5-ar-transf-findings-aag | OK | 200 | yes | 1579 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/priorities/innovation/data-and-reports/2024/cjr-py6-ar-findings-aag | https://www.cms.gov/priorities/innovation/data-and-reports/2024/cjr-py6-ar-findings-aag | OK | 200 | yes | 1695 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/priorities/innovation/data-and-reports/2024/vbid-preview-eval-findings-2020-2023 | https://www.cms.gov/priorities/innovation/data-and-reports/2024/vbid-preview-eval-findings-2020-2023 | OK | 200 | yes | 1694 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/about-cms/contact/speaking-engagement-request-form | https://www.cms.gov/about-cms/contact/speaking-engagement-request-form | OK | 200 | yes | 45923 | 0 | 8 | 15 | 4 | 36 | CMS Speaking Engagement Request Form \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, frame_src_valid, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/about-cms/contact/speech-meeting-requests | https://www.cms.gov/about-cms/contact/speech-meeting-requests | OK | 200 | yes | 25936 | 1 | 10 | 15 | 5 | 48 | Speech &amp; Meeting Requests \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R53 (Headings follow a logical hierarchy), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | axe failed rules: heading-order |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, heading_markup_misuse, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region, navigable/heading-order |
| https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/payment-error-rate-measurement-perm/archive/perm-error-rate-findings-reports | https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/payment-error-rate-measurement-perm/archive/perm-error-rate-findings-reports | OK | 200 | yes | 29092 | 0 | 9 | 15 | 4 | 52 | PERM Error Rate Findings &amp; Reports \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/marketplace/about/affordable-care-act/content-requirements-plan-finder | https://www.cms.gov/marketplace/about/affordable-care-act/content-requirements-plan-finder | OK | 200 | yes | 27860 | 0 | 10 | 16 | 4 | 45 | Content Requirements for Plan Finder \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/marketplace/resources/data/healthcaregov-plan-finder-data | https://www.cms.gov/marketplace/resources/data/healthcaregov-plan-finder-data | OK | 200 | yes | 39232 | 0 | 10 | 15 | 4 | 144 | Health Plan Finder Data \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/training-education/open-door-forums/long-term-services-supports | https://www.cms.gov/training-education/open-door-forums/long-term-services-supports | OK | 200 | yes | 25291 | 0 | 9 | 16 | 4 | 46 | Long-Term Services and Supports Open Door Forum \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/about-cms/web-policies-important-links/accessibility-compliance | https://www.cms.gov/about-cms/web-policies-important-links/accessibility-compliance | OK | 200 | yes | 26154 | 0 | 8 | 13 | 4 | 41 | CMS.gov Accessibility and Compliance with Section 508 \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/about-cms/web-policies-important-links/accessibility-nondiscrimination-disabilities-notice | https://www.cms.gov/about-cms/web-policies-important-links/accessibility-nondiscrimination-disabilities-notice | OK | 200 | yes | 28364 | 0 | 11 | 23 | 4 | 72 | CMS Nondiscrimination, Accessibility, and Complaint Information \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_attribute_deprecated, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/files/document/procedurecmsaccessibilityvalidationpdfpdf | https://www.cms.gov/files/document/procedurecmsaccessibilityvalidationpdfpdf | OK | 200 | yes | 1752 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/medicare/medicaid-coordination/about/state-payment-premiums | https://www.cms.gov/medicare/medicaid-coordination/about/state-payment-premiums | OK | 200 | yes | 29849 | 1 | 11 | 19 | 5 | 68 | State Payment of Medicare Premiums \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R53 (Headings follow a logical hierarchy), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | axe failed rules: heading-order |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, heading_markup_misuse, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region, navigable/heading-order |
| https://cms.gov/medicare/payment/medicare-advantage-rates-statistics/ratebooks-supporting-data | https://www.cms.gov/medicare/payment/medicare-advantage-rates-statistics/ratebooks-supporting-data | OK | 200 | yes | 31225 | 0 | 10 | 25 | 6 | 66 | Ratebooks &amp; Supporting Data \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_role_valid, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/medicare/quality/snf-quality-reporting-program/help | https://www.cms.gov/medicare/quality/snf-quality-reporting-program/help | OK | 200 | yes | 29466 | 0 | 10 | 20 | 4 | 98 | Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Help \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, list_markup_review, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/data-research/cms-information-technology/section-508-and-cms/accessibility-cmsgov | https://www.cms.gov/data-research/cms-information-technology/section-508-and-cms/accessibility-cmsgov | OK | 200 | yes | 27146 | 0 | 10 | 17 | 4 | 50 | Accessibility of CMS.gov \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medical-review-education/ncd-240-9-faq | https://www.cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medical-review-education/ncd-240-9-faq | OK | 200 | yes | 27442 | 0 | 10 | 17 | 4 | 57 | NCD 240.9 FAQ \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, heading_markup_misuse, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/medicare/payment/fee-for-service-providers/shared-savings-program-ssp-acos/about | https://www.cms.gov/medicare/payment/fee-for-service-providers/shared-savings-program-ssp-acos/about | OK | 200 | yes | 29560 | 0 | 10 | 18 | 4 | 62 | About the Program \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/cciio/resources/forms-reports-and-other-resources/downloads/2012_mlr_calculator_and_formula_toolxlsm.xlsm | https://www.cms.gov/cciio/resources/forms-reports-and-other-resources/downloads/2012_mlr_calculator_and_formula_toolxlsm.xlsm | OK | 200 | yes | 1583 | 0 | 0 | 0 | 0 | 0 | No request found in response |
| https://cms.gov/cciio/resources/forms-reports-and-other-resources/downloads/2013_mlr_formula_tool_20140513.xlsm | https://www.cms.gov/cciio/resources/forms-reports-and-other-resources/downloads/2013_mlr_formula_tool_20140513.xlsm | OK | 200 | yes | 1559 | 0 | 0 | 0 | 0 | 0 | No request found in response |
| https://cms.gov/cciio/resources/forms-reports-and-other-resources/downloads/2013-mlr-formula-tool_20140324.xlsm | https://www.cms.gov/cciio/resources/forms-reports-and-other-resources/downloads/2013-mlr-formula-tool_20140324.xlsm | OK | 200 | yes | 1553 | 0 | 0 | 0 | 0 | 0 | No request found in response |
| https://cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medicare-fee-service-recovery-audit-program/resources | https://www.cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medicare-fee-service-recovery-audit-program/resources | OK | 200 | yes | 27773 | 0 | 10 | 15 | 4 | 67 | Resources \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/digital-service | https://www.cms.gov/digital-service | OK | 200 | yes | 26251 | 0 | 12 | 16 | 3 | 43 | Digital Service at CMS \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name |
| https://cms.gov/files/document/2011-program-audit-findings-and-best-practicespdf | https://www.cms.gov/files/document/2011-program-audit-findings-and-best-practicespdf | OK | 200 | yes | 1822 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/files/document/2013-plan-finder-training-scenariospdf | https://www.cms.gov/files/document/2013-plan-finder-training-scenariospdf | OK | 200 | yes | 1784 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/files/document/2014-medicare-plan-finder-tip-sheet-1014pdf | https://www.cms.gov/files/document/2014-medicare-plan-finder-tip-sheet-1014pdf | OK | 200 | yes | 1619 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/files/document/2015medicareplanfinderwrksht-508pdf | https://www.cms.gov/files/document/2015medicareplanfinderwrksht-508pdf | OK | 200 | yes | 1657 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/files/document/2016-medicare-plan-finder-worksheet508pdf | https://www.cms.gov/files/document/2016-medicare-plan-finder-worksheet508pdf | OK | 200 | yes | 1685 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/files/document/2017-medicare-plan-finder-worksheetpdf | https://www.cms.gov/files/document/2017-medicare-plan-finder-worksheetpdf | OK | 200 | yes | 1653 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/files/document/hios-plan-finder-user-manual-08-2014pdf | https://www.cms.gov/files/document/hios-plan-finder-user-manual-08-2014pdf | OK | 200 | yes | 1609 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/files/document/hios-plan-finder-user-manual-08192013pdf | https://www.cms.gov/files/document/hios-plan-finder-user-manual-08192013pdf | OK | 200 | yes | 1587 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/files/document/hpms-memo-best-practices-and-common-findings-2012-program-auditspdf | https://www.cms.gov/files/document/hpms-memo-best-practices-and-common-findings-2012-program-auditspdf | OK | 200 | yes | 1611 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/files/document/lmpdsummaryoffindingspdf | https://www.cms.gov/files/document/lmpdsummaryoffindingspdf | OK | 200 | yes | 1560 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/files/document/navigating-medicare-plan-findersept-2017508finalpptx | https://www.cms.gov/files/document/navigating-medicare-plan-findersept-2017508finalpptx | OK | 200 | yes | 1605 | 0 | 0 | 0 | 0 | 0 | No request found in response |
| https://cms.gov/files/document/planfinderissuerusermanual032013pdf | https://www.cms.gov/files/document/planfinderissuerusermanual032013pdf | OK | 200 | yes | 1669 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/files/document/planfinderpressreleasepdf | https://www.cms.gov/files/document/planfinderpressreleasepdf | OK | 200 | yes | 1613 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/files/document/questions-and-answers-plan-finder-data-entrypdf | https://www.cms.gov/files/document/questions-and-answers-plan-finder-data-entrypdf | OK | 200 | yes | 1558 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |
| https://cms.gov/training-education/find-provider-type/employers-unions | https://www.cms.gov/training-education/find-provider-type/employers-unions | OK | 200 | yes | 27238 | 0 | 10 | 16 | 4 | 58 | Employer community \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/training-education/find-provider-type/facilities | https://www.cms.gov/training-education/find-provider-type/facilities | OK | 200 | yes | 27884 | 0 | 9 | 14 | 4 | 63 | Facilities \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, heading_markup_misuse, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/training-education/find-provider-type/health-drug-plans | https://www.cms.gov/training-education/find-provider-type/health-drug-plans | OK | 200 | yes | 26470 | 0 | 9 | 13 | 4 | 44 | Health &amp; drug plans \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/training-education/find-provider-type/physicians-other-health-professionals | https://www.cms.gov/training-education/find-provider-type/physicians-other-health-professionals | OK | 200 | yes | 28499 | 0 | 9 | 13 | 4 | 69 | Physicians &amp; other health professionals \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/training-education/learn/find-resources | https://www.cms.gov/training-education/learn/find-resources | OK | 200 | yes | 26683 | 0 | 9 | 13 | 4 | 48 | Find resources \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/training-education/learn/find-tools-to-help-you-help-others | https://www.cms.gov/training-education/learn/find-tools-to-help-you-help-others | OK | 200 | yes | 27167 | 0 | 10 | 14 | 4 | 45 | Find tools to help you help others \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/digital-service/988 | https://www.cms.gov/digital-service/988 | OK | 200 | yes | 29952 | 0 | 9 | 18 | 4 | 48 | 988 Suicide and Crisis Lifeline \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/digital-service/artificial-intelligence-demo-days | https://www.cms.gov/digital-service/artificial-intelligence-demo-days | OK | 200 | yes | 23674 | 0 | 8 | 13 | 3 | 37 | Artificial Intelligence Demo Days \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name |
| https://cms.gov/digital-service/medical-bill-rights | https://www.cms.gov/digital-service/medical-bill-rights | OK | 200 | yes | 29690 | 0 | 9 | 18 | 3 | 74 | Medical Bill Rights \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, list_markup_review, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_quoted_correctly |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name |
