# Accessibility bug reports — www.cms.gov, week 2026-W26

65 issue type(s) from 8040 pages scanned. Generated 2026-07-13 by [vital-scans](https://github.com/mgifford/vital-core), following [accessibility bug-reporting best practices](https://mgifford.github.io/ACCESSIBILITY.md/examples/ACCESSIBILITY_BUG_REPORTING_BEST_PRACTICES.html).

> Automated checks find roughly a third of accessibility barriers. Fields marked "requires manual testing" cannot be observed by an automated scan and need a human with assistive technology.

---
## Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)

**Bug ID:** `VS-2d5bb6cf`  
**Pattern ID:** `VS-179ad9b3`  
**URL:** https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9  
**XPath / selector:** `<a href="#h3HcpcsCodesHeader" data-href="h3HcpcsCodesHeader" class="nav-link toc-link no-link log-click" title="Jump to CPT/HCPCS Codes">`  
**WCAG SC:** 2.5.8 — Target Size (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r113` ([reference](https://alfa.siteimprove.com/rules/sia-r113))  
**Severity:** Moderate  
**Frequency:** 1193 instances; 471 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 471 of 8040 scanned pages (1193 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9.
2. Locate the element: <a href="#h3HcpcsCodesHeader" data-href="h3HcpcsCodesHeader" class="nav-link toc-link no-link log-click" title="Jump to CPT/HCPCS Codes">
3. Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum).

### Impact
Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%).
- **Limited manipulation/strength** (13.0% of population)
- **Limited reach** (2.0% of population)
- **Limited vision** (2.4% of population)

### Affected pages
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60430&ver=4
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55531&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53134&articleStatus=all&bc=3&sortBy=title&ver=84
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54283&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60181&articleStatus=all&bc=3&sortBy=title&ver=12
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56747&articleStatus=all&bc=3&sortBy=title&ver=28
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55214&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58362&articleStatus=all&bc=3&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59466&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=7
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56559&articleStatus=all&bc=3&sortBy=title&ver=26
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54194&articleStatus=all&bc=3&sortBy=title&ver=23
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0162.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57733&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39856&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59350&articleStatus=all&bc=3&sortBy=title&ver=27
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59470&articleStatus=all&bc=3&sortBy=title&ver=4
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0285.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33370&ver=55
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59872&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53986&articleStatus=all&bc=3&sortBy=title&ver=18

…and more — 471 pages total ([download CSV](csv/alfa__sia-r113.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113

### Example pages
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60430&ver=4

---

## Accessible name of link or button matches visible label (WCAG 2.5.3)

**Bug ID:** `VS-446bac7a`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter  
**XPath / selector:** `<a id="aBasketManuButton" class="basket-icon log-click " title="View documents in your Basket" data-page-action="Clicked the Basket navbar link.">`  
**WCAG SC:** 2.5.3 — Label in Name (Level A)  
**Rule:** Siteimprove Alfa — `sia-r14` ([reference](https://alfa.siteimprove.com/rules/sia-r14))  
**Severity:** Moderate  
**Frequency:** 2645 instances; 925 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 925 of 8040 scanned pages (2645 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter.
2. Locate the element: <a id="aBasketManuButton" class="basket-icon log-click " title="View documents in your Basket" data-page-action="Clicked the Basket navbar link.">
3. Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name.

### Impact
Affects Without vision (1.0%), Without speech (0.5%).
- **Without vision** (1.0% of population)
- **Without speech** (0.5% of population)

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56410&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60430&ver=4
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54399&articleStatus=all&bc=3&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38047&lcdStatus=all&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55531&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53134&articleStatus=all&bc=3&sortBy=title&ver=84
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54283&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60181&articleStatus=all&bc=3&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58507&articleStatus=all&bc=3&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54445&ver=27
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56336&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56747&articleStatus=all&bc=3&sortBy=title&ver=28
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55214&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55404&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58977&articleStatus=all&bc=3&sortBy=title&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58362&articleStatus=all&bc=3&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59466&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=7
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56748&ver=29
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=112&NCDver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59070&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57928&articleStatus=all&bc=3&sortBy=title&ver=6

…and more — 925 pages total ([download CSV](csv/alfa__sia-r14.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77

---

## Images must have alternative text (WCAG 1.1.1)

**Bug ID:** `VS-0c1da6a1`  
**Pattern ID:** `VS-9074b4dd`  
**URL:** https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html  
**XPath / selector:** `img[src$="cms-site-logo.png"]`  
**WCAG SC:** 1.1.1 — Non-text Content (Level A)  
**Rule:** axe-core — `image-alt` ([reference](https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 32 instances; 32 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<img src="cms-site-logo.png">
```

### Description
Images must have alternative text. Detected by axe-core rule image-alt on 32 of 8040 scanned pages (32 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html.
2. Locate the element: img[src$="cms-site-logo.png"]
3. Confirm the axe-core finding for rule image-alt against WCAG 1.1.1 Non-text Content.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0136.html
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0007.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0728.html
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0387.html
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0559.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P2168.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P2170.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0190.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0203.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0456.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0020.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0402.html
- http://www.cms.gov/priorities/electronic-prior-authorization/overview
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0398.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0092.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0026.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0024.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0019.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0372.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0226.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0754.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0692.html
- http://www.cms.gov/icd10m/version39.1-fullcode-cms/fullcode_cms/P0390.html

…and more — 32 pages total ([download CSV](csv/axe-core__image-alt.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Give every <img> a meaningful alt attribute. Use alt="" only for decorative images so screen readers skip them.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI

### Example pages
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0136.html

---

## Image has accessible name (WCAG 1.1.1)

**Bug ID:** `VS-2b665d7b`  
**Pattern ID:** `VS-a24eaa8c`  
**URL:** https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html  
**XPath / selector:** `<img src="cms-site-logo.png">`  
**WCAG SC:** 1.1.1 — Non-text Content (Level A)  
**Rule:** Siteimprove Alfa — `sia-r2` ([reference](https://alfa.siteimprove.com/rules/sia-r2))  
**Severity:** Moderate  
**Frequency:** 14 instances; 14 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 14 of 8040 scanned pages (14 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html.
2. Locate the element: <img src="cms-site-logo.png">
3. Confirm the Siteimprove Alfa finding for rule sia-r2 against WCAG 1.1.1 Non-text Content.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0136.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0728.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P2170.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0203.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0456.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0020.html
- http://www.cms.gov/priorities/electronic-prior-authorization/overview
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0398.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0372.html
- http://www.cms.gov/icd10m/version39.1-fullcode-cms/fullcode_cms/P0390.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0026.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0342.html

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Give every <img> an accessible name (alt text), or alt="" if purely decorative.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2

### Example pages
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0136.html

---

## <ul> and <ol> must only directly contain <li>, <script> or <template> elements (WCAG 1.3.1)

**Bug ID:** `VS-01646eff`  
**Pattern ID:** `VS-a0bdbdf6`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77  
**XPath / selector:** `ul[type="disc"]:nth-child(3)`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `list` ([reference](https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1030 instances; 372 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<ul type="disc">
```

### Description
<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 372 of 8040 scanned pages (1030 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77.
2. Locate the element: ul[type="disc"]:nth-child(3)
3. Confirm the axe-core finding for rule list against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54472&articleStatus=all&bc=3&sortBy=title&ver=30
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56410&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55596&articleStatus=all&bc=3&sortBy=title&ver=13
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53066&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=97
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=N
- http://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A81&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54283&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56410&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38629&lcdStatus=all&sortBy=title&ver=5
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58362&articleStatus=all&bc=3&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57455&articleStatus=all&bc=3&sortBy=title&ver=23
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54194&articleStatus=all&bc=3&sortBy=title&ver=23
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39856&ver=3
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=topic%3A111&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38506&lcdStatus=all&sortBy=title&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33689&lcdStatus=all&sortBy=title&ver=17
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59268&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=27
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A46&f%5B1%5D=topic%3A161&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39027&lcdStatus=all&sortBy=title&ver=5
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57238&articleStatus=all&bc=3&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56638&articleStatus=all&bc=3&sortBy=title&ver=37
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A231&items_per_page=10&page=2&sort_by=search_api_relevance&sort_order=DESC
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52464&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=65

…and more — 372 pages total ([download CSV](csv/axe-core__list.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Use <ul>/<ol> with only <li> children for lists; don't fake lists with <div>s.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54472&articleStatus=all&bc=3&sortBy=title&ver=30
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56410&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6

