Accessibility Scan Report

Title: CMS.gov — Issue: #308 Date: 6/5/2026, 10:07:00 AM Duration: 19.3m URLs: 108 / 108
Viewport: Desktop (1280×800) Color scheme: both Browser: chromium
⚡ Reduced Motion: 77 / 108 URLs🖥️ Forced Colors: 77 / 108 URLs

🔄 Changes Since Last Scan

840 New unique issues
🆕 New Issues (840)

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Title keywords

VIEWPORT:desktop COLORSCHEME:both BROWSER:chromium

Issue body section

### Scan context Viewport: desktop ColorScheme: both Browser: chromium

Summary

Issues

  • By Level: A (60), AA (456)
  • By Version (A & AA): WCAG 2.0 (88), WCAG 2.2 (428)
  • Engines used: ALFA, AXE
  • By Finding Type: Known errors (793) & Best practices (91)
  • Manual testing needed: 606 axe incomplete findings
  • Total: 884 across 17 unique rules & 2 accessibility engines

By Severity

Critical
Serious
Moderate
Minor

By Role

UX Designer
Visual Designer
Content Author
Front-End Developer

Issues

🎯 Pages with Most Errors

Focus your efforts on these pages to make the biggest impact. Click any error count to filter the rule list below. Total counts unique findings across the active scanners, and numbers in parentheses (+N) still show findings that cover WCAG criteria already reported by axe.
Managed Fee-for-Service (MFFS) Model | CMS 14
Improper Payment Findings | CMS 13
CMS] 13
State Payment of Medicare Premiums | CMS 12
PFS Look-up Tool Overview | CMS 12
Part A Cost Report Audit & Reimbursement | CMS 12
Health Insurance Marketplace Quality Initiatives | CMS 12
Quality Improvement Programs | CMS 12
Speech & Meeting Requests | CMS 11
Newsroom Homepage | CMS 0 17

🔧 Most Common Issues (ALFA)

13 rules
428 Serious alfa SC 2.5.8 AA Motor SIA-R111: Interactive elements have a sufficient target size
0 pages affected

Rule Information

Engine: alfa

Roles: UX Designer, Visual Designer

Blocking: ⚠️ Yes (Task-Blocking)

WCAG: SC 2.5.8 AA

Disabilities affected:
Motor

Affected Pages

Who Is Affected

  • Limited Manipulation 2.2% — ~7,600,000 Americans
  • Limited Reach and Strength 5.8% — ~19,600,000 Americans

Examples

Example 1 View on Page
Target has insufficient size
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-d096a6f9
<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"]
Example 2 View on Page
Target has insufficient size
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-b8138552
<a href="/digital-service" class="linked-breadcrumb" data-once="navigationLinkMatch">Digital Service at CMS</a>
XPath: /a[@class="linked-breadcrumb"]
Example 3 View on Page
Target has insufficient size
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-3f7b18aa
<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"]
Example 4 View on Page
Target has insufficient size
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-45b075df
<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"]
Example 5 View on Page
Target has insufficient size
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-4963ebbc
<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"]
244 Moderate alfa SIA-R73: Text spacing can be adjusted without loss of content
0 pages affected

Rule Information

Engine: alfa

Roles: Front-End Developer

Blocking: No

Affected Pages

Examples

Example 1 View on Page
The line height of the paragraph is `normal` which will result in a line height of less than 1.5
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-3f43efb8
<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"]
Example 2 View on Page
The line height of the paragraph is `normal` which will result in a line height of less than 1.5
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-2b6fc90b
<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"]
Example 3 View on Page
The line height of the paragraph is `normal` which will result in a line height of less than 1.5
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-8b323c69
<p>...</p>
XPath: /p
Example 4 View on Page
The line height of the paragraph is `normal` which will result in a line height of less than 1.5
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-3f43efb8
<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"]
Example 5 View on Page
The line height of the paragraph is `normal` which will result in a line height of less than 1.5
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-2b6fc90b
<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"]
77 Moderate alfa Best Practice SIA-R61: Documents start with a level 1 heading
0 pages affected