| https://cms.gov/digital-service/open-source-program-office | https://www.cms.gov/digital-service/open-source-program-office | OK | 200 | yes | 29215 | 0 | 9 | 14 | 4 | 54 | Open Source Program Office \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/digital-service/transparency | https://www.cms.gov/digital-service/transparency | OK | 200 | yes | 25526 | 0 | 8 | 14 | 3 | 39 | Transparency \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name |
| https://cms.gov/digital-service/usability-research | https://www.cms.gov/digital-service/usability-research | OK | 200 | yes | 28868 | 0 | 9 | 18 | 4 | 51 | Usability Research at the Digital Service at CMS \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/medicare/physician-fee-schedule/search/overview | https://www.cms.gov/medicare/physician-fee-schedule/search/overview | OK | 200 | yes | 31769 | 1 | 11 | 18 | 5 | 71 | PFS Look-up Tool Overview \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | axe failed rules: heading-order |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_descendant_valid, aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region, navigable/heading-order |
| https://cms.gov/outreach-and-education/reach-out/find-tools-to-help-you-help-others/open-enrollment-outreach-and-media-materials | https://www.cms.gov/outreach-and-education/reach-out/find-tools-to-help-you-help-others/open-enrollment-outreach-and-media-materials | OK | 200 | yes | 27892 | 0 | 9 | 14 | 4 | 54 | Medicare Open Enrollment Period outreach &amp; media materials \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/training-education/find-provider-type/employers-unions/contact-us | https://www.cms.gov/training-education/find-provider-type/employers-unions/contact-us | OK | 200 | yes | 27293 | 0 | 10 | 14 | 4 | 42 | Contact Us \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/training-education/find-provider-type/employers-unions/publications-share-employees | https://www.cms.gov/training-education/find-provider-type/employers-unions/publications-share-employees | OK | 200 | yes | 29680 | 0 | 10 | 15 | 3 | 73 | Publications to share with employees \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name |
| https://cms.gov/training-education/find-provider-type/employers-unions/top-five-medicare-enrollment | https://www.cms.gov/training-education/find-provider-type/employers-unions/top-five-medicare-enrollment | OK | 200 | yes | 29709 | 0 | 10 | 24 | 4 | 63 | 5 things you need to know about signing up for Medicare \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, list_markup_review, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/training-education/find-provider-type/employers-unions/web-resources-help-employees | https://www.cms.gov/training-education/find-provider-type/employers-unions/web-resources-help-employees | OK | 200 | yes | 28850 | 0 | 10 | 16 | 4 | 51 | Web resources to help employees \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/training-education/learn/find-tools-to-help-you-help-others/guidelines-for-effective-writing | https://www.cms.gov/training-education/learn/find-tools-to-help-you-help-others/guidelines-for-effective-writing | OK | 200 | yes | 28237 | 0 | 11 | 19 | 5 | 122 | Guidelines for effective writing \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content), SIA-R78 (Headings of same level have text content between them) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, table_headers_exists, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: adaptable/td-has-header, keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/about-cms/what-we-do/nursing-homes/patients-caregivers/finding-nursing-home | https://www.cms.gov/about-cms/what-we-do/nursing-homes/patients-caregivers/finding-nursing-home | OK | 200 | yes | 25671 | 0 | 10 | 15 | 4 | 51 | Finding a Nursing Home \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/data-research/cms-data/payment-data | https://www.cms.gov/data-research/cms-data/payment-data | OK | 200 | yes | 26388 | 0 | 9 | 15 | 4 | 44 | Payment for Data \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/data-research/computer-data-systems/minimum-data-sets-3.0-public-reports | https://www.cms.gov/data-research/computer-data-systems/minimum-data-sets-3.0-public-reports | OK | 200 | yes | 27056 | 0 | 8 | 13 | 4 | 37 | Minimum Data Set 3.0 Public Reports \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/health-tech-ecosystem/early-adopters/payers | https://www.cms.gov/health-tech-ecosystem/early-adopters/payers | OK | 200 | yes | 27822 | 0 | 10 | 16 | 4 | 71 | Payers \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/help-support | https://www.cms.gov/help-support | OK | 200 | yes | 27014 | 0 | 11 | 17 | 4 | 47 | Help &amp; Support \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/medicare/appeals-grievances/fee-for-service | https://www.cms.gov/medicare/appeals-grievances/fee-for-service | OK | 200 | yes | 28243 | 0 | 10 | 17 | 3 | 72 | Original Medicare (Fee-for-service) Appeals \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name |
| https://cms.gov/medicare/audits-compliance/part-a-cost-report | https://www.cms.gov/medicare/audits-compliance/part-a-cost-report | OK | 200 | yes | 25009 | 1 | 11 | 14 | 4 | 42 | Part A Cost Report Audit &amp; Reimbursement \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R53 (Headings follow a logical hierarchy), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | axe failed rules: heading-order |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, navigable/heading-order |
| https://cms.gov/medicare/coding-billing/place-of-service-codes | https://www.cms.gov/medicare/coding-billing/place-of-service-codes | OK | 200 | yes | 23917 | 0 | 10 | 14 | 3 | 39 | Place of Service Codes \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name |
| https://cms.gov/medicare/coding-billing/provider-customer-service-program | https://www.cms.gov/medicare/coding-billing/provider-customer-service-program | OK | 200 | yes | 26703 | 0 | 10 | 14 | 4 | 56 | Provider Customer Service Program \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/medicare/coding-billing/therapy-services | https://www.cms.gov/medicare/coding-billing/therapy-services | OK | 200 | yes | 29018 | 0 | 10 | 18 | 4 | 64 | Therapy Services \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/nosurprises/policies-and-resources/reports | https://www.cms.gov/nosurprises/policies-and-resources/reports | OK | 200 | yes | 28373 | 0 | 11 | 14 | 3 | 55 | Independent dispute resolution reports \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name |
| https://cms.gov/about-cms/contact/cms | https://www.cms.gov/about-cms/contact/cms | OK | 200 | yes | 25255 | 0 | 9 | 15 | 3 | 61 | Contact CMS \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name |
| https://cms.gov/about-cms/contact/database | https://www.cms.gov/about-cms/contact/database | OK | 200 | yes | 30375 | 0 | 9 | 17 | 5 | 43 | Contacts Database \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/about-cms/contact/newsroom | https://www.cms.gov/about-cms/contact/newsroom | OK | 200 | yes | 23092 | 1 | 18 | 20 | 7 | 51 | Newsroom Homepage \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R3 (lang attribute has a valid language code), SIA-R56 (Landmarks with the same role are distinguishable), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | axe failed rules: landmark-unique |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_landmark_name_unique, aria_region_label_unique, aria_role_redundant, element_tabbable_unobscured, heading_markup_misuse, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, landmarks/landmark-unique, landmarks/region |
| https://cms.gov/about-cms/information-systems/privacy/privacy-act-1974-and-privacy-act-requests | https://www.cms.gov/about-cms/information-systems/privacy/privacy-act-1974-and-privacy-act-requests | OK | 200 | yes | 28353 | 0 | 10 | 14 | 4 | 51 | Privacy Act of 1974 and Privacy Act Requests \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/about-cms/who-we-are/leadership/digital-service-cms | https://www.cms.gov/about-cms/who-we-are/leadership/digital-service-cms | OK | 200 | yes | 26124 | 0 | 9 | 15 | 4 | 39 | Digital Service at CMS \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/medicaid-chip/medicare-coordination/financial-alignment/managed-fee-for-service-model-mffs | https://www.cms.gov/medicaid-chip/medicare-coordination/financial-alignment/managed-fee-for-service-model-mffs | OK | 200 | yes | 28340 | 2 | 12 | 16 | 6 | 61 | Managed Fee-for-Service (MFFS) Model \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R53 (Headings follow a logical hierarchy), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | axe failed rules: heading-order |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, heading_markup_misuse, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region, navigable/heading-order |
| https://cms.gov/medicaid-chip/medicare-coordination/integrity-institute/reports | https://www.cms.gov/medicaid-chip/medicare-coordination/integrity-institute/reports | OK | 200 | yes | 29047 | 0 | 10 | 15 | 4 | 56 | Medicaid Integrity Institute Reports \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/medicare-medicaid-coordination/fraud-prevention/fraudabuseforprofs/focused-program-integrity-review-reports-state-or-territory | https://www.cms.gov/medicare-medicaid-coordination/fraud-prevention/fraudabuseforprofs/focused-program-integrity-review-reports-state-or-territory | OK | 200 | yes | 33065 | 0 | 10 | 35 | 8 | 95 | Focused Program Integrity Reviews by State or Territory \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_role_valid, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/marketplace/about/affordable-care-act | https://www.cms.gov/marketplace/about/affordable-care-act | OK | 200 | yes | 26985 | 0 | 10 | 14 | 4 | 51 | Consumer Support and Information \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/marketplace/about/exchange-coverage-maps | https://www.cms.gov/marketplace/about/exchange-coverage-maps | OK | 200 | yes | 28121 | 0 | 8 | 13 | 4 | 44 | Health Insurance Exchange Coverage Maps \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives | https://www.cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives | OK | 200 | yes | 27569 | 1 | 11 | 19 | 5 | 52 | Health Insurance Marketplace Quality Initiatives \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R64 (Heading has non-empty accessible name), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | axe failed rules: empty-heading |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_accessiblename_exists, aria_role_redundant, element_tabbable_unobscured, heading_content_exists, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region, navigable/empty-heading |
| https://cms.gov/marketplace/about/oversight | https://www.cms.gov/marketplace/about/oversight | OK | 200 | yes | 25313 | 0 | 10 | 18 | 4 | 40 | Consumer Information and Insurance Oversight \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/marketplace/about/overview-exchanges | https://www.cms.gov/marketplace/about/overview-exchanges | OK | 200 | yes | 26402 | 0 | 10 | 15 | 4 | 44 | Health Insurance Marketplaces \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/marketplace/agents-brokers/help-on-demand | https://www.cms.gov/marketplace/agents-brokers/help-on-demand | OK | 200 | yes | 27083 | 0 | 9 | 15 | 3 | 47 | Help On Demand for Agents and Brokers \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name |
| https://cms.gov/medicaid-chip/community-engagement-support/eligibility-made-easy | https://www.cms.gov/medicaid-chip/community-engagement-support/eligibility-made-easy | OK | 200 | yes | 25814 | 0 | 11 | 15 | 3 | 56 | Eligibility made easy \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading, text_sensory_misuse |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name |
| https://cms.gov/medicaid-chip/medicare-coordination/integrity-institute/contact | https://www.cms.gov/medicaid-chip/medicare-coordination/integrity-institute/contact | OK | 200 | yes | 28075 | 0 | 10 | 14 | 4 | 44 | Contact the Medicaid Integrity Institute \| CMS |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R111 (Interactive elements have a sufficient target size), SIA-R61 (Documents start with a level 1 heading), SIA-R73 (Text spacing can be adjusted without loss of content) |
|  |  |  |  |  |  |  |  |  |  | Equal Access failed rules: aria_role_redundant, element_tabbable_unobscured, input_label_visible, label_ref_valid, style_color_misuse, style_focus_visible, style_highcontrast_visible, svg_graphics_labelled, text_block_heading |
|  |  |  |  |  |  |  |  |  |  | AccessLint failed rules: keyboard-accessible/focus-order, labels-and-names/aria-command-name, labels-and-names/button-name, landmarks/region |
| https://cms.gov/research-statistics-data-and-systems/monitoring-programs/cert/downloads/fy_2004shortreportpdf | https://www.cms.gov/research-statistics-data-and-systems/monitoring-programs/cert/downloads/fy_2004shortreportpdf | OK | 200 | yes | 1736 | 0 | 4 | 0 | 0 | 0 | Skipped (non-HTML content type: application/pdf) |
|  |  |  |  |  |  |  |  |  |  | ALFA failed rules: SIA-R1 (id attributes are unique within the document), SIA-R4 (Page has a descriptive title), SIA-R59 (Document has at least one heading to identify its main content), SIA-R87 (First focusable element is a skip link) |