---

## Table cell headers attributes must refer to other <th> elements in the same tabl (WCAG 1.3.1)

**Bug ID:** `VS-92a68d86`  
**Pattern ID:** `VS-07ba3b17`  
**URL:** https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?page=1  
**XPath / selector:** `.MsoTableGrid`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `td-headers-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 12 instances; 12 of 8040 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W26 (2 weeks)

### HTML snippet
```html
<table class="MsoTableGrid">
```

### Description
Table cell headers attributes must refer to other <th> elements in the same tabl. Detected by axe-core rule td-headers-attr on 12 of 8040 scanned pages (12 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?page=1.
2. Locate the element: .MsoTableGrid
3. Confirm the axe-core finding for rule td-headers-attr against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?page=1
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=16&sort=desc
- https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_pe_number&page=4&sort=asc
- https://cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_subject_formatted&page=0&sort=desc
- https://cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=0&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?page=14
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_cr_number&sort=asc
- https://cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=16&sort=asc
- https://cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?page=14
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=16&sort=asc
- https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_release_date&page=2&sort=asc

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Associate data cells with their headers correctly using headers/id or scope.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI

### Example pages
- https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?page=1
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=16&sort=desc
- https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_pe_number&page=4&sort=asc

---

## <li> elements must be contained in a <ul> or <ol> (WCAG 1.3.1)

**Bug ID:** `VS-b26e7845`  
**Pattern ID:** `VS-6175596b`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=N  
**XPath / selector:** `div > li:nth-child(1)`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `listitem` ([reference](https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 242 instances; 11 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<li>The patient exhibits hypercapnia as demonstrated by PaCO2 ≥ 52 mmHg by arterial blood gas during awake hours while breathing his/her prescribed FiO2; <strong><em>and</em></strong>

</li>
```

### Description
<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 11 of 8040 scanned pages (242 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=N.
2. Locate the element: div > li:nth-child(1)
3. Confirm the axe-core finding for rule listitem against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=317&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=1&mcdid=35&sortBy=title&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=255
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAAAAAAAEAAA&NCAId=56&proposed=N&ver=&viewAMA=Y
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=291&proposed=N&sortBy=status&status=all
- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Quality-Programs
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=Y
- https://cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=35&sortBy=title&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=289&proposed=Y&sortBy=relevance
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=289&proposed=Y

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** <li> must be inside a <ul> or <ol>.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=317&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=1&mcdid=35&sortBy=title&status=all

---

## <dl> elements must only directly contain properly-ordered <dt> and <dd> groups,  (WCAG 1.3.1)

**Bug ID:** `VS-af42677e`  
**Pattern ID:** `VS-4bcaa7bf`  
**URL:** https://cms.gov/training-education/partner-outreach-resources/american-indian/alaska-native/behavioral-health/substance-use-disorders  
**XPath / selector:** `.ds-l-col--12 > dl`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `definition-list` ([reference](https://dequeuniversity.com/rules/axe/4.12/definition-list?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 2 instances; 2 of 8040 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W26 (2 weeks)

### HTML snippet
```html
<dl><dt><p>What you can do if you think someone has an addiction?</p></dt></dl>
```

### Description
<dl> elements must only directly contain properly-ordered <dt> and <dd> groups, . Detected by axe-core rule definition-list on 2 of 8040 scanned pages (2 instances).

### Steps to reproduce
1. Open https://cms.gov/training-education/partner-outreach-resources/american-indian/alaska-native/behavioral-health/substance-use-disorders.
2. Locate the element: .ds-l-col--12 > dl
3. Confirm the axe-core finding for rule definition-list against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://cms.gov/training-education/partner-outreach-resources/american-indian/alaska-native/behavioral-health/substance-use-disorders
- https://www.cms.gov/training-education/partner-outreach-resources/american-indian/alaska-native/behavioral-health/substance-use-disorders

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/definition-list?application=axeAPI

### Example pages
- https://cms.gov/training-education/partner-outreach-resources/american-indian/alaska-native/behavioral-health/substance-use-disorders
- https://www.cms.gov/training-education/partner-outreach-resources/american-indian/alaska-native/behavioral-health/substance-use-disorders

---

## Element has required aria-owns (WCAG 1.3.1)

**Bug ID:** `VS-2f00f82b`  
**Pattern ID:** `VS-4408605e`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55531&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28  
**XPath / selector:** `<th scope="col">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r46` ([reference](https://alfa.siteimprove.com/rules/sia-r46))  
**Severity:** Moderate  
**Frequency:** 239 instances; 135 of 8040 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W26 (2 weeks)

### Description
Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 135 of 8040 scanned pages (239 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55531&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28.
2. Locate the element: <th scope="col">
3. Confirm the Siteimprove Alfa finding for rule sia-r46 against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55531&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53134&articleStatus=all&bc=3&sortBy=title&ver=84
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58362&articleStatus=all&bc=3&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57948&articleStatus=all&bc=3&sortBy=title&ver=38
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57238&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59668&ver=8
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57204&articleStatus=all&bc=3&sortBy=title&ver=45
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58578&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59915&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58428&articleStatus=all&bc=3&sortBy=title&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57149&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57113&articleStatus=all&bc=3&sortBy=title&ver=44
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57132&articleStatus=all&bc=3&sortBy=title&ver=19
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56394&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=27
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57450&articleStatus=all&bc=3&sortBy=title&ver=14
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59634&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57184&articleStatus=all&bc=3&sortBy=title&ver=22
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55029&articleStatus=all&bc=3&sortBy=title&ver=36
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53558&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=29
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56452&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=21
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59249&articleStatus=all&bc=3&sortBy=title&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55937&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=46
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57193&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=30
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57195&articleStatus=all&bc=3&sortBy=title&ver=29

…and more — 135 pages total ([download CSV](csv/alfa__sia-r46.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r46

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55531&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53134&articleStatus=all&bc=3&sortBy=title&ver=84
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58362&articleStatus=all&bc=3&sortBy=title&ver=10

---

## Presentational children of an element are not focusable (WCAG 1.3.1)

**Bug ID:** `VS-53bbf759`  
**Pattern ID:** `VS-d6097011`  
**URL:** https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38047&lcdStatus=all&sortBy=title  
**XPath / selector:** `<tfoot>`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r68` ([reference](https://alfa.siteimprove.com/rules/sia-r68))  
**Severity:** Moderate  
**Frequency:** 376 instances; 120 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 120 of 8040 scanned pages (376 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38047&lcdStatus=all&sortBy=title.
2. Locate the element: <tfoot>
3. Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38047&lcdStatus=all&sortBy=title
- https://cms.gov/priorities/innovation/where-innovation-happening
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58362&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39856&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57849&articleStatus=all&bc=3&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56340&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&sortBy=relevance&ver=32
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=36951&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55657&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- http://www.cms.gov/medical-bill-rights/know-your-rights/no-insurance
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34163&lcdStatus=all&sortBy=title&ver=33
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=285&sortBy=relevance
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56343&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&sortBy=relevance&ver=14
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58321&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=7
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52474&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=40
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39987&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57193&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=30
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54196&articleStatus=all&bc=3&sortBy=title&ver=20
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57894&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/reports/national-coverage-medicare-coverage-documents-report.aspx?docTypeId=1
- http://www.cms.gov/priorities/innovation/where-innovation-happening
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=143&sortBy=status&status=all
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57070&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=16
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34090&lcdStatus=all&sortBy=title

…and more — 120 pages total ([download CSV](csv/alfa__sia-r68.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68

### Example pages
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38047&lcdStatus=all&sortBy=title
- https://cms.gov/priorities/innovation/where-innovation-happening
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html

---

## Element has required owned roles (WCAG 1.3.1)

**Bug ID:** `VS-a62c6139`  
**Pattern ID:** `VS-3c632d31`  
**URL:** https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html  
**XPath / selector:** `<h1>`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r64` ([reference](https://alfa.siteimprove.com/rules/sia-r64))  
**Severity:** Moderate  
**Frequency:** 22 instances; 22 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 22 of 8040 scanned pages (22 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html.
2. Locate the element: <h1>
3. Confirm the Siteimprove Alfa finding for rule sia-r64 against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0136.html
- https://www.cms.gov/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/quality-improvement-interventions
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0728.html
- https://www.cms.gov/medicare/quality/nursing-home-improvement/announcements
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P2170.html
- https://cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0203.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0456.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0020.html
- https://cms.gov/priorities/medicare-prescription-drug-affordability/overview/medicare-drug-price-negotiation-program/pharmacy-dispensing-entity-resources
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0398.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59487&articleStatus=all&bc=3&sortBy=title&ver=14
- https://www.cms.gov/newsroom/press-releases/medicare-demonstration-project-pays-flu-medicines
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0372.html
- https://www.cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/annual-wellness-visits
- http://www.cms.gov/icd10m/version39.1-fullcode-cms/fullcode_cms/P0390.html
- https://www.cms.gov/medicare/appeals-grievances/fee-for-service/second-level-appeal
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0026.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59480&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0342.html

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r64

### Example pages
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0136.html

---

## Table cell has header (WCAG 1.3.1)

**Bug ID:** `VS-dafb08f3`  
**Pattern ID:** `VS-3f067795`  
**URL:** https://www.cms.gov/medicare-coverage-database/reports/national-coverage-medicare-coverage-documents-report.aspx?docTypeId=1  
**XPath / selector:** `<td data-exclude="true" class="row-basket">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r77` ([reference](https://alfa.siteimprove.com/rules/sia-r77))  
**Severity:** Moderate  
**Frequency:** 44 instances; 6 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 6 of 8040 scanned pages (44 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/reports/national-coverage-medicare-coverage-documents-report.aspx?docTypeId=1.
2. Locate the element: <td data-exclude="true" class="row-basket">
3. Confirm the Siteimprove Alfa finding for rule sia-r77 against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/medicare-coverage-database/reports/national-coverage-medicare-coverage-documents-report.aspx?docTypeId=1
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55659&articleStatus=all&bc=3&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=17&proposed=N&sortBy=status&status=all
- https://cms.gov/medicare-coverage-database/reports/national-coverage-medicare-coverage-documents-report.aspx?docTypeId=-1
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=304&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36889&lcdStatus=all&sortBy=title&ver=25

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r77

### Example pages
- https://www.cms.gov/medicare-coverage-database/reports/national-coverage-medicare-coverage-documents-report.aspx?docTypeId=1
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55659&articleStatus=all&bc=3&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=17&proposed=N&sortBy=status&status=all

---

## Element in required WAI-ARIA context role (WCAG 1.3.1)

**Bug ID:** `VS-508e04ce`  
**Pattern ID:** `VS-0ddc2ac6`  
**URL:** https://cms.gov/  
**XPath / selector:** `<button type="button" id="trigger-tabs-1956102436" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r42` ([reference](https://alfa.siteimprove.com/rules/sia-r42))  
**Severity:** Moderate  
**Frequency:** 17 instances; 4 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (2 weeks)

### Description
Element in required WAI-ARIA context role. Detected by Siteimprove Alfa rule sia-r42 on 4 of 8040 scanned pages (17 instances).

### Steps to reproduce
1. Open https://cms.gov/.
2. Locate the element: <button type="button" id="trigger-tabs-1956102436" aria-expanded="false" class="responsive-tabs__tab-button--mobile ds-u-display--flex">
3. Confirm the Siteimprove Alfa finding for rule sia-r42 against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://cms.gov/
- https://www.cms.gov/
- http://www.cms.gov/priorities/innovation/overview
- http://www.cms.gov/home/medicare.asp

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r42

### Example pages
- https://cms.gov/
- https://www.cms.gov/
- http://www.cms.gov/priorities/innovation/overview

---

## aria-hidden element is not exposed to assistive technology (WCAG 1.3.1)

**Bug ID:** `VS-755dd1b6`  
**Pattern ID:** `VS-9207ed51`  
**URL:** https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_subject_formatted&page=0&sort=desc  
**XPath / selector:** `@headers="view-field-dyna-subject-formatted-table-column"`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r45` ([reference](https://alfa.siteimprove.com/rules/sia-r45))  
**Severity:** Moderate  
**Frequency:** 492 instances; 4 of 8040 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W26 (1 week)

### Description
aria-hidden element is not exposed to assistive technology. Detected by Siteimprove Alfa rule sia-r45 on 4 of 8040 scanned pages (492 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_subject_formatted&page=0&sort=desc.
2. Locate the element: @headers="view-field-dyna-subject-formatted-table-column"
3. Confirm the Siteimprove Alfa finding for rule sia-r45 against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_subject_formatted&page=0&sort=desc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_cr_number&sort=asc
- https://cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=16&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=16&sort=asc

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r45

### Example pages
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_subject_formatted&page=0&sort=desc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_cr_number&sort=asc
- https://cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=16&sort=asc

---

## Links must be distinguishable without relying on color (WCAG 1.4.1)

**Bug ID:** `VS-e23e8742`  
**Pattern ID:** `VS-8ade3360`  
**URL:** https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58238&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6  
**XPath / selector:** `ul:nth-child(17) > li:nth-child(2) > a`  
**WCAG SC:** 1.4.1 — Use of Color (Level A)  
**Rule:** axe-core — `link-in-text-block` ([reference](https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 826 instances; 318 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<a href="https://nam04.safeli...">
```