Rule Information

Engine: alfa

Roles: Content Author, UX Designer

Blocking: No

WCAG: Best Practice

Affected Pages

Examples

Example 1 View on Page
The document does not start with a level 1 heading
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-8563fbe5
Example 2 View on Page
The document does not start with a level 1 heading
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-8563fbe5
Example 3 View on Page
The document does not start with a level 1 heading
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-8563fbe5
Example 4 View on Page
The document does not start with a level 1 heading
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-8563fbe5
Example 5 View on Page
The document does not start with a level 1 heading
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-8563fbe5
27 Minor alfa SC 4.1.1 A Visual Cognitive SIA-R1: id attributes are unique within the document
0 pages affected

Rule Information

Engine: alfa

Roles: Front-End Developer

Blocking: No

WCAG: SC 4.1.1 A

Disabilities affected:
Visual Cognitive

Affected Pages

Who Is Affected

  • Without Vision 1.0% — ~3,400,000 Americans
  • Limited Vision 2.4% — ~8,100,000 Americans
  • Limited Language, Cognitive, and Learning Abilities 4.7% — ~15,900,000 Americans

ACT alignment

  • ACT 2779a5 Open ACT rule

    No other scanned engines matched this ACT rule in the current report.

Examples

Example 1 View on Page
The document does not have a `<title>` element
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-a9979699
Example 2 View on Page
The document does not have a `<title>` element
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-a9979699
Example 3 View on Page
The document does not have a `<title>` element
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-a9979699
Example 4 View on Page
The document does not have a `<title>` element
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-a9979699
Example 5 View on Page
The document does not have a `<title>` element
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-a9979699
27 Serious alfa SC 2.4.2 A Visual Cognitive SIA-R4: Page has a descriptive title
0 pages affected

Rule Information

Engine: alfa

Roles: Content Author, UX Designer

Blocking: No

WCAG: SC 2.4.2 A

Disabilities affected:
Visual Cognitive

Affected Pages

Who Is Affected

  • Without Vision 1.0% — ~3,400,000 Americans
  • Limited Vision 2.4% — ~8,100,000 Americans
  • Limited Language, Cognitive, and Learning Abilities 4.7% — ~15,900,000 Americans

ACT alignment

  • ACT b5c3f8 Open ACT rule

    No other scanned engines matched this ACT rule in the current report.

Examples

Example 1 View on Page
The `lang` attribute is either missing, empty, or only whitespace
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-27413326
<html>...</html>
XPath: /html
Example 2 View on Page
The `lang` attribute is either missing, empty, or only whitespace
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-27413326
<html>...</html>
XPath: /html
Example 3 View on Page
The `lang` attribute is either missing, empty, or only whitespace
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-27413326
<html>...</html>
XPath: /html
Example 4 View on Page
The `lang` attribute is either missing, empty, or only whitespace
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-27413326
<html>...</html>
XPath: /html
Example 5 View on Page
The `lang` attribute is either missing, empty, or only whitespace
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-27413326
<html>...</html>
XPath: /html
27 Moderate alfa SC 2.4.6 AA Visual Cognitive SIA-R59: Document has at least one heading to identify its main content
0 pages affected

Rule Information

Engine: alfa

Roles: Content Author, UX Designer

Blocking: No

WCAG: SC 2.4.6 AA

Disabilities affected:
Visual Cognitive

Affected Pages

Who Is Affected

  • Without Vision 1.0% — ~3,400,000 Americans
  • Limited Vision 2.4% — ~8,100,000 Americans
  • Limited Language, Cognitive, and Learning Abilities 4.7% — ~15,900,000 Americans

Examples

Example 1 View on Page
The document does not have a heading element
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-0fad829d
Example 2 View on Page
The document does not have a heading element
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-0fad829d
Example 3 View on Page
The document does not have a heading element
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-0fad829d
Example 4 View on Page
The document does not have a heading element
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-0fad829d
Example 5 View on Page
The document does not have a heading element
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-0fad829d
27 Moderate alfa SIA-R87: First focusable element is a skip link
0 pages affected