## Detailed Failure Information (ALFA)

### https://cms.gov/digital-service/findsupportgov

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/digital-service" class="linked-breadcrumb" data-once="navigationLinkMatch">Digital Service at CMS</a>`
- XPath: `/a[@class="linked-breadcrumb"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/priorities/rural-health-transformation-rht-program/overview" class="ds-c-button ds-u-padding-x--5" data-once="buttonMatch">Learn more</a>`
- XPath: `/a[@class="ds-c-button ds-u-padding-x--5"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov" data-once="linkMatch">Medicare.gov</a>`
- XPath: `/a`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R42: Elements with an explicit ARIA role have the required parent element](https://alfa.siteimprove.com/rules/sia-r42)
**WCAG**: [SC 1.3.1](https://www.w3.org/WAI/WCAG22/Understanding/info-and-relationships) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The element is not owned by an element of its required context role
- HTML: `<button type="button" id="trigger-tabs-1399596525" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex" role="tab" aria-controls="tabs-1399596525">         </button>`
- XPath: `/button[@id="trigger-tabs-1399596525"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The element is not owned by an element of its required context role
- HTML: `<button type="button" id="trigger-tabs-401103375" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex" role="tab" aria-controls="tabs-401103375">         </button>`
- XPath: `/button[@id="trigger-tabs-401103375"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The element is not owned by an element of its required context role
- HTML: `<button type="button" id="trigger-tabs-365165586" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex" role="tab" aria-controls="tabs-365165586">         </button>`
- XPath: `/button[@id="trigger-tabs-365165586"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: The element is not owned by an element of its required context role
- HTML: `<button type="button" id="trigger-tabs-1796563699" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex" role="tab" aria-controls="tabs-1796563699">         </button>`
- XPath: `/button[@id="trigger-tabs-1796563699"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: The element is not owned by an element of its required context role
- HTML: `<button type="button" id="trigger-tabs-1619037668" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex" role="tab" aria-controls="tabs-1619037668">         </button>`
- XPath: `/button[@id="trigger-tabs-1619037668"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>We’re empowering states to improve healthcare and ...</p>`
- XPath: `/p`

#### Rule: [SIA-R78: Headings of same level have text content between them](https://alfa.siteimprove.com/rules/sia-r78)
**WCAG**: [SC 1.3.1](https://www.w3.org/WAI/WCAG22/Understanding/info-and-relationships) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: There is no content between this heading and the next
- HTML: `<h2 class="responsive-tabs__accordion-heading ds-u-font-size--xl ds-u-margin--0">...</h2>`
- XPath: `/h2[@class="responsive-tabs__accordion-heading ds-u-font-size--xl ds-u-margin--0"]`

### https://cms.gov/digital-service/digital-accessibility

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/digital-service/988" class="ds-c-button ds-c-button--solid" data-once="buttonMatch">Read about our work with 988</a>`
- XPath: `/a[@class="ds-c-button ds-c-button--solid"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/data-research/monitoring-programs/improper-payment-measurement-programs" aria-current="false" tracking-data="c7abcf25-ef04-43d9-9671-e40b3d27d0b4" data-drupal-link-system-path="node/1355486" data-once="navigationLinkMatch">Improper Payment Measurement Programs</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings" class="active-page is-active" aria-current="page" tracking-data="4ec721ee-1bec-4e69-9b5f-7770d9f40c76" data-drupal-link-system-path="node/1879366" data-once="navigationLinkMatch">Improper Payment Findings</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R7: lang attributes within the html element have a valid primary language subtag](https://alfa.siteimprove.com/rules/sia-r7)
**WCAG**: [SC 3.1.1](https://www.w3.org/WAI/WCAG22/Understanding/language-of-page) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute does not have a valid primary language subtag

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="Paragraph SCXW10375155 BCX0">...</p>`
- XPath: `/p[@class="Paragraph SCXW10375155 BCX0"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/data-research/monitoring-programs/improper-payment-measurement-programs" aria-current="false" tracking-data="c7abcf25-ef04-43d9-9671-e40b3d27d0b4" data-drupal-link-system-path="node/1355486" data-once="navigationLinkMatch">Improper Payment Measurement Programs</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-c-ipm/error-rate-findings-results" class="active-page is-active" aria-current="page" tracking-data="cbc05991-cb50-4068-83c5-e50244d42898" data-drupal-link-system-path="node/1464041" data-once="navigationLinkMatch">Error Rate Findings and Results</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-d-ipm/error-rate-findings-results