### Description
Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 318 of 8040 scanned pages (826 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58238&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6.
2. Locate the element: ul:nth-child(17) > li:nth-child(2) > a
3. Confirm the axe-core finding for rule link-in-text-block against WCAG 1.4.1 Use of Color.

### Impact
Affects Without color perception (4.5%), Limited vision (2.4%).
- **Without color perception** (4.5% of population)
- **Limited vision** (2.4% of population)

### Affected pages
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58238&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56034&articleStatus=all&bc=3&sortBy=title&ver=42
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38629&lcdStatus=all&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36906&lcdStatus=all&sortBy=title&ver=20
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=287&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39856&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38506&lcdStatus=all&sortBy=title&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36815&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38623&lcdStatus=all&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33370&ver=55
- https://cms.gov/medicare-coverage-database/view/cal.aspx?bc=17&calid=183&ncacaldoctype=all&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40197&lcdStatus=all&sortBy=title&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39027&lcdStatus=all&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=40188&proposedStatus=all&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40189&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35498&lcdStatus=all&sortBy=title&ver=30
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55932&articleStatus=all&bc=3&sortBy=title&ver=19
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=43
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39908&ver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39799&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36692&lcdStatus=all&sortBy=title&ver=24
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37792&lcdStatus=all&sortBy=title&ver=16
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40141&proposedStatus=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38435&lcdStatus=all&sortBy=title&ver=10

…and more — 318 pages total ([download CSV](csv/axe-core__link-in-text-block.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI

### Example pages
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58238&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56034&articleStatus=all&bc=3&sortBy=title&ver=42

---

## Link in text block is visually distinguishable without color (WCAG 1.4.1)

**Bug ID:** `VS-92d9b3b4`  
**Pattern ID:** `VS-efd91fdd`  
**URL:** https://www.cms.gov/newsroom/press-kit  
**XPath / selector:** `<a href="https://data.cms.gov/fact-sheet/cms-fast-facts" data-once="linkMatch">`  
**WCAG SC:** 1.4.1 — Use of Color (Level A)  
**Rule:** Siteimprove Alfa — `sia-r62` ([reference](https://alfa.siteimprove.com/rules/sia-r62))  
**Severity:** Moderate  
**Frequency:** 10 instances; 10 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 10 of 8040 scanned pages (10 instances).

### Steps to reproduce
1. Open https://www.cms.gov/newsroom/press-kit.
2. Locate the element: <a href="https://data.cms.gov/fact-sheet/cms-fast-facts" data-once="linkMatch">
3. Confirm the Siteimprove Alfa finding for rule sia-r62 against WCAG 1.4.1 Use of Color.

### Impact
Affects Without color perception (4.5%), Limited vision (2.4%).
- **Without color perception** (4.5% of population)
- **Limited vision** (2.4% of population)

### Affected pages
- https://www.cms.gov/newsroom/press-kit
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59894&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60191&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54791&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58592&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=19
- https://www.cms.gov/medicare-coverage-database/overview-and-quick-search.aspx
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59751&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57478&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=40
- https://cms.gov/newsroom/press-contacts

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Make links visually distinguishable from surrounding text (not by color alone).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62

### Example pages
- https://www.cms.gov/newsroom/press-kit
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59894&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60191&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6

---

## Keyboard (WCAG 2.1.1)

**Bug ID:** `VS-b7b126f7`  
**Pattern ID:** `VS-58346bcf`  
**URL:** https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html  
**XPath / selector:** `<div class="textlib-content-wrap" data-accepts="events" style="height: 100%; overflow: auto; pointer-events: none; display: flex; justify-content: flex-start; flex-direction: column; white-space: nowr`  
**WCAG SC:** 2.1.1 — Keyboard (Level A)  
**Rule:** Siteimprove Alfa — `sia-r84` ([reference](https://alfa.siteimprove.com/rules/sia-r84))  
**Severity:** Moderate  
**Frequency:** 3 instances; 1 of 8040 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W26 (1 week)

### Description
Keyboard. Detected by Siteimprove Alfa rule sia-r84 on 1 of 8040 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html.
2. Locate the element: <div class="textlib-content-wrap" data-accepts="events" style="height: 100%; overflow: auto; pointer-events: none; display: flex; justify-content: flex-start; flex-direction: column; white-space: nowr
3. Confirm the Siteimprove Alfa finding for rule sia-r84 against WCAG 2.1.1 Keyboard.

