Accessibility Scan Report

Title: CMS.gov — Issue: #308 Date: 6/5/2026, 4:02:04 PM Duration: 19.4m 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. Numbers in parentheses (+N) indicate 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
77 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
77 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
77 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
27 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

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
27 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

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
27 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
27 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
5 pages affected

Rule Information

Engine: alfa

Roles: Content Author, UX Designer

Blocking: No

WCAG: Best Practice

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
1 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

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-c3c40bc6
<button type="button" id="trigger-tabs-1531844351" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex" role="tab" aria-controls="tabs-1531844351"> </button>
XPath: /button[@id="trigger-tabs-1531844351"]
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-e88f7866
<button type="button" id="trigger-tabs-1528197353" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex" role="tab" aria-controls="tabs-1528197353"> </button>
XPath: /button[@id="trigger-tabs-1528197353"]
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-a244974c
<button type="button" id="trigger-tabs-535734463" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex" role="tab" aria-controls="tabs-535734463"> </button>
XPath: /button[@id="trigger-tabs-535734463"]
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-cad8c90e
<button type="button" id="trigger-tabs-1445329651" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex" role="tab" aria-controls="tabs-1445329651"> </button>
XPath: /button[@id="trigger-tabs-1445329651"]
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-b77fccf9
<button type="button" id="trigger-tabs-647176648" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex" role="tab" aria-controls="tabs-647176648"> </button>
XPath: /button[@id="trigger-tabs-647176648"]
2 Moderate alfa SIA-R78: Headings of same level have text content between them
2 pages affected

Rule Information

Engine: alfa

Roles: Front-End Developer

Blocking: No

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
1 pages affected

Rule Information

Engine: alfa

Roles: Front-End Developer

Blocking: No

Affected Pages

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
1 pages affected

Rule Information

Engine: alfa

Roles: Front-End Developer, Content Author

Blocking: No

WCAG: SC 3.1.1 A

Disabilities affected:
Cognitive

Who Is Affected

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

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
1 pages affected

Rule Information

Engine: alfa

Roles: Content Author, Front-End Developer

Blocking: No

WCAG: Best Practice

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.
6 pages affected

Rule Information

Engine: axe

Roles: Content Author, UX Designer

Blocking: No

WCAG: Best Practice

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.
1 pages affected

Rule Information

Engine: axe

Roles: Content Author, Front-End Developer

Blocking: No

WCAG: SC 3.1.2 AA

Disabilities affected:
Cognitive

Who Is Affected

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

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
1 pages affected

Rule Information

Engine: axe

Roles: Front-End Developer

Blocking: No

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
1 pages affected

Rule Information

Engine: axe

Roles: Front-End Developer

Blocking: No

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