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/data-research/monitoring-programs/improper-payment-measurement-programs" aria-current="false" tracking-data="c7abcf25-ef04-43d9-9671-e40b3d27d0b4" data-drupal-link-system-path="node/1355486" data-once="navigationLinkMatch">Improper Payment Measurement Programs</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/data-research/monitoring-programs/improper-payment-measurement-programs/medicare-part-d-ipm/error-rate-findings-results" class="active-page is-active" aria-current="page" tracking-data="b33560f3-8da5-4f5c-96c6-82a9d53d8541" data-drupal-link-system-path="node/1464056" data-once="navigationLinkMatch">Error Rate Findings and Results</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/payment-error-rate-measurement-perm/perm-error-rate-findings-and-reports

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/data-research/monitoring-programs/improper-payment-measurement-programs" aria-current="false" tracking-data="c7abcf25-ef04-43d9-9671-e40b3d27d0b4" data-drupal-link-system-path="node/1355486" data-once="navigationLinkMatch">Improper Payment Measurement Programs</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/data-research/monitoring-programs/improper-payment-measurement-programs/payment-error-rate-measurement-perm/perm-error-rate-findings-and-reports" class="active-page is-active" aria-current="page" tracking-data="5034074b-7ee0-4ffc-96fb-643141d8d137" data-drupal-link-system-path="node/178696" data-once="navigationLinkMatch">PERM Error Rate Findings and Reports</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

**Failure 4:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="TableParagraph">...</p>`
- XPath: `/p[@class="TableParagraph"]`

### https://cms.gov/priorities/innovation/data-and-reports/2020/cpc-evaluation-findings-annual-report-2

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/priorities/innovation/data-and-reports/2020/ocm-annual-report-2-findings-glance

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/priorities/innovation/data-and-reports/2021/bpci-yr2-annual-report-findings-aag

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/priorities/innovation/data-and-reports/2021/cjr-py4-ar-findings-aag

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/priorities/innovation/data-and-reports/2021/cpc-plus-third-annual-report-findings

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/priorities/innovation/data-and-reports/2022/bpci-adv-ar3-findings-aag

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/priorities/innovation/data-and-reports/2022/cpc-plus-fourth-annual-report-findings

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/priorities/innovation/data-and-reports/2023/bpci-adv-ar4-findings-aag

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/priorities/innovation/data-and-reports/2023/cjr-py5-ar-findings-aag

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/priorities/innovation/data-and-reports/2023/cjr-py5-ar-transf-findings-aag

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/priorities/innovation/data-and-reports/2024/cjr-py6-ar-findings-aag

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/priorities/innovation/data-and-reports/2024/vbid-preview-eval-findings-2020-2023

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/about-cms/contact/speaking-engagement-request-form

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>Sign up to get the latest information about your c...</p>`
- XPath: `/p`

### https://cms.gov/about-cms/contact/speech-meeting-requests

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/contact/speaking-engagement-request-form" data-entity-type="node" data-entity-uuid="7d109f10-fbec-4b75-bf59-98b9ee467116" data-entity-substitution="canonical" data-once="linkMatch">CMS Speaking Engagement Request Form</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R53: Headings follow a logical hierarchy](https://alfa.siteimprove.com/rules/sia-r53)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The heading skips one or more levels
- HTML: `<h3>Requesting CMS Administrator or Deputy Administrat...</h3>`
- XPath: `/h3`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>This section provides information about requesting...</p>`
- XPath: `/p`

### https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/payment-error-rate-measurement-perm/archive/perm-error-rate-findings-reports

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/data-research/monitoring-programs/improper-payment-measurement-programs" aria-current="false" tracking-data="c7abcf25-ef04-43d9-9671-e40b3d27d0b4" data-drupal-link-system-path="node/1355486" data-once="navigationLinkMatch">Improper Payment Measurement Programs</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>Sign up to get the latest information about your c...</p>`
- XPath: `/p`

### https://cms.gov/marketplace/about/affordable-care-act/content-requirements-plan-finder

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/marketplace/about/affordable-care-act" aria-current="false" tracking-data="c7bc8d0c-3f12-4695-bd42-06032db166ee" data-drupal-link-system-path="node/191416" data-once="navigationLinkMatch">Affordable Care Act</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/marketplace/about/affordable-care-act/content-requirements-plan-finder" class="active-page is-active" aria-current="page" tracking-data="dd1301ba-49cd-4dea-86eb-b42840f703ad" data-drupal-link-system-path="node/191481" data-once="navigationLinkMatch">Content requirements for Plan Finder</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/marketplace/resources/data/healthcaregov-plan-finder-data

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/marketplace/resources/data" aria-current="false" tracking-data="5bd2d308-aee4-4350-a549-1e240685877e" data-drupal-link-system-path="node/191741" data-once="navigationLinkMatch">Data resources</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/marketplace/resources/data/healthcaregov-plan-finder-data" class="active-page is-active" aria-current="page" tracking-data="1ad1fd78-72b5-486a-b260-ec57ffb6b0bf" data-drupal-link-system-path="node/191471" data-once="navigationLinkMatch">Health Plan Finder Data</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>A central goal of the Affordable Care Act is to cr...</p>`
- XPath: `/p`

### https://cms.gov/training-education/open-door-forums/long-term-services-supports

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/files/document/tuesday-april-23-2024-agenda-long-term-services-and-supports-open-door-forum.pdf" data-once="linkMatch">Tuesday, April 23, 2024- Agenda: Long-Term Service...</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>The Long-Term Services and Supports Open Door Foru...</p>`
- XPath: `/p`

### https://cms.gov/about-cms/web-policies-important-links/accessibility-compliance

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>CMS.gov is committed to making its electronic and ...</p>`
- XPath: `/p`

### https://cms.gov/about-cms/web-policies-important-links/accessibility-nondiscrimination-disabilities-notice

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.hhs.gov/civil-rights/filing-a-complaint/complaint-process/index.html" data-once="linkMatch">...</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/accessibility-nondiscrimination-disabilities-notice" title="Nondiscrimination/Accessibility" class="footer-menu-item-link is-active" data-drupal-link-system-path="node/177836" aria-current="page" data-once="navigationLinkMatch">Nondiscrimination & Accessibility</a>`
- XPath: `/a[@class="footer-menu-item-link is-active"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

**Failure 4:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="MsoNormal">...</p>`
- XPath: `/p[@class="MsoNormal"]`

### https://cms.gov/files/document/procedurecmsaccessibilityvalidationpdfpdf

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/medicare/medicaid-coordination/about/state-payment-premiums

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/medicaid-coordination/about" aria-current="false" tracking-data="c36ca767-a929-4bef-8115-c9dd96ae4f5c" data-drupal-link-system-path="node/174821" data-once="navigationLinkMatch">Qualified Medicare beneficiary program</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/medicaid-coordination/about/state-payment-premiums" class="active-page is-active" aria-current="page" tracking-data="17f603bc-de9e-4a19-a672-aa57ba8c4364" data-drupal-link-system-path="node/1290731" data-once="navigationLinkMatch">State Payment of Medicare Premiums</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R53: Headings follow a logical hierarchy](https://alfa.siteimprove.com/rules/sia-r53)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The heading skips one or more levels
- HTML: `<h6>...</h6>`
- XPath: `/h6`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>States pay Medicare Part B premiums each month for...</p>`
- XPath: `/p`

### https://cms.gov/medicare/payment/medicare-advantage-rates-statistics/ratebooks-supporting-data

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/payment/medicare-advantage-rates-statistics" aria-current="false" tracking-data="9c0a7b14-4007-42da-ae86-6ff77b29e862" data-drupal-link-system-path="node/169841" data-once="navigationLinkMatch">Medicare Advantage Rates & Statistics</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/payment/medicare-advantage-rates-statistics/ratebooks-supporting-data" class="active-page is-active" aria-current="page" tracking-data="fc2cebca-659c-4c26-838c-7564d64324a3" data-drupal-link-system-path="node/175031" data-once="navigationLinkMatch">Ratebooks & Supporting Data</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>View the Medicare Advantage (MA) ratebooks, rate c...</p>`
- XPath: `/p`

### https://cms.gov/medicare/quality/snf-quality-reporting-program/help

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/quality/snf-quality-reporting-program" aria-current="false" tracking-data="dd74ef66-bc90-410b-b584-4e2dc2b5d1ef" data-drupal-link-system-path="node/180061" data-once="navigationLinkMatch">Quality Reporting Program</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/quality/snf-quality-reporting-program/help" class="active-page is-active" aria-current="page" tracking-data="d108d242-41f2-410c-863d-684678cad8d5" data-drupal-link-system-path="node/182726" data-once="navigationLinkMatch">SNF Quality Reporting Program (QRP) Help</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/data-research/cms-information-technology/section-508-and-cms/accessibility-cmsgov

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/data-research/cms-information-technology/section-508" aria-current="false" tracking-data="428b74b7-bc1d-43dd-878d-d6be57a61daf" data-drupal-link-system-path="node/175196" data-once="navigationLinkMatch">Section 508 and CMS</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/data-research/cms-information-technology/section-508-and-cms/accessibility-cmsgov" class="active-page is-active" aria-current="page" tracking-data="8bd73ff5-9aad-4467-a2dc-6d3e5072cd4c" data-drupal-link-system-path="node/1549741" data-once="navigationLinkMatch">Section 508 tools & resources</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medical-review-education/ncd-240-9-faq

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/data-research/monitoring-programs/medicare-fee-service-compliance-programs" aria-current="false" tracking-data="2f270bc5-47fa-455b-b081-b562325ca24e" data-drupal-link-system-path="node/178546" data-once="navigationLinkMatch">Medicare Fee-for-Service Compliance Programs</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medical-review-education/ncd-240-9-faq" class="active-page is-active" aria-current="page" tracking-data="13c609dc-b393-49ad-9541-eabc9237f98b" data-drupal-link-system-path="node/2110006" data-once="navigationLinkMatch">NCD 240.9 FAQ</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/medicare/payment/fee-for-service-providers/shared-savings-program-ssp-acos/about