### Impact
Affects Without vision (1.0%), Limited manipulation/strength (13.0%), Limited reach (2.0%).
- **Without vision** (1.0% of population)
- **Limited manipulation/strength** (13.0% of population)
- **Limited reach** (2.0% of population)

### Affected pages
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r84

---

## Links must have discernible text (WCAG 2.4.4)

**Bug ID:** `VS-6a6fdf25`  
**Pattern ID:** `VS-e9fe47ac`  
**URL:** https://www.cms.gov/medicare/medicaid-coordination/about/dsnps  
**XPath / selector:** `a[data-entity-type="media"][data-entity-substitution="canonical"][data-once="linkMatch"]:nth-child(5)`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** axe-core — `link-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 24 instances; 13 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<a data-entity-type="media" data-entity-uuid="c3d790c3-6ce7-4c9e-8624-03b88a3cb6ff" data-entity-substitution="canonical" href="/files/document/dsnpcoveragedecisionlettermemocy2024.pdf" data-once="link
```

### Description
Links must have discernible text. Detected by axe-core rule link-name on 13 of 8040 scanned pages (24 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare/medicaid-coordination/about/dsnps.
2. Locate the element: a[data-entity-type="media"][data-entity-substitution="canonical"][data-once="linkMatch"]:nth-child(5)
3. Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context).

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
- https://www.cms.gov/priorities/burden-reduction/overview/customer-engagement/accountable-care-organization-aco-engagement
- https://www.cms.gov/initiatives/innovation-center/value-based-care-spotlight/basics-value-based-care/value-based-care-social-media-toolkits/value-based-care-toolkit-health-literacy-month
- http://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=317&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=1&mcdid=35&sortBy=title&status=all
- https://cms.gov/medicare/appeals-grievances/fee-for-service/fourth-level-appeal
- https://cms.gov/data-research/cms-data/learn-more-about-cms-data
- https://cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital
- https://cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=35&sortBy=title&status=all
- https://www.cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medical-review-education/hospice
- https://www.cms.gov/about-cms/what-we-do/emergency-response/current-emergencies/ongoing-emergencies
- https://cms.gov/medicare/enrollment-renewal/providers-suppliers/hospitals-center

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Give the link discernible text. Avoid empty links and icon-only links without an aria-label.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI

### Example pages
- https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
- https://www.cms.gov/priorities/burden-reduction/overview/customer-engagement/accountable-care-organization-aco-engagement
- https://www.cms.gov/initiatives/innovation-center/value-based-care-spotlight/basics-value-based-care/value-based-care-social-media-toolkits/value-based-care-toolkit-health-literacy-month

---

## Link has accessible name (WCAG 2.4.4)

**Bug ID:** `VS-e29a663c`  
**Pattern ID:** `VS-28ebd979`  
**URL:** http://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital  
**XPath / selector:** `<a href="/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2026-ipps-proposed-rule-home-page" data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="e2075c13`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** Siteimprove Alfa — `sia-r11` ([reference](https://alfa.siteimprove.com/rules/sia-r11))  
**Severity:** Moderate  
**Frequency:** 10 instances; 7 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 7 of 8040 scanned pages (10 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital.
2. Locate the element: <a href="/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2026-ipps-proposed-rule-home-page" data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="e2075c13
3. Confirm the Siteimprove Alfa finding for rule sia-r11 against WCAG 2.4.4 Link Purpose (In Context).

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- http://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital
- https://cms.gov/medicare/appeals-grievances/fee-for-service/fourth-level-appeal
- https://cms.gov/data-research/cms-data/learn-more-about-cms-data
- https://cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=35&sortBy=title&status=all
- https://www.cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medical-review-education/hospice
- https://www.cms.gov/about-cms/what-we-do/emergency-response/current-emergencies/ongoing-emergencies
- https://cms.gov/medicare/enrollment-renewal/providers-suppliers/hospitals-center

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Give the link an accessible name via text content or aria-label.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r11

### Example pages
- http://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital
- https://cms.gov/medicare/appeals-grievances/fee-for-service/fourth-level-appeal
- https://cms.gov/data-research/cms-data/learn-more-about-cms-data

---

## <html> element must have a lang attribute (WCAG 3.1.1)

**Bug ID:** `VS-413eb778`  
**Pattern ID:** `VS-c126b6a6`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html  
**XPath / selector:** `html`  
**WCAG SC:** 3.1.1 — Language of Page (Level A)  
**Rule:** axe-core — `html-has-lang` ([reference](https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 146 instances; 146 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<html>
```

### Description
<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 146 of 8040 scanned pages (146 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html.
2. Locate the element: html
3. Confirm the axe-core finding for rule html-has-lang against WCAG 3.1.1 Language of Page.

### Impact
Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0332.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0203.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0190.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0162.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0285.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0699.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0891.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0045.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0109.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0210.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0320.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0182.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0136.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0314.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0208.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0054.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0338.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0364.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0369.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0070.html

…and more — 146 pages total ([download CSV](csv/axe-core__html-has-lang.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Add a lang attribute to <html> (e.g. lang="en").

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html

---

## Document has a valid lang attribute (WCAG 3.1.1)

**Bug ID:** `VS-b913f1a1`  
**Pattern ID:** `VS-7a0e5645`  
**URL:** https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html  
**XPath / selector:** `<html>`  
**WCAG SC:** 3.1.1 — Language of Page (Level A)  
**Rule:** Siteimprove Alfa — `sia-r4` ([reference](https://alfa.siteimprove.com/rules/sia-r4))  
**Severity:** Moderate  
**Frequency:** 72 instances; 72 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 72 of 8040 scanned pages (72 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html.
2. Locate the element: <html>
3. Confirm the Siteimprove Alfa finding for rule sia-r4 against WCAG 3.1.1 Language of Page.

### Impact
Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0162.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0285.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0699.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0891.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0045.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0109.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0320.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0182.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0136.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0338.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0364.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0369.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0070.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0322.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0270.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0286.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0359.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0584.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0116.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0349.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0157.html

…and more — 72 pages total ([download CSV](csv/alfa__sia-r4.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Add a valid lang attribute to <html>.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r4

### Example pages
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html

---

## Form elements must have labels (WCAG 4.1.2)

**Bug ID:** `VS-5237644c`  
**Pattern ID:** `VS-fafffee0`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html  
**XPath / selector:** `#q`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `label` ([reference](https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 116 instances; 116 of 8040 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W26 (1 week)

### HTML snippet
```html
<input type="text" name="q" id="q" value="Search now" size="10" maxlength="50" class="srchbox" onfocus="this.value='';">
```

### Description
Form elements must have labels. Detected by axe-core rule label on 116 of 8040 scanned pages (116 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html.
2. Locate the element: #q
3. Confirm the axe-core finding for rule label against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0332.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0203.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0190.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0162.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0285.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0699.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0891.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0045.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0109.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0210.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0320.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0182.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0314.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0208.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0054.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0338.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0364.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0369.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0070.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0322.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0270.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0286.html

…and more — 116 pages total ([download CSV](csv/axe-core__label.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Associate every form control with a <label> (via for/id) or an aria-label/aria-labelledby.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0332.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html

---

## Select element must have an accessible name (WCAG 4.1.2)

**Bug ID:** `VS-d5a95a4f`  
**Pattern ID:** `VS-fab92378`  
**URL:** https://cms.gov/priorities/innovation/where-innovation-happening  
**XPath / selector:** `#state-code-select`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `select-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 3 instances; 3 of 8040 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W26 (1 week)

### HTML snippet
```html
<select id="state-code-select" class="form-select ds-c-field">
```

### Description
Select element must have an accessible name. Detected by axe-core rule select-name on 3 of 8040 scanned pages (3 instances).