Rule Information

Engine: alfa

Roles: Front-End Developer

Blocking: No

Affected Pages

Examples

Example 1 View on Page
The document has no tabbable descendants
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-4b473950
Example 2 View on Page
The document has no tabbable descendants
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-4b473950
Example 3 View on Page
The document has no tabbable descendants
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-4b473950
Example 4 View on Page
The document has no tabbable descendants
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-4b473950
Example 5 View on Page
The document has no tabbable descendants
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-4b473950
6 Moderate alfa Best Practice SIA-R53: Headings follow a logical hierarchy
0 pages affected

Rule Information

Engine: alfa

Roles: Content Author, UX Designer

Blocking: No

WCAG: Best Practice

Affected Pages

Examples

Example 1 View on Page
The heading skips one or more levels
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-80af7ba9
<h3>Requesting CMS Administrator or Deputy Administrat...</h3>
XPath: /h3
Example 2 View on Page
The heading skips one or more levels
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-c7941be4
<h6>...</h6>
XPath: /h6
Example 3 View on Page
The heading skips one or more levels
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-80af7ba9
<h3>Overview</h3>
XPath: /h3
Example 4 View on Page
The heading skips one or more levels
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-80af7ba9
<h3>State Demonstrations</h3>
XPath: /h3
Example 5 View on Page
The heading skips one or more levels
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-c7941be4
<h6>...</h6>
XPath: /h6
5 Serious alfa SC 1.3.1 A Visual Cognitive SIA-R42: Elements with an explicit ARIA role have the required parent element
0 pages affected

Rule Information

Engine: alfa

Roles: Front-End Developer

Blocking: No

WCAG: SC 1.3.1 A

Disabilities affected:
Visual Cognitive

Affected Pages

Who Is Affected

  • Without Vision 1.0% — ~3,400,000 Americans
  • Limited Vision 2.4% — ~8,100,000 Americans
  • Limited Language, Cognitive, and Learning Abilities 4.7% — ~15,900,000 Americans

ACT alignment

  • ACT ff89c9 Open ACT rule

    No other scanned engines matched this ACT rule in the current report.

Examples

Example 1 View on Page
The element is not owned by an element of its required context role
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-79b6da75
<button type="button" id="trigger-tabs-2109854359" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex" role="tab" aria-controls="tabs-2109854359"> </button>
XPath: /button[@id="trigger-tabs-2109854359"]
Example 2 View on Page
The element is not owned by an element of its required context role
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-5bd36f3b
<button type="button" id="trigger-tabs-400000427" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex" role="tab" aria-controls="tabs-400000427"> </button>
XPath: /button[@id="trigger-tabs-400000427"]
Example 3 View on Page
The element is not owned by an element of its required context role
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-c252123a
<button type="button" id="trigger-tabs-1280865194" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex" role="tab" aria-controls="tabs-1280865194"> </button>
XPath: /button[@id="trigger-tabs-1280865194"]
Example 4 View on Page
The element is not owned by an element of its required context role
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-aa2c336d
<button type="button" id="trigger-tabs-1111390097" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex" role="tab" aria-controls="tabs-1111390097"> </button>
XPath: /button[@id="trigger-tabs-1111390097"]
Example 5 View on Page
The element is not owned by an element of its required context role
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-15b4bd41
<button type="button" id="trigger-tabs-251399956" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex" role="tab" aria-controls="tabs-251399956"> </button>
XPath: /button[@id="trigger-tabs-251399956"]
2 Moderate alfa SIA-R78: Headings of same level have text content between them
0 pages affected

Rule Information

Engine: alfa

Roles: Front-End Developer

Blocking: No

Affected Pages

Examples

Example 1 View on Page
There is no content between this heading and the next
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-04d76e4e
<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"]
Example 2 View on Page
There is no content between this heading and the next
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-30ef68f0
<h2>...</h2>
XPath: /h2
2 Moderate alfa SIA-R3: lang attribute has a valid language code
0 pages affected

Rule Information

Engine: alfa

Roles: Front-End Developer

Blocking: No

Affected Pages

ACT alignment

  • ACT 3ea0c8 Open ACT rule

    No other scanned engines matched this ACT rule in the current report.