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/payment/fee-for-service-providers" aria-current="false" tracking-data="fd2f0643-6e1b-4215-b17f-dab532ab3468" data-drupal-link-system-path="node/193361" data-once="navigationLinkMatch">All Fee-For-Service-Providers</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/payment/fee-for-service-providers/shared-savings-program-ssp-acos/about" class="active-page is-active" aria-current="page" tracking-data="21579ea3-5c12-4a89-a939-95f4e117e9e9" data-drupal-link-system-path="node/184466" data-once="navigationLinkMatch">About the Program</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medicare-fee-service-recovery-audit-program/resources

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/data-research/monitoring-programs/medicare-fee-service-compliance-programs" aria-current="false" tracking-data="2f270bc5-47fa-455b-b081-b562325ca24e" data-drupal-link-system-path="node/178546" data-once="navigationLinkMatch">Medicare Fee-for-Service Compliance Programs</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medicare-fee-service-recovery-audit-program/resources" class="active-page is-active" aria-current="page" tracking-data="4f652036-2bc8-4f40-b9ca-51c9271de1a9" data-drupal-link-system-path="node/185116" data-once="navigationLinkMatch">Resources</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/digital-service

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/digital-service/digital-accessibility" class="cms--cta-link" hreflang="en" data-once="linkMatch">How we’re improving accessibility for CMS products</a>`
- XPath: `/a[@class="cms--cta-link"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/digital-service/medical-bill-rights" class="cms--no-icon" data-once="linkMatch">Learn about your rights</a>`
- XPath: `/a[@class="cms--no-icon"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-u-font-size--5xl ds-u-font-weight--bold ds-u-margin-y--0">...</p>`
- XPath: `/p[@class="ds-u-font-size--5xl ds-u-font-weight--bold ds-u-margin-y--0"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p dir="ltr">...</p>`
- XPath: `/p`

**Failure 5:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-u-font-size--2xl">...</p>`
- XPath: `/p[@class="ds-u-font-size--2xl"]`

### https://cms.gov/files/document/2011-program-audit-findings-and-best-practicespdf

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/files/document/2013-plan-finder-training-scenariospdf

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/files/document/2014-medicare-plan-finder-tip-sheet-1014pdf

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/files/document/2015medicareplanfinderwrksht-508pdf

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/files/document/2016-medicare-plan-finder-worksheet508pdf

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/files/document/2017-medicare-plan-finder-worksheetpdf

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/files/document/hios-plan-finder-user-manual-08-2014pdf

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/files/document/hios-plan-finder-user-manual-08192013pdf

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/files/document/hpms-memo-best-practices-and-common-findings-2012-program-auditspdf

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/files/document/lmpdsummaryoffindingspdf

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/files/document/planfinderissuerusermanual032013pdf

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/files/document/planfinderpressreleasepdf

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/files/document/questions-and-answers-plan-finder-data-entrypdf

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

### https://cms.gov/training-education/find-provider-type/employers-unions

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/training-education/find-provider-type/employers-unions" class="active-page is-active" aria-current="page" tracking-data="49f168af-ad0b-411e-8a18-cb890d5d3e8b" data-drupal-link-system-path="node/178211" data-once="navigationLinkMatch">Employers & unions</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/training-education/find-provider-type/employers-unions/contact-us" aria-current="false" tracking-data="0c4012f7-f835-4f12-aae4-8fbdc1118dca" data-drupal-link-system-path="node/180426" data-once="navigationLinkMatch">Contact us</a>`
- XPath: `/a`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/training-education/find-provider-type/facilities

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="fc711501-30e7-479b-ac7d-c1d8065d7291" href="/node/1057936" data-once="linkMatch">Documentation guidelines for evaluation & manageme...</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>Check out our Quality in Focus (QIF) interactive 1...</p>`
- XPath: `/p`

### https://cms.gov/training-education/find-provider-type/health-drug-plans

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="51d63157-eade-48bf-a141-256ac50ba305" href="/training-education/learn/get-training/compliance-training-education-outreach" data-once="linkMatch">Compliance Training, Education, & Outreach (CTEO) ...</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/training-education/find-provider-type/physicians-other-health-professionals

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/what-we-do/addressing-improving-behavioral-health" data-entity-type="node" data-entity-uuid="dcb9ed8c-256d-4aac-b69b-cbbf82e3ae26" data-entity-substitution="canonical" data-once="linkMatch">Reducing opioid misuse</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>Sign up to get the latest information about your c...</p>`
- XPath: `/p`

### https://cms.gov/training-education/learn/find-resources

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="876daabf-fb02-48ca-969c-47bc5be4e8c0" href="/medicare/coverage/center" data-once="linkMatch">Medicare coverage center</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>Sign up to get the latest information about your c...</p>`
- XPath: `/p`

### https://cms.gov/training-education/learn/find-tools-to-help-you-help-others

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/training-education/learn/find-tools-to-help-you-help-others" class="active-page is-active" aria-current="page" tracking-data="4583f9de-b66e-45d5-99f0-2a2cca38dfd5" data-drupal-link-system-path="node/178051" data-once="navigationLinkMatch">Find tools to help you help others</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/training-education/learn/find-tools-to-help-you-help-others/guidelines-for-effective-writing" aria-current="false" tracking-data="ee10e850-3d32-4443-978c-5e683c90ee33" data-drupal-link-system-path="node/1624116" data-once="navigationLinkMatch">Guidelines for effective writing</a>`
- XPath: `/a`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>Sign up to get the latest information about your c...</p>`
- XPath: `/p`

### https://cms.gov/digital-service/988

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/digital-service" class="linked-breadcrumb" data-once="navigationLinkMatch">Digital Service at CMS</a>`
- XPath: `/a[@class="linked-breadcrumb"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/digital-service/artificial-intelligence-demo-days

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>Submissions are currently closed. Keep an eye out ...</p>`
- XPath: `/p`

### https://cms.gov/digital-service/medical-bill-rights

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/digital-service" class="linked-breadcrumb" data-once="navigationLinkMatch">Digital Service at CMS</a>`
- XPath: `/a[@class="linked-breadcrumb"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/digital-service/open-source-program-office

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://events.bizzabo.com/codeforamerica/agenda/session/1339808" data-once="linkMatch">...</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/digital-service/transparency

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p dir="ltr">...</p>`
- XPath: `/p`

### https://cms.gov/digital-service/usability-research

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/digital-service" class="linked-breadcrumb" data-once="navigationLinkMatch">Digital Service at CMS</a>`
- XPath: `/a[@class="linked-breadcrumb"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/medicare/physician-fee-schedule/search/overview

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/payment/fee-schedules" aria-current="false" tracking-data="ca70bd2c-3cd2-4271-b05f-3bcef715da07" data-drupal-link-system-path="node/170661" data-once="navigationLinkMatch">Fee schedules</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/physician-fee-schedule/search/overview" class="active-page is-active" aria-current="page" tracking-data="de1a855d-9013-4f23-b2ab-360bf5f1bd8b" data-drupal-link-system-path="node/2102196" data-once="navigationLinkMatch">PFS Look-up Tool Overview</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="ds-u-margin-top--1 ds-u-color--white ds-c-button ds-c-button--solid ds-u-text-decoration--none" href="/medicare/physician-fee-schedule/search" data-once="buttonMatch">Begin Search</a>`
- XPath: `/a[@class="ds-u-margin-top--1 ds-u-color--white ds-c-button ds-c-button--solid ds-u-text-decoration--none"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

*... and 2 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/outreach-and-education/reach-out/find-tools-to-help-you-help-others/open-enrollment-outreach-and-media-materials

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/files/document/medicare-general-oe-outreach-customizable-oct-2025-final-508c.pptx" data-entity-type="media" data-entity-uuid="5755bb45-205c-4f26-8d47-40f9491f5fd4" data-entity-substitution="canonical" data-once="linkMatch">Medicare Open Enrollment – customizable overview s...</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/training-education/find-provider-type/employers-unions/contact-us

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/training-education/find-provider-type/employers-unions" aria-current="false" tracking-data="49f168af-ad0b-411e-8a18-cb890d5d3e8b" data-drupal-link-system-path="node/178211" data-once="navigationLinkMatch">Employers & unions</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/training-education/find-provider-type/employers-unions/contact-us" class="active-page is-active" aria-current="page" tracking-data="0c4012f7-f835-4f12-aae4-8fbdc1118dca" data-drupal-link-system-path="node/180426" data-once="navigationLinkMatch">Contact us</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/training-education/find-provider-type/employers-unions/publications-share-employees

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/training-education/find-provider-type/employers-unions" aria-current="false" tracking-data="49f168af-ad0b-411e-8a18-cb890d5d3e8b" data-drupal-link-system-path="node/178211" data-once="navigationLinkMatch">Employers & unions</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/training-education/find-provider-type/employers-unions/publications-share-employees" class="active-page is-active" aria-current="page" tracking-data="547ad5ba-7a6c-42ee-adbd-8a36e43465ee" data-drupal-link-system-path="node/180401" data-once="navigationLinkMatch">Publications to share with employees</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/training-education/find-provider-type/employers-unions/top-five-medicare-enrollment