### Steps to reproduce
1. Open https://cms.gov/priorities/innovation/where-innovation-happening.
2. Locate the element: #state-code-select
3. Confirm the axe-core finding for rule select-name against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://cms.gov/priorities/innovation/where-innovation-happening
- http://www.cms.gov/priorities/innovation/where-innovation-happening
- https://cms.gov/priorities/innovation/innovation-models/map

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Give the <select> an accessible name via a <label> or aria-label.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI

### Example pages
- https://cms.gov/priorities/innovation/where-innovation-happening
- http://www.cms.gov/priorities/innovation/where-innovation-happening
- https://cms.gov/priorities/innovation/innovation-models/map

---

## Elements must only use supported ARIA attributes (WCAG 4.1.2)

**Bug ID:** `VS-af819bef`  
**Pattern ID:** `VS-1467ea8a`  
**URL:** https://cms.gov/medicare/health-drug-plans/provider-complaints-form  
**XPath / selector:** `.choices__placeholder`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-allowed-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 1 instances; 1 of 8040 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W26 (2 weeks)

### HTML snippet
```html
<div class="choices__item choices__placeholder choices__item--selectable" data-item="" data-id="1" data-value="" data-custom-properties="[object Object]" aria-selected="true">Start typing to filter li
```

### Description
Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 1 of 8040 scanned pages (1 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare/health-drug-plans/provider-complaints-form.
2. Locate the element: .choices__placeholder
3. Confirm the axe-core finding for rule aria-allowed-attr against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://cms.gov/medicare/health-drug-plans/provider-complaints-form

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Remove ARIA attributes that aren't allowed on this role/element.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI

---

## Buttons must have discernible text (WCAG 4.1.2)

**Bug ID:** `VS-49152d77`  
**Pattern ID:** `VS-e7298c00`  
**URL:** https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html  
**XPath / selector:** `#acc-64SFb4foaYc`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `button-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/button-name?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 1 instances; 1 of 8040 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W26 (1 week)

### HTML snippet
```html
<button class="acc-shadow-el acc-bu..." id="acc-64SFb4foaYc" tabindex="0" data-represents="_player.5itpeIa4V5X...." style="left: 1097px; top: 4..." type="button" data-reactid=".0.0.1.0:$_player=15..."
```

### Description
Buttons must have discernible text. Detected by axe-core rule button-name on 1 of 8040 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html.
2. Locate the element: #acc-64SFb4foaYc
3. Confirm the axe-core finding for rule button-name against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Give the button an accessible name via its text content, aria-label, or aria-labelledby.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/button-name?application=axeAPI

---

## Form field has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-5dcc5773`  
**Pattern ID:** `VS-a48e6078`  
**URL:** https://cms.gov/priorities/innovation/where-innovation-happening  
**XPath / selector:** `<select id="state-code-select" class="form-select ds-c-field">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r8` ([reference](https://alfa.siteimprove.com/rules/sia-r8))  
**Severity:** Moderate  
**Frequency:** 3 instances; 3 of 8040 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W26 (2 weeks)

### Description
Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 3 of 8040 scanned pages (3 instances).

### Steps to reproduce
1. Open https://cms.gov/priorities/innovation/where-innovation-happening.
2. Locate the element: <select id="state-code-select" class="form-select ds-c-field">
3. Confirm the Siteimprove Alfa finding for rule sia-r8 against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://cms.gov/priorities/innovation/where-innovation-happening
- http://www.cms.gov/priorities/innovation/where-innovation-happening
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Associate the form field with a label.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8

### Example pages
- https://cms.gov/priorities/innovation/where-innovation-happening
- http://www.cms.gov/priorities/innovation/where-innovation-happening
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html

---

## aria-hidden element does not contain focusable elements (WCAG 4.1.2)

**Bug ID:** `VS-6fadfa93`  
**Pattern ID:** `VS-f6cf30ff`  
**URL:** https://cms.gov/priorities/innovation/models?stg=Active%2CAnnounced  
**XPath / selector:** `<div id="tooltip-trigger--2" tabindex="-1" class="ds-c-tooltip" data-placement="top">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r17` ([reference](https://alfa.siteimprove.com/rules/sia-r17))  
**Severity:** Moderate  
**Frequency:** 9 instances; 3 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (2 weeks)

### Description
aria-hidden element does not contain focusable elements. Detected by Siteimprove Alfa rule sia-r17 on 3 of 8040 scanned pages (9 instances).

### Steps to reproduce
1. Open https://cms.gov/priorities/innovation/models?stg=Active%2CAnnounced.
2. Locate the element: <div id="tooltip-trigger--2" tabindex="-1" class="ds-c-tooltip" data-placement="top">
3. Confirm the Siteimprove Alfa finding for rule sia-r17 against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://cms.gov/priorities/innovation/models?stg=Active%2CAnnounced
- http://www.cms.gov/priorities/innovation/models
- https://cms.gov/priorities/innovation/models

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r17

### Example pages
- https://cms.gov/priorities/innovation/models?stg=Active%2CAnnounced
- http://www.cms.gov/priorities/innovation/models
- https://cms.gov/priorities/innovation/models

---

## Button has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-a8adb437`  
**Pattern ID:** `VS-29f9f921`  
**URL:** https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html  
**XPath / selector:** `<button class="acc-shadow-el acc-button" id="acc-64SFb4foaYc" tabindex="0" data-represents="_player.5itpeIa4V5X.6hXpE37gfDC.64SFb4foaYc.64SFb4foaYc">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r12` ([reference](https://alfa.siteimprove.com/rules/sia-r12))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 8040 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W26 (2 weeks)

### Description
Button has accessible name. Detected by Siteimprove Alfa rule sia-r12 on 1 of 8040 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html.
2. Locate the element: <button class="acc-shadow-el acc-button" id="acc-64SFb4foaYc" tabindex="0" data-represents="_player.5itpeIa4V5X.6hXpE37gfDC.64SFb4foaYc.64SFb4foaYc">
3. Confirm the Siteimprove Alfa finding for rule sia-r12 against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Give the button an accessible name via text, aria-label, or aria-labelledby.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r12

---

## Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)

**Bug ID:** `VS-0008df85`  
**Pattern ID:** `VS-be8d563e`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=380&ncdver=1  
**XPath / selector:** `#lblItemServiceDescription > font > em > p:nth-child(1) > strong`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** axe-core — `color-contrast` ([reference](https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 430 instances; 31 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<strong>A. General</strong>
```

### Description
Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 31 of 8040 scanned pages (430 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=380&ncdver=1.
2. Locate the element: #lblItemServiceDescription > font > em > p:nth-child(1) > strong
3. Confirm the axe-core finding for rule color-contrast against WCAG 1.4.3 Contrast (Minimum).

### Impact
Affects Limited vision (2.4%), Without color perception (4.5%).
- **Limited vision** (2.4% of population)
- **Without color perception** (4.5% of population)

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=380&ncdver=1
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=N
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33370&ver=55
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&ver=19
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37899&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37903&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33803
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=72
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52521&articleStatus=all&bc=3&sortBy=title&ver=55
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P2168.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P2170.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37897&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=317&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0402.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33370&ver=49
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=285&proposed=N&sortBy=relevance
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0092.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56190&articleStatus=all&bc=3&sortBy=title&ver=3
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=291&proposed=N&sortBy=status&status=all
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52489&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=24
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37897&lcdStatus=all&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=39936&proposedStatus=all&sortBy=title&ver=14
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0754.html

…and more — 31 pages total ([download CSV](csv/axe-core__color-contrast.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=380&ncdver=1
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=N
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26

---

## Text has sufficient color contrast (Enhanced) (WCAG 1.4.3)

**Bug ID:** `VS-b05a1fa2`  
**Pattern ID:** `VS-f7e99f4b`  
**URL:** https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26  
**XPath / selector:** `text: "Column I"`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r69` ([reference](https://alfa.siteimprove.com/rules/sia-r69))  
**Severity:** Moderate  
**Frequency:** 106 instances; 13 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 13 of 8040 scanned pages (106 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26.
2. Locate the element: text: "Column I"
3. Confirm the Siteimprove Alfa finding for rule sia-r69 against WCAG 1.4.3 Contrast (Minimum).

### Impact
Affects Limited vision (2.4%), Without color perception (4.5%).
- **Limited vision** (2.4% of population)
- **Without color perception** (4.5% of population)

### Affected pages
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33370&ver=55
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37899&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37903&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39475&lcdStatus=all&sortBy=title&ver=7
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=72
- https://www.cms.gov/priorities/innovation/innovation-models/maternal-opioid-misuse-model
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33370&ver=49
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52489&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=24
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=39936&proposedStatus=all&sortBy=title&ver=14
- http://www.cms.gov/priorities/innovation/innovation-models/chart-model
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56233&articleStatus=all&bc=3&sortBy=title&ver=5
- https://www.cms.gov/data-research/statistics-trends-reports/next-generation-aco-model-ngaco-public-use-files

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69

### Example pages
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33370&ver=55
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37899&lcdStatus=all&sortBy=title&ver=14

---

## Zooming and scaling must not be disabled (WCAG 1.4.4)

**Bug ID:** `VS-85ba697f`  
**Pattern ID:** `VS-6c86a43a`  
**URL:** https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html  
**XPath / selector:** `meta[name="viewport"]`  
**WCAG SC:** 1.4.4 — Resize Text (Level AA)  
**Rule:** axe-core — `meta-viewport` ([reference](https://dequeuniversity.com/rules/axe/4.12/meta-viewport?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<meta name="viewport" content="width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui">
```

### Description
Zooming and scaling must not be disabled. Detected by axe-core rule meta-viewport on 2 of 8040 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html.
2. Locate the element: meta[name="viewport"]
3. Confirm the axe-core finding for rule meta-viewport against WCAG 1.4.4 Resize Text.