Examples

Example 1 View on Page
The element does not have a unique ID
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-2801e161
<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"]
Example 2 View on Page
The element does not have a unique ID
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-fcc9d2f8
<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"]
1 Serious alfa SC 3.1.1 A Cognitive SIA-R7: lang attributes within the html element have a valid primary language subtag
0 pages affected

Rule Information

Engine: alfa

Roles: Front-End Developer, Content Author

Blocking: No

WCAG: SC 3.1.1 A

Disabilities affected:
Cognitive

Affected Pages

Who Is Affected

  • Limited Language, Cognitive, and Learning Abilities 4.7% — ~15,900,000 Americans

ACT alignment

Examples

Example 1 View on Page
The `lang` attribute does not have a valid primary language subtag
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-f5f15e03
1 Moderate alfa Best Practice SIA-R64: Heading has non-empty accessible name
0 pages affected

Rule Information

Engine: alfa

Roles: Content Author, Front-End Developer

Blocking: No

WCAG: Best Practice

Affected Pages

ACT alignment

Examples

Example 1 View on Page
The heading does not have an accessible name
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-0a1de38d
<h3> </h3>
XPath: /h3

🔧 Most Common Issues (axe)

4 rules
7 Moderate axe Best Practice heading-order: Ensures heading levels are not skipped (e.g. h1→h3). Inconsistent heading hierarchy makes page structure difficult to navigate for screen reader users.
0 pages affected

Rule Information

Engine: axe

Roles: Content Author, UX Designer

Blocking: No

WCAG: Best Practice

Affected Pages

Examples

Example 1 View on Page
Heading levels should only increase by one
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-89d3be9a
<h3>Requesting CMS Administrator or Deputy Administrator</h3>
XPath: .rxbodyfield > h3:nth-child(2)
Example 2 View on Page
Heading levels should only increase by one
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-948ac66b
<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)
Example 3 View on Page
Heading levels should only increase by one
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-fd315e3b
<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-318102023__button > .field--name-field-title-title-description.field--type-string-long.field--label-hidden
Example 4 View on Page
Heading levels should only increase by one
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-0a3982a5
<h3>Overview</h3>
XPath: .rxbodyfield > h3
Example 5 View on Page
Heading levels should only increase by one
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-0a3982a5
<h3>State Demonstrations</h3>
XPath: .rxbodyfield > h3
1 Serious axe SC 3.1.2 AA Cognitive valid-lang: Ensures lang attributes have valid BCP 47 language tag values. Invalid language tags prevent screen readers from switching to the correct pronunciation.
0 pages affected

Rule Information

Engine: axe

Roles: Content Author, Front-End Developer

Blocking: No

WCAG: SC 3.1.2 AA

Disabilities affected:
Cognitive

Affected Pages

Who Is Affected

  • Limited Language, Cognitive, and Learning Abilities 4.7% — ~15,900,000 Americans

ACT alignment

Examples

Example 1 View on Page
lang attribute must have a valid value
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-0e7f91dc
<span lang="X-NONE">[1]</span>
XPath: a[href$="#_ftnref1"] > span[lang="X-NONE"]
1 Moderate axe empty-heading
0 pages affected

Rule Information

Engine: axe

Roles: Front-End Developer

Blocking: No

Affected Pages

ACT alignment

Examples

Example 1 View on Page
Headings should not be empty
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-f40012bc
<h3>&nbsp;</h3>
XPath: h3:nth-child(30)
1 Moderate axe page-has-heading-one
0 pages affected

Rule Information

Engine: axe

Roles: Front-End Developer

Blocking: No

Affected Pages

Examples

Example 1 View on Page
Page should contain a level-one heading
Mode: light 🕑 First identified: 2026-06-05 🔑 Pattern ID: A11Y-19a7d2c7
<html lang="en" dir="ltr" class=" js" style="--vw: 12.8px; --vh: 8px;">
XPath: html