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/training-education/find-provider-type/employers-unions" aria-current="false" tracking-data="49f168af-ad0b-411e-8a18-cb890d5d3e8b" data-drupal-link-system-path="node/178211" data-once="navigationLinkMatch">Employers & unions</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

**Failure 4:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="Default">...</p>`
- XPath: `/p[@class="Default"]`

### https://cms.gov/training-education/find-provider-type/employers-unions/web-resources-help-employees

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/training-education/find-provider-type/employers-unions" aria-current="false" tracking-data="49f168af-ad0b-411e-8a18-cb890d5d3e8b" data-drupal-link-system-path="node/178211" data-once="navigationLinkMatch">Employers & unions</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/training-education/find-provider-type/employers-unions/web-resources-help-employees" class="active-page is-active" aria-current="page" tracking-data="27fa374a-8eea-4581-afb4-d2e2279049be" data-drupal-link-system-path="node/180381" data-once="navigationLinkMatch">Web resources to help employees</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/training-education/learn/find-tools-to-help-you-help-others/guidelines-for-effective-writing

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/training-education/learn/find-tools-to-help-you-help-others" aria-current="false" tracking-data="4583f9de-b66e-45d5-99f0-2a2cca38dfd5" data-drupal-link-system-path="node/178051" data-once="navigationLinkMatch">Find tools to help you help others</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/training-education/learn/find-tools-to-help-you-help-others/guidelines-for-effective-writing" class="active-page is-active" aria-current="page" tracking-data="ee10e850-3d32-4443-978c-5e683c90ee33" data-drupal-link-system-path="node/1624116" data-once="navigationLinkMatch">Guidelines for effective writing</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

#### Rule: [SIA-R78: Headings of same level have text content between them](https://alfa.siteimprove.com/rules/sia-r78)
**WCAG**: [SC 1.3.1](https://www.w3.org/WAI/WCAG22/Understanding/info-and-relationships) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: There is no content between this heading and the next
- HTML: `<h2>...</h2>`
- XPath: `/h2`

### https://cms.gov/about-cms/what-we-do/nursing-homes/patients-caregivers/finding-nursing-home

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/what-we-do/nursing-homes" aria-current="false" tracking-data="604f1168-271e-4f16-8ed0-5ba1aed5e5ae" data-drupal-link-system-path="node/1470896" data-once="navigationLinkMatch">Nursing homes</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/what-we-do/nursing-homes/patients-caregivers/finding-nursing-home" class="active-page is-active" aria-current="page" tracking-data="237445cb-6c1e-4c0d-93d4-a36d59c7ab12" data-drupal-link-system-path="node/1476381" data-once="navigationLinkMatch">Finding a Nursing Home</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/data-research/cms-data/payment-data

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="Paragraph SCXW125739139 BCX0">...</p>`
- XPath: `/p[@class="Paragraph SCXW125739139 BCX0"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>Sign up to get the latest information about your c...</p>`
- XPath: `/p`

### https://cms.gov/data-research/computer-data-systems/minimum-data-sets-3.0-public-reports

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/health-tech-ecosystem/early-adopters/payers

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/priorities/health-technology-ecosystem/overview" aria-current="false" tracking-data="c93b37e2-7e23-40da-8850-c47c994c1c0a" data-drupal-link-system-path="node/2105971" data-once="navigationLinkMatch">Overview</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/health-tech-ecosystem/early-adopters/payers" class="active-page is-active" aria-current="page" tracking-data="daec98c2-534b-4fe2-9540-24c034873c22" data-drupal-link-system-path="node/2106281" data-once="navigationLinkMatch">Payers</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/help-support

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/training-education/cms-open-door-forums/end-stage-renal-disease-esrd-dialysis-facility-care-compare/star-ratings-data-refreshes" aria-current="false" tracking-data="79d2164f-6a87-4a7e-b532-0e967adfc3e4" data-drupal-link-system-path="node/2083576" data-once="navigationLinkMatch">Star Ratings & Data Refreshes</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/help-support" class="active-page is-active" aria-current="page" tracking-data="a2ab6d90-17c8-4cd8-b836-6ce409153916" data-drupal-link-system-path="node/2083591" data-once="navigationLinkMatch">Help & Support </a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

**Failure 4:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="MsoNormal">...</p>`
- XPath: `/p[@class="MsoNormal"]`

### https://cms.gov/medicare/appeals-grievances/fee-for-service

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/appeals-grievances/fee-for-service" class="active-page is-active" aria-current="page" tracking-data="1d2edc6d-105c-4605-9f1d-49fba80cbdf5" data-drupal-link-system-path="node/171221" data-once="navigationLinkMatch">Original Medicare appeals</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/appeals-grievances/fee-for-service/cms-rulings-prior-1995" aria-current="false" tracking-data="5e787f18-da51-4b5f-a52b-f4ef9fcad25b" data-drupal-link-system-path="node/176066" data-once="navigationLinkMatch">CMS Rulings Issued Prior to 1995</a>`
- XPath: `/a`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/medicare/audits-compliance/part-a-cost-report

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/audits-compliance/part-a-cost-report" class="active-page is-active" aria-current="page" tracking-data="f4550fc8-5050-4e22-916c-c245fe9be2fc" data-drupal-link-system-path="node/185256" data-once="navigationLinkMatch">Part A cost report audit</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/audits-compliance/part-a-cost-report/21st-century-cures-act-mid-build-audits" aria-current="false" tracking-data="7bf0f018-7a47-4c97-a58c-1720c1a6532d" data-drupal-link-system-path="node/185276" data-once="navigationLinkMatch">21st Century Cures Act Mid-Build Audits</a>`
- XPath: `/a`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R53: Headings follow a logical hierarchy](https://alfa.siteimprove.com/rules/sia-r53)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The heading skips one or more levels
- HTML: `<h3>Overview</h3>`
- XPath: `/h3`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>This page provides information regarding Medicare ...</p>`
- XPath: `/p`

### https://cms.gov/medicare/coding-billing/place-of-service-codes

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/coding-billing/place-of-service-codes" class="active-page is-active" aria-current="page" tracking-data="f92692d2-d895-4bd9-b09b-dbee58279c5a" data-drupal-link-system-path="node/171996" data-once="navigationLinkMatch">Place of service codes</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/coding-billing/place-of-service-codes/code-sets" aria-current="false" tracking-data="3e3139e5-b793-439f-a51e-76b9fe4f0aec" data-drupal-link-system-path="node/172016" data-once="navigationLinkMatch">Place of Service Code Set</a>`
- XPath: `/a`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>Place of Service Codes are two-digit codes placed ...</p>`
- XPath: `/p`

### https://cms.gov/medicare/coding-billing/provider-customer-service-program

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/coding-billing/provider-customer-service-program" class="active-page is-active" aria-current="page" tracking-data="17ecdc73-59d1-4899-9cac-3d6538b6cb39" data-drupal-link-system-path="node/176031" data-once="navigationLinkMatch">Provider Customer Service Program</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="mailto:OPOLE_IFM_CHIKCGP@cms.hhs.gov" data-once="contactLinkMatch">...</a>`
- XPath: `/a`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>The Provider Customer Service Program (PCSP) helps...</p>`
- XPath: `/p`

### https://cms.gov/medicare/coding-billing/therapy-services

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/coding-billing/therapy-services" class="active-page is-active" aria-current="page" tracking-data="6f32f82a-9bd9-4d9e-bd57-a6eabf9f043c" data-drupal-link-system-path="node/170641" data-once="navigationLinkMatch">Therapy services</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/coding-billing/therapy-services/annual-therapy-update" aria-current="false" tracking-data="eb5dad3c-3935-430a-9e31-a781d2c809ed" data-drupal-link-system-path="node/174696" data-once="navigationLinkMatch">Annual Therapy Update</a>`
- XPath: `/a`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/nosurprises/policies-and-resources/reports

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/files/document/federal-idr-puf-general-information.pdf" data-entity-type="media" data-entity-uuid="a09ef5d7-cd80-4cf3-b2a2-9433e5768db2" data-entity-substitution="canonical" data-once="linkMatch">Federal IDR PUF General Information (PDF)</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="ckeditor-accordion-toggler" href="#" aria-expanded="false" data-once="linkMatch">...</a>`
- XPath: `/a[@class="ckeditor-accordion-toggler"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>The No Surprises Act (NSA) and its implementing re...</p>`
- XPath: `/p`

**Failure 4:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="Paragraph SCXW183839138 BCX8">...</p>`
- XPath: `/p[@class="Paragraph SCXW183839138 BCX8"]`

### https://cms.gov/about-cms/contact/cms

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" data-once="linkMatch">Medicare.gov</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>This page provides a list of contact phone numbers...</p>`
- XPath: `/p`

### https://cms.gov/about-cms/contact/database

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="?page=0" title="Current page" aria-current="page" data-once="paginationMatch">...</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/contact/database" title="Contacts" class="footer-menu-item-link is-active" data-drupal-link-system-path="node/1549851" aria-current="page" data-once="navigationLinkMatch">Contacts</a>`
- XPath: `/a[@class="footer-menu-item-link is-active"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>Sign up to get the latest information about your c...</p>`
- XPath: `/p`