### Impact
Affects Limited vision (2.4%).
- **Limited vision** (2.4% of population)

### Affected pages
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/PartCOrganizationDetermination/story.html

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Don't disable zoom (user-scalable=no / maximum-scale=1); low-vision users need to zoom.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/meta-viewport?application=axeAPI

### Example pages
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/PartCOrganizationDetermination/story.html

---

## Text is not too small to read (WCAG 1.4.4)

**Bug ID:** `VS-6d1f13cb`  
**Pattern ID:** `VS-3a9437f7`  
**URL:** https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html  
**XPath / selector:** `<meta name="viewport" content="width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui">`  
**WCAG SC:** 1.4.4 — Resize Text (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r47` ([reference](https://alfa.siteimprove.com/rules/sia-r47))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 8040 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W26 (1 week)

### Description
Text is not too small to read. Detected by Siteimprove Alfa rule sia-r47 on 1 of 8040 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html.
2. Locate the element: <meta name="viewport" content="width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui">
3. Confirm the Siteimprove Alfa finding for rule sia-r47 against WCAG 1.4.4 Resize Text.

### Impact
Affects Limited vision (2.4%).
- **Limited vision** (2.4% of population)

### Affected pages
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r47

---

## lang attribute must have a valid value (WCAG 3.1.2)

**Bug ID:** `VS-89a94930`  
**Pattern ID:** `VS-dd1c019f`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14  
**XPath / selector:** `li:nth-child(1) > span[lang="X-NONE"]`  
**WCAG SC:** 3.1.2 — Language of Parts (Level AA)  
**Rule:** axe-core — `valid-lang` ([reference](https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 19 instances; 3 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<span lang="X-NONE">
```

### Description
lang attribute must have a valid value. Detected by axe-core rule valid-lang on 3 of 8040 scanned pages (19 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14.
2. Locate the element: li:nth-child(1) > span[lang="X-NONE"]
3. Confirm the axe-core finding for rule valid-lang against WCAG 3.1.2 Language of Parts.

### Impact
Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings

---

## Element with lang attribute has correct language (WCAG 3.1.2)

**Bug ID:** `VS-2a488f50`  
**Pattern ID:** `VS-400f3a18`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14  
**XPath / selector:** `@lang="X-NONE"`  
**WCAG SC:** 3.1.2 — Language of Parts (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r7` ([reference](https://alfa.siteimprove.com/rules/sia-r7))  
**Severity:** Moderate  
**Frequency:** 19 instances; 3 of 8040 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W26 (1 week)

### Description
Element with lang attribute has correct language. Detected by Siteimprove Alfa rule sia-r7 on 3 of 8040 scanned pages (19 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14.
2. Locate the element: @lang="X-NONE"
3. Confirm the Siteimprove Alfa finding for rule sia-r7 against WCAG 3.1.2 Language of Parts.

### Impact
Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r7

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-75293be4`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter  
**XPath / selector:** `text: "Here's how you know"`  
**WCAG SC:** 1.4.6 — Contrast (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r66` ([reference](https://alfa.siteimprove.com/rules/sia-r66))  
**Severity:** Moderate  
**Frequency:** 4971 instances; 928 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 928 of 8040 scanned pages (4971 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter.
2. Locate the element: text: "Here's how you know"
3. Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced).

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56410&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60430&ver=4
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54399&articleStatus=all&bc=3&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38047&lcdStatus=all&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55531&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53134&articleStatus=all&bc=3&sortBy=title&ver=84
- https://cms.gov/priorities/innovation/where-innovation-happening
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54283&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60181&articleStatus=all&bc=3&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58507&articleStatus=all&bc=3&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54445&ver=27
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56336&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56747&articleStatus=all&bc=3&sortBy=title&ver=28
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55214&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55404&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58977&articleStatus=all&bc=3&sortBy=title&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58362&articleStatus=all&bc=3&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59466&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=7
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56748&ver=29
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=112&NCDver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59070&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4

…and more — 928 pages total ([download CSV](csv/alfa__sia-r66.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Increase text contrast to meet WCAG AAA (7:1).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77

---

## Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)

**Bug ID:** `VS-c73931f8`  
**Pattern ID:** `VS-2208081b`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter  
**XPath / selector:** `<p class="usa-banner__header-text">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r73` ([reference](https://alfa.siteimprove.com/rules/sia-r73))  
**Severity:** Moderate  
**Frequency:** 35419 instances; 2804 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 2804 of 8040 scanned pages (35419 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter.
2. Locate the element: <p class="usa-banner__header-text">
3. Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter
- https://cms.gov/about-cms/contact/database?combinedregionstate=region-All&field_switch=org&order=title&page=1&sort=asc
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A46&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/fact-sheets/medicare-care-choices-model-awards
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2017-transmittals-items/r3929cp
- https://cms.gov/
- https://cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-archive-page/report-congress-medicare-ambulatory-surgical-center-value-based-purchasing-implementation-plan
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A111&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A911&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56410&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r5p243i
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60430&ver=4
- https://www.cms.gov/contacts/wchs-inc/general-beneficiary-contact/1559111
- http://www.cms.gov/medicare/medicaid-coordination/reduce-avoidable-hospitalizations/enhanced-care-coordination-provider-information
- https://cms.gov/medicare/regulations-guidance/transmittals/2025-transmittals/r13471cp
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54399&articleStatus=all&bc=3&sortBy=title&ver=2
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=6&sort=asc
- https://www.cms.gov/about-cms/what-we-do/emergency-response/additional-information-available
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A51&f%5B1%5D=topic%3A126&f%5B2%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38047&lcdStatus=all&sortBy=title
- https://cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/home-health-services
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55531&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28
- https://www.cms.gov/nosurprises/help-resolve-payment-disputes/submit-feedback-on-certified-organizations
- https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-advantagepart-d-contract-and-enrollment-data/special-needs-plan-snp-data/snp-comprehensive-report-2026-05

…and more — 2804 pages total ([download CSV](csv/alfa__sia-r73.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter
- https://cms.gov/about-cms/contact/database?combinedregionstate=region-All&field_switch=org&order=title&page=1&sort=asc
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9

---

## Link is distinguishable without relying on color (WCAG 1.4.8)

**Bug ID:** `VS-76ac29cc`  
**Pattern ID:** `VS-fbf54eba`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter  
**XPath / selector:** `<p class="mb-2">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r74` ([reference](https://alfa.siteimprove.com/rules/sia-r74))  
**Severity:** Moderate  
**Frequency:** 66953 instances; 924 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 924 of 8040 scanned pages (66953 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter.
2. Locate the element: <p class="mb-2">
3. Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56410&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60430&ver=4
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54399&articleStatus=all&bc=3&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38047&lcdStatus=all&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55531&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53134&articleStatus=all&bc=3&sortBy=title&ver=84
- https://cms.gov/priorities/innovation/where-innovation-happening
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54283&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60181&articleStatus=all&bc=3&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58507&articleStatus=all&bc=3&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54445&ver=27
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56336&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56747&articleStatus=all&bc=3&sortBy=title&ver=28
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55214&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55404&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58977&articleStatus=all&bc=3&sortBy=title&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58362&articleStatus=all&bc=3&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59466&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=7
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56748&ver=29
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=112&NCDver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59070&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4

…and more — 924 pages total ([download CSV](csv/alfa__sia-r74.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77

---

## Scrollable element is keyboard accessible (WCAG 1.4.8)

**Bug ID:** `VS-71a06cbd`  
**Pattern ID:** `VS-388b5438`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77  
**XPath / selector:** `<p style="line-height: 15pt;">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r80` ([reference](https://alfa.siteimprove.com/rules/sia-r80))  
**Severity:** Moderate  
**Frequency:** 336 instances; 49 of 8040 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W26 (2 weeks)

### Description
Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 49 of 8040 scanned pages (336 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77.
2. Locate the element: <p style="line-height: 15pt;">
3. Confirm the Siteimprove Alfa finding for rule sia-r80 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59466&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=7
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59350&articleStatus=all&bc=3&sortBy=title&ver=27
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53043&articleStatus=all&bc=3&sortBy=title&ver=16
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56382&articleStatus=all&bc=3&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38288&lcdStatus=all&sortBy=title&ver=11
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57149&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34541&lcdStatus=all&sortBy=title&ver=21
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=40223&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38777&lcdStatus=all&sortBy=title&ver=7
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58021&articleStatus=all&bc=3&sortBy=title&ver=11
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58168&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=33
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57868&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38953&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39840&lcdStatus=all&sortBy=title&ver=14
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=72
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=40362&proposedStatus=all&sortBy=title&ver=4
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58743&articleStatus=all&bc=3&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39242&lcdStatus=all&sortBy=title&ver=8
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58343&articleStatus=all&bc=3&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38249&lcdStatus=all&sortBy=title&ver=21
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58788&ver=16
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52509&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=68

…and more — 49 pages total ([download CSV](csv/alfa__sia-r80.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r80

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59466&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=7

---

## iframe element is not empty (WCAG 1.4.8)

**Bug ID:** `VS-1cfc9bbe`  
**Pattern ID:** `VS-48291402`  
**URL:** https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56410&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6  
**XPath / selector:** `<p style="text-align: justify; line-height: normal;">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r71` ([reference](https://alfa.siteimprove.com/rules/sia-r71))  
**Severity:** Moderate  
**Frequency:** 1707 instances; 44 of 8040 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W26 (2 weeks)

### Description
iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 44 of 8040 scanned pages (1707 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56410&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6.
2. Locate the element: <p style="text-align: justify; line-height: normal;">
3. Confirm the Siteimprove Alfa finding for rule sia-r71 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56410&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59070&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39856&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=40260&proposedStatus=all&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39276&lcdStatus=all&sortBy=title&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57149&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57868&ver=4
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56215&articleStatus=all&bc=3&sortBy=title&ver=5
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59651&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59079&articleStatus=all&bc=3&sortBy=title&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59656&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39836&lcdStatus=all&sortBy=title&ver=8
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56215&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=5
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59017&articleStatus=all&bc=3&sortBy=title&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59005&articleStatus=all&bc=3&sortBy=title&ver=8
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58928&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39242&lcdStatus=all&sortBy=title&ver=8
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38026&lcdStatus=all&sortBy=title&ver=28
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39835&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59005&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=8
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39835&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59007&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58028&articleStatus=all&bc=3&sortBy=title&ver=23
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59441&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4

…and more — 44 pages total ([download CSV](csv/alfa__sia-r71.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r71

### Example pages
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56410&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59070&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39856&ver=3

---

## Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)

**Bug ID:** `VS-870c7ea3`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter  
**XPath / selector:** `<a href="https://www.cms.gov" rel="noopener noreferrer" title="CMS.gov Centers for Medicare & Medicaid Services">`  
**WCAG SC:** 2.5.5 — Target Size (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r111` ([reference](https://alfa.siteimprove.com/rules/sia-r111))  
**Severity:** Moderate  
**Frequency:** 104750 instances; 2812 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 2812 of 8040 scanned pages (104750 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter.
2. Locate the element: <a href="https://www.cms.gov" rel="noopener noreferrer" title="CMS.gov Centers for Medicare & Medicaid Services">
3. Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced).

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter
- https://cms.gov/about-cms/contact/database?combinedregionstate=region-All&field_switch=org&order=title&page=1&sort=asc
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A46&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/fact-sheets/medicare-care-choices-model-awards
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2017-transmittals-items/r3929cp
- https://cms.gov/
- https://cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-archive-page/report-congress-medicare-ambulatory-surgical-center-value-based-purchasing-implementation-plan
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A111&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A911&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56410&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r5p243i
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60430&ver=4
- https://www.cms.gov/contacts/wchs-inc/general-beneficiary-contact/1559111
- http://www.cms.gov/medicare/medicaid-coordination/reduce-avoidable-hospitalizations/enhanced-care-coordination-provider-information
- https://cms.gov/medicare/regulations-guidance/transmittals/2025-transmittals/r13471cp
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54399&articleStatus=all&bc=3&sortBy=title&ver=2
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=6&sort=asc
- https://www.cms.gov/about-cms/what-we-do/emergency-response/additional-information-available
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A51&f%5B1%5D=topic%3A126&f%5B2%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38047&lcdStatus=all&sortBy=title
- https://cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/home-health-services
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55531&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28
- https://www.cms.gov/nosurprises/help-resolve-payment-disputes/submit-feedback-on-certified-organizations
- https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-advantagepart-d-contract-and-enrollment-data/special-needs-plan-snp-data/snp-comprehensive-report-2026-05

…and more — 2812 pages total ([download CSV](csv/alfa__sia-r111.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter
- https://cms.gov/about-cms/contact/database?combinedregionstate=region-All&field_switch=org&order=title&page=1&sort=asc
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9

---

## accesskey attribute value should be unique (WCAG criterion undetermined)

**Bug ID:** `VS-09cf51d6`  
**Pattern ID:** `VS-bd13f00a`  
**URL:** https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P2168.html  
**XPath / selector:** `td[width="31"]:nth-child(3) > a[accesskey="p"][href$="P2167.html"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `accesskeys` ([reference](https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 23 instances; 8 of 8040 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W26 (2 weeks)

### HTML snippet
```html
<a accesskey="p" id="prev_page" href="P2167.html"><img src="bakpg.png" alt="Previous Page [Alt-p]" height="14" width="31" vspace="0" hspace="0" align="bottom" border="0"></a>
```

### Description
accesskey attribute value should be unique. Detected by axe-core rule accesskeys on 8 of 8040 scanned pages (23 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P2168.html.
2. Locate the element: td[width="31"]:nth-child(3) > a[accesskey="p"][href$="P2167.html"]
3. Confirm the axe-core finding for rule accesskeys.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P2168.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P2170.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0203.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0402.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0019.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0754.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0692.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0169.html

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI

### Example pages
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P2168.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P2170.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0203.html

---

## Heading levels should only increase by one (WCAG criterion undetermined)

**Bug ID:** `VS-1d5dece4`  
**Pattern ID:** `VS-d25f622d`  
**URL:** https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index  
**XPath / selector:** `.rxbodyfield > h3`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 359 instances; 333 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<h3><strong>FY 2027 Geographic Reclassification Deadlines</strong></h3>
```

### Description
Heading levels should only increase by one. Detected by axe-core rule heading-order on 333 of 8040 scanned pages (359 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index.
2. Locate the element: .rxbodyfield > h3
3. Confirm the axe-core finding for rule heading-order.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index
- https://www.cms.gov/priorities/nursing-home-careers/overview/certified-nursing-assistant-cna
- http://www.cms.gov/medicare/medicaid-coordination/reduce-avoidable-hospitalizations/enhanced-care-coordination-provider-information
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=N
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38047&lcdStatus=all&sortBy=title
- https://www.cms.gov/priorities/key-initiatives/burden-reduction/administrative-simplification/hipaa/events-latest-news
- https://cms.gov/priorities/innovation/where-innovation-happening
- https://www.cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/infusion-pumps
- https://www.cms.gov/data-research/cms-information-technology/sparc/faq
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39116&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=37352&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34087&lcdStatus=all&sortBy=title
- https://www.cms.gov/training-education/partner-outreach-resources/partner-with-cms/caregiver-partners
- https://www.cms.gov/about-cms/information-systems/higlas/higlas-architecture
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A46&f%5B1%5D=topic%3A126&f%5B2%5D=topic%3A161&f%5B3%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A116&f%5B2%5D=topic%3A181&f%5B3%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare/medicaid-coordination/about/quality
- https://www.cms.gov/priorities/health-equity/minority-health/resource-center/language/portuguese-portugues
- https://cms.gov/medicare/health-safety-standards/quality-safety-oversight-general-information/spotlight
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A116&f%5B1%5D=topic%3A186&f%5B2%5D=topic%3A231&items_per_page=10&page=0&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/improving-access-care-people-disabilities
- https://www.cms.gov/priorities/health-equity/minority-health/resource-center/language/korean-hangugeo
- https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/comprehensive-error-rate-testing-cert/background
- http://cms.gov/priorities/health-equity/c2c/es/controle-sus-afecciones-cronicas
- https://cms.gov/priorities/health-equity/minority-health/about/mission-vision-work