### https://cms.gov/about-cms/contact/newsroom

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/contact/newsroom" class="menu-item-link is-active" data-drupal-link-system-path="node/43871" aria-current="page" data-once="navigationLinkMatch">Newsroom</a>`
- XPath: `/a[@class="menu-item-link is-active"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/newsroom/press-kit" class="ds-c-button ds-c-button--solid ds-u-font-weight--semibold ds-u-font-size--lg" data-drupal-link-system-path="node/43876" data-once="navigationLinkMatch">Press Kit</a>`
- XPath: `/a[@class="ds-c-button ds-c-button--solid ds-u-font-weight--semibold ds-u-font-size--lg"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/newsroom/search?sort_by=search_api_relevance&sort_order=DESC&items_per_page=10&f[0]=topic:33506 " data-once="linkMatch">Administration</a>`
- XPath: `/a`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="ds-c-button ds-c-button--alternate ds-c-button--on-dark ds-c-button--solid ds-u-display--inline-block ds-u-margin-bottom--3 ds-u-md-margin-bottom--0" href="/newsroom/press-releases/cms-improve-patient-care-experience-lower-costs-hip-knee-ankle-replacements" data-once="buttonMatch">...</a>`
- XPath: `/a[@class="ds-c-button ds-c-button--alternate ds-c-button--on-dark ds-c-button--solid ds-u-display--inline-block ds-u-margin-bottom--3 ds-u-md-margin-bottom--0"]`

*... and 5 more failures for this rule*

#### Rule: [SIA-R3: lang attribute has a valid language code](https://alfa.siteimprove.com/rules/sia-r3)
**WCAG**: [SC 3.1.1](https://www.w3.org/WAI/WCAG22/Understanding/language-of-page) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The element does not have a unique ID
- HTML: `<div id="block-cms-evo-newsroom-navigation-3" data-block-plugin-id="system_menu_block:newsroom-navigation" class="block block-system block-system-menu-blocknewsroom-navigation ds-u-display--flex ds-u-lg-align-items--center ds-u-lg-justify-content--between ds-u-lg-flex-direction--row ds-u-flex-direction--column">...</div>`
- XPath: `/div[@id="block-cms-evo-newsroom-navigation-3"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The element does not have a unique ID
- HTML: `<h2 id="block-cms-evo-newsroom-navigation-3" data-block-plugin-id="system_menu_block:newsroom-navigation" class="block block-system block-system-menu-blocknewsroom-navigation ds-u-display--flex ds-u-lg-align-items--center ds-u-lg-justify-content--between ds-u-lg-flex-direction--row ds-u-flex-direction--column ds-u-lg-font-size--3xl ds-u-color--white ds-u-margin--0 ds-u-font-weight--semibold">...</h2>`
- XPath: `/h2[@id="block-cms-evo-newsroom-navigation-3"]`

#### Rule: [SIA-R56: Landmarks with the same role are distinguishable](https://alfa.siteimprove.com/rules/sia-r56)
**WCAG**: [SC 1.3.6](https://www.w3.org/WAI/WCAG22/Understanding/identify-purpose) (Level AAA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Some `region` have the same name.

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="text-align-center">...</p>`
- XPath: `/p[@class="text-align-center"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/about-cms/information-systems/privacy/privacy-act-1974-and-privacy-act-requests

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/information-systems/privacy" aria-current="false" tracking-data="5f275577-5cef-4c64-a54a-dc17ceb26064" data-drupal-link-system-path="node/173821" data-once="navigationLinkMatch">Privacy</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/information-systems/privacy/privacy-act-1974-and-privacy-act-requests" class="active-page is-active" aria-current="page" tracking-data="e2926cb5-8ed7-48fd-b8cb-9261506ed138" data-drupal-link-system-path="node/173996" data-once="navigationLinkMatch">Privacy Act of 1974 and Privacy Act Requests</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>As a federal agency, CMS is subject to the Privacy...</p>`
- XPath: `/p`

### https://cms.gov/about-cms/who-we-are/leadership/digital-service-cms

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="#biography-0" data-once="linkMatch">Director: Andrea Fletcher</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/medicaid-chip/medicare-coordination/financial-alignment/managed-fee-for-service-model-mffs

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicaid-chip/medicare-coordination/financial-alignment" aria-current="false" tracking-data="fa4ef593-5f77-4d9a-afd9-5bbe1f099180" data-drupal-link-system-path="node/178246" data-once="navigationLinkMatch">Financial alignment initiative</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicaid-chip/medicare-coordination/financial-alignment/managed-fee-for-service-model-mffs" class="active-page is-active" aria-current="page" tracking-data="8961f693-e09b-454e-a911-a13ed148f401" data-drupal-link-system-path="node/178271" data-once="navigationLinkMatch">Managed Fee-for-Service (MFFS) Model</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R53: Headings follow a logical hierarchy](https://alfa.siteimprove.com/rules/sia-r53)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The heading skips one or more levels
- HTML: `<h3>State Demonstrations</h3>`
- XPath: `/h3`

**Failure 2:**
- First identified: 2026-04-12
- Message: The heading skips one or more levels
- HTML: `<h6>...</h6>`
- XPath: `/h6`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>Under the FFS model, the Centers for Medicare & Me...</p>`
- XPath: `/p`

### https://cms.gov/medicaid-chip/medicare-coordination/integrity-institute/reports

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicaid-chip/medicare-coordination/integrity-institute" aria-current="false" tracking-data="a861f667-1cb3-48b1-8aec-3758623f58e0" data-drupal-link-system-path="node/1315141" data-once="navigationLinkMatch">Medicaid Integrity Institute</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicaid-chip/medicare-coordination/integrity-institute/reports" class="active-page is-active" aria-current="page" tracking-data="a3f16118-3b81-4f2a-bfea-b051e530b5fd" data-drupal-link-system-path="node/1315476" data-once="navigationLinkMatch">Reports</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/medicare-medicaid-coordination/fraud-prevention/fraudabuseforprofs/focused-program-integrity-review-reports-state-or-territory

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare/medicaid-coordination/states" aria-current="false" tracking-data="d751273a-2f9f-46d6-8b5b-252acb8ffcce" data-drupal-link-system-path="node/1355341" data-once="navigationLinkMatch">Resources for State Medicaid Agencies</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicare-medicaid-coordination/fraud-prevention/fraudabuseforprofs/focused-program-integrity-review-reports-state-or-territory" class="active-page is-active" aria-current="page" tracking-data="0bda8b2e-ba00-4e57-9e5f-6d79ebe0fa22" data-drupal-link-system-path="node/2097766" data-once="navigationLinkMatch">Focused Program Integrity Reviews by State or Terr...</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/marketplace/about/affordable-care-act

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/marketplace/about/affordable-care-act" class="active-page is-active" aria-current="page" tracking-data="c7bc8d0c-3f12-4695-bd42-06032db166ee" data-drupal-link-system-path="node/191416" data-once="navigationLinkMatch">Affordable Care Act</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/marketplace/about/affordable-care-act/content-requirements-plan-finder" aria-current="false" tracking-data="dd1301ba-49cd-4dea-86eb-b42840f703ad" data-drupal-link-system-path="node/191481" data-once="navigationLinkMatch">Content requirements for Plan Finder</a>`
- XPath: `/a`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>The Affordable Care Act provides consumers with si...</p>`
- XPath: `/p`

### https://cms.gov/marketplace/about/exchange-coverage-maps

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/marketplace/about/health-insurance-quality-initiatives/downloads" aria-current="false" tracking-data="ee57d70f-f2e0-4860-82a8-0e224047dbdf" data-drupal-link-system-path="node/189416" data-once="navigationLinkMatch">Marketplace Downloads</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="ckeditor-accordion-toggler" href="#" aria-expanded="false" data-once="linkMatch">...</a>`
- XPath: `/a[@class="ckeditor-accordion-toggler"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R64: Heading has non-empty accessible name](https://alfa.siteimprove.com/rules/sia-r64)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The heading does not have an accessible name
- HTML: `<h3> </h3>`
- XPath: `/h3`

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/marketplace/about/oversight

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/marketplace/about/oversight" class="active-page is-active" aria-current="page" tracking-data="8b3d8438-b748-482b-ac4f-dd62450e9c26" data-drupal-link-system-path="node/191061" data-once="navigationLinkMatch">Marketplace oversight</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/marketplace/about/oversight/other-insurance-protections" aria-current="false" tracking-data="39ffae1e-1bd2-40c7-b46f-87500767efcf" data-drupal-link-system-path="node/191356" data-once="navigationLinkMatch">Other Insurance Protections</a>`
- XPath: `/a`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>The Center for Consumer Information and Insurance ...</p>`
- XPath: `/p`

### https://cms.gov/marketplace/about/overview-exchanges

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/marketplace/about/overview-exchanges" class="active-page is-active" aria-current="page" tracking-data="b624c06a-5920-4866-a0cb-bb6de0683e10" data-drupal-link-system-path="node/190921" data-once="navigationLinkMatch">Overview of the exchanges</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/marketplace/health-plans-issuers/qualified-health-plan-certification" aria-current="false" tracking-data="2a5f27f1-b078-479e-bf86-265ff85552cb" data-drupal-link-system-path="node/191371" data-once="navigationLinkMatch">Qualified Health Plan Certification</a>`
- XPath: `/a`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>The Affordable Care Act helps create a competitive...</p>`
- XPath: `/p`

### https://cms.gov/marketplace/agents-brokers/help-on-demand

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/marketplace/agents-brokers/files/help-demand-overview.pdf" data-entity-type="media" data-entity-uuid="84e489e1-34ad-4eb4-996f-28d2ea59fe73" data-entity-substitution="canonical" data-once="linkMatch">Help On Demand Overview (PDF)</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="list-item-link" href="https://www.linkedin.com/company/centers-for-medicare-&-medicaid-services/" data-once="linkMatch">...</a>`
- XPath: `/a[@class="list-item-link"]`