…and more — 333 pages total ([download CSV](csv/axe-core__heading-order.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI

### Example pages
- https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index
- https://www.cms.gov/priorities/nursing-home-careers/overview/certified-nursing-assistant-cna
- http://www.cms.gov/medicare/medicaid-coordination/reduce-avoidable-hospitalizations/enhanced-care-coordination-provider-information

---

## Page should contain a level-one heading (WCAG criterion undetermined)

**Bug ID:** `VS-c7ebd2fd`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://www.cms.gov/about-cms/what-we-do/emergency-response/additional-information-available  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `page-has-heading-one` ([reference](https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 158 instances; 158 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<html lang="en" dir="ltr" class=" js" style="--vw: 12.8px; --vh: 8px;">
```

### Description
Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 158 of 8040 scanned pages (158 instances).

### Steps to reproduce
1. Open https://www.cms.gov/about-cms/what-we-do/emergency-response/additional-information-available.
2. Locate the element: html
3. Confirm the axe-core finding for rule page-has-heading-one.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/about-cms/what-we-do/emergency-response/additional-information-available
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0332.html
- http://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/become-partner
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html
- https://cms.gov/medical-bill-rights/help/plan
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0203.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0190.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0162.html
- https://www.cms.gov/priorities/crushing-fraud-waste-abuse/overview/cms-idea-challenge-strategies-securing-member-ids
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0285.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0699.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0891.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0045.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0109.html
- https://cms.gov/derechos-facturas-medicas/ayuda/plan/con-seguro-factura-ambulancia-terrestre
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0210.html
- http://www.cms.gov/medical-bill-rights/know-your-rights/no-insurance
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0320.html
- https://www.cms.gov/nosurprises/help-resolve-payment-disputes
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0182.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0314.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0208.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0054.html

…and more — 158 pages total ([download CSV](csv/axe-core__page-has-heading-one.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI

### Example pages
- https://www.cms.gov/about-cms/what-we-do/emergency-response/additional-information-available
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0332.html

---

## All page content should be contained by landmarks (WCAG criterion undetermined)

**Bug ID:** `VS-e584e4b4`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html  
**XPath / selector:** `.hhshead[cellpadding="0"][cellspacing="0"]:nth-child(1)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `region` ([reference](https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 3847 instances; 150 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<table class="hhshead" cellpadding="0" cellspacing="0" summary="HHS Header. Table for formatting only.">
```

### Description
All page content should be contained by landmarks. Detected by axe-core rule region on 150 of 8040 scanned pages (3847 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html.
2. Locate the element: .hhshead[cellpadding="0"][cellspacing="0"]:nth-child(1)
3. Confirm the axe-core finding for rule region.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0332.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0203.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0190.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0162.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0285.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0699.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0891.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0045.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0109.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0210.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0320.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0182.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0136.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0314.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0208.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0054.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0338.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0364.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0369.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0070.html

…and more — 150 pages total ([download CSV](csv/axe-core__region.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html

---

## Document should have one main landmark (WCAG criterion undetermined)

**Bug ID:** `VS-847ae8ca`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-one-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 146 instances; 146 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<html>
```

### Description
Document should have one main landmark. Detected by axe-core rule landmark-one-main on 146 of 8040 scanned pages (146 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html.
2. Locate the element: html
3. Confirm the axe-core finding for rule landmark-one-main.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0332.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0203.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0190.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0162.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0285.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0699.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0891.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0045.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0109.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0210.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0320.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0182.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0136.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0314.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0208.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0054.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0338.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0364.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0369.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0070.html

…and more — 146 pages total ([download CSV](csv/axe-core__landmark-one-main.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Each page should have exactly one <main> landmark.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0099.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html

---

## scope attribute should be used correctly (WCAG criterion undetermined)

**Bug ID:** `VS-fa10c4ff`  
**Pattern ID:** `VS-0ba8ce9d`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=246&proposed=Y&sortBy=relevance  
**XPath / selector:** `.MsoTableGrid:nth-child(148) > tbody > tr:nth-child(2) > td[scope="row"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `scope-attr-valid` ([reference](https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 139 instances; 11 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<td scope="row"> Del Ojo 2005</td>
```

### Description
scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 11 of 8040 scanned pages (139 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=246&proposed=Y&sortBy=relevance.
2. Locate the element: .MsoTableGrid:nth-child(148) > tbody > tr:nth-child(2) > td[scope="row"]
3. Confirm the axe-core finding for rule scope-attr-valid.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=246&proposed=Y&sortBy=relevance
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=228&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=17&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=87
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=255
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0372.html
- https://cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=5&sortBy=title&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=38&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=289&proposed=Y&sortBy=relevance
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=52&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=289&proposed=Y

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=246&proposed=Y&sortBy=relevance
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=228&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=17&proposed=N&sortBy=status&status=all

---

## Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)

**Bug ID:** `VS-e879b6fa`  
**Pattern ID:** `VS-8806389c`  
**URL:** https://cms.gov/priorities/innovation/where-innovation-happening  
**XPath / selector:** `#non-state-table_wrapper > .dt-layout-row:nth-child(3) > .dt-layout-end.dt-layout-cell > .dt-paging > nav[aria-label="pagination"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 6 instances; 6 of 8040 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W26 (2 weeks)

### HTML snippet
```html
<nav aria-label="pagination">
```

### Description
Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 6 of 8040 scanned pages (6 instances).

### Steps to reproduce
1. Open https://cms.gov/priorities/innovation/where-innovation-happening.
2. Locate the element: #non-state-table_wrapper > .dt-layout-row:nth-child(3) > .dt-layout-end.dt-layout-cell > .dt-paging > nav[aria-label="pagination"]
3. Confirm the axe-core finding for rule landmark-unique.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://cms.gov/priorities/innovation/where-innovation-happening
- http://www.cms.gov/priorities/innovation/where-innovation-happening
- http://www.cms.gov/home/chip.asp
- https://cms.gov/priorities/innovation/innovation-models/map
- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Quality-Programs
- https://www.cms.gov/priorities/health-equity/minority-health/research-data/research-data/tools

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. "Primary" and "Footer" navigation) so screen-reader users can tell them apart.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI

### Example pages
- https://cms.gov/priorities/innovation/where-innovation-happening
- http://www.cms.gov/priorities/innovation/where-innovation-happening
- http://www.cms.gov/home/chip.asp

---

## Banner landmark should not be contained in another landmark (WCAG criterion undetermined)

**Bug ID:** `VS-1a09a5b3`  
**Pattern ID:** `VS-30db094d`  
**URL:** https://cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files  
**XPath / selector:** `.Header`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-banner-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 4 instances; 4 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (2 weeks)

### HTML snippet
```html
<header class="Header" style="position: sticky;">
```

### Description
Banner landmark should not be contained in another landmark. Detected by axe-core rule landmark-banner-is-top-level on 4 of 8040 scanned pages (4 instances).

### Steps to reproduce
1. Open https://cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files.
2. Locate the element: .Header
3. Confirm the axe-core finding for rule landmark-banner-is-top-level.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files
- https://cms.gov/data-research/statistics-trends-and-reports/mcbs-public-use-file
- https://cms.gov/data-research/statistics-trends-reports/next-generation-aco-model-ngaco-public-use-files
- https://www.cms.gov/data-research/statistics-trends-reports/next-generation-aco-model-ngaco-public-use-files

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Put the banner landmark (<header>) at the top level, not nested inside another landmark.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI

### Example pages
- https://cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files
- https://cms.gov/data-research/statistics-trends-and-reports/mcbs-public-use-file
- https://cms.gov/data-research/statistics-trends-reports/next-generation-aco-model-ngaco-public-use-files

---

## Headings should not be empty (WCAG criterion undetermined)

**Bug ID:** `VS-cb025ab4`  
**Pattern ID:** `VS-0066c67d`  
**URL:** https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html  
**XPath / selector:** `h1:nth-child(2)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-heading` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 47 instances; 47 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<h1></h1>
```

### Description
Headings should not be empty. Detected by axe-core rule empty-heading on 47 of 8040 scanned pages (47 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html.
2. Locate the element: h1:nth-