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/medicaid-chip/community-engagement-support/eligibility-made-easy

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="ds-c-button ds-c-button--solid" href="#how-emmy-works" data-once="buttonMatch">...</a>`
- XPath: `/a[@class="ds-c-button ds-c-button--solid"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a class="ds-c-button ds-u-display--inline-block ds-c-button--solid" href="/medicaid-chip/community-engagement-support/eligibility-made-easy/get-in-touch" data-entity-type="node" data-entity-uuid="6af8490c-ee7b-4721-934e-6a2f7d32efa7" data-entity-substitution="canonical" data-once="buttonMatch">Get in touch</a>`
- XPath: `/a[@class="ds-c-button ds-u-display--inline-block ds-c-button--solid"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

**Failure 4:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="text-align-center">...</p>`
- XPath: `/p[@class="text-align-center"]`

### https://cms.gov/medicaid-chip/medicare-coordination/integrity-institute/contact

#### Rule: [SIA-R111: Interactive elements have a sufficient target size](https://alfa.siteimprove.com/rules/sia-r111)
**WCAG**: [SC 2.5.8](https://www.w3.org/WAI/WCAG22/Understanding/target-size-minimum) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">About CMS</a>`
- XPath: `/a[@class="menu-item-link"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicaid-chip/medicare-coordination/integrity-institute" aria-current="false" tracking-data="a861f667-1cb3-48b1-8aec-3758623f58e0" data-drupal-link-system-path="node/1315141" data-once="navigationLinkMatch">Medicaid Integrity Institute</a>`
- XPath: `/a`

**Failure 3:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/medicaid-chip/medicare-coordination/integrity-institute/contact" class="active-page is-active" aria-current="page" tracking-data="c49c8d64-00ff-4214-b91c-fb24d493019d" data-drupal-link-system-path="node/1315166" data-once="navigationLinkMatch">Contact us</a>`
- XPath: `/a[@class="active-page is-active"]`

**Failure 4:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="/about-cms/web-policies-important-links/help" title="Help with File Formats and Plug-Ins" class="file-format-help" data-once="linkMatch">Help with File Formats and Plug-Ins</a>`
- XPath: `/a[@class="file-format-help"]`

**Failure 5:**
- First identified: 2026-04-12
- Message: Target has insufficient size
- HTML: `<a href="https://www.medicare.gov/" class="footer-menu-item-link" title="Medicare.gov" data-once="navigationLinkMatch">Medicare.gov</a>`
- XPath: `/a[@class="footer-menu-item-link"]`

*... and 1 more failures for this rule*

#### Rule: [SIA-R61: Documents start with a level 1 heading](https://alfa.siteimprove.com/rules/sia-r61)
**WCAG**: Best Practice

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not start with a level 1 heading

#### Rule: [SIA-R73: Text spacing can be adjusted without loss of content](https://alfa.siteimprove.com/rules/sia-r73)
**WCAG**: [SC 1.4.12](https://www.w3.org/WAI/WCAG22/Understanding/text-spacing) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__header-text">An official website of the United States governmen...</p>`
- XPath: `/p[@class="ds-c-usa-banner__header-text"]`

**Failure 2:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">...</p>`
- XPath: `/p[@class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex"]`

**Failure 3:**
- First identified: 2026-04-12
- Message: The line height of the paragraph is `normal` which will result in a line height of less than 1.5
- HTML: `<p>...</p>`
- XPath: `/p`

### https://cms.gov/research-statistics-data-and-systems/monitoring-programs/cert/downloads/fy_2004shortreportpdf

#### Rule: [SIA-R1: id attributes are unique within the document](https://alfa.siteimprove.com/rules/sia-r1)
**WCAG**: [SC 4.1.1](https://www.w3.org/WAI/WCAG22/Understanding/parsing) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a `<title>` element

#### Rule: [SIA-R4: Page has a descriptive title](https://alfa.siteimprove.com/rules/sia-r4)
**WCAG**: [SC 2.4.2](https://www.w3.org/WAI/WCAG22/Understanding/page-titled) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The `lang` attribute is either missing, empty, or only whitespace
- HTML: `<html>...</html>`
- XPath: `/html`

#### Rule: [SIA-R59: Document has at least one heading to identify its main content](https://alfa.siteimprove.com/rules/sia-r59)
**WCAG**: [SC 2.4.6](https://www.w3.org/WAI/WCAG22/Understanding/headings-and-labels) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document does not have a heading element

#### Rule: [SIA-R87: First focusable element is a skip link](https://alfa.siteimprove.com/rules/sia-r87)
**WCAG**: [SC 2.4.1](https://www.w3.org/WAI/WCAG22/Understanding/bypass-blocks) (Level A)

**Failure 1:**
- First identified: 2026-04-12
- Message: The document has no tabbable descendants

## Detailed Failure Information (axe)

### https://cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings

#### Rule: [valid-lang](https://dequeuniversity.com/rules/axe/4.11/valid-lang?application=playwright)
**Impact**: serious
**WCAG**: [SC 3.1.2](https://www.w3.org/WAI/WCAG22/Understanding/language-of-parts) (Level AA)

**Failure 1:**
- First identified: 2026-04-12
- Message: lang attribute must have a valid value
- HTML: `<span lang="X-NONE">[1]</span>`
- XPath: `a[href$="#_ftnref1"] > span[lang="X-NONE"]`

### https://cms.gov/about-cms/contact/speech-meeting-requests

#### Rule: [heading-order](https://dequeuniversity.com/rules/axe/4.11/heading-order?application=playwright)
**Impact**: moderate

**Failure 1:**
- First identified: 2026-04-12
- Message: Heading levels should only increase by one
- HTML: `<h3>Requesting CMS Administrator or Deputy Administrator</h3>`
- XPath: `.rxbodyfield > h3:nth-child(2)`

### https://cms.gov/medicare/medicaid-coordination/about/state-payment-premiums

#### Rule: [heading-order](https://dequeuniversity.com/rules/axe/4.11/heading-order?application=playwright)
**Impact**: moderate

**Failure 1:**
- First identified: 2026-04-12
- Message: Heading levels should only increase by one
- HTML: `<h6>Want regular email updates? Sign up by visiting this&nbsp;<a href="https://public.govdelivery.com/accounts/USCMS/subscriber/new?topic_id=USCMS_7840" data-once="linkMatch">link</a>.</h6>`
- XPath: `h6:nth-child(24)`

### https://cms.gov/medicare/physician-fee-schedule/search/overview

#### Rule: [heading-order](https://dequeuniversity.com/rules/axe/4.11/heading-order?application=playwright)
**Impact**: moderate

**Failure 1:**
- First identified: 2026-04-12
- Message: Heading levels should only increase by one
- HTML: `<h3 class="field field--name-field-title-title-description field--type-string-long field--label-hidden field__item">     What is the PFS Look-Up Tool?   </h3>`
- XPath: `#accordion-854243208__button > .field--name-field-title-title-description.field--type-string-long.field--label-hidden`

### https://cms.gov/medicare/audits-compliance/part-a-cost-report

#### Rule: [heading-order](https://dequeuniversity.com/rules/axe/4.11/heading-order?application=playwright)
**Impact**: moderate

**Failure 1:**
- First identified: 2026-04-12
- Message: Heading levels should only increase by one
- HTML: `<h3>Overview</h3>`
- XPath: `.rxbodyfield > h3`

### https://cms.gov/about-cms/contact/newsroom

#### Rule: [landmark-unique](https://dequeuniversity.com/rules/axe/4.11/landmark-unique?application=playwright)
**Impact**: moderate

**Failure 1:**
- First identified: 2026-04-12
- Message: Landmarks should have a unique role or role/label/title (i.e. accessible name) combination
- HTML: `<span class="views-field views-field-field-topic" role="region" aria-label="Related search topics"> <a href="/newsroom/search?sort_by=search_api_relevance&amp;sort_order=DESC&amp;items_per_page=10&amp;f[0]=topic:33506 " data-once="linkMatch">Administration</a> </span>`
- XPath: `.views-field-field-topic[aria-label="Related search topics"][role="region"]:nth-child(1)`

### https://cms.gov/medicaid-chip/medicare-coordination/financial-alignment/managed-fee-for-service-model-mffs

#### Rule: [heading-order](https://dequeuniversity.com/rules/axe/4.11/heading-order?application=playwright)
**Impact**: moderate

**Failure 1:**
- First identified: 2026-04-12
- Message: Heading levels should only increase by one
- HTML: `<h3>State Demonstrations</h3>`
- XPath: `.rxbodyfield > h3`

**Failure 2:**
- First identified: 2026-04-12
- Message: Heading levels should only increase by one
- HTML: `<h6>Want regular email updates? Sign up by visiting this&nbsp;<a href="https://public.govdelivery.com/accounts/USCMS/subscriber/new?topic_id=USCMS_7840" data-once="linkMatch">link</a>.</h6>`
- XPath: `h6:nth-child(10)`

### https://cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives

#### Rule: [empty-heading](https://dequeuniversity.com/rules/axe/4.11/empty-heading?application=playwright)
**Impact**: minor

**Failure 1:**
- First identified: 2026-04-12
- Message: Headings should not be empty
- HTML: `<h3>&nbsp;</h3>`
- XPath: `h3:nth-child(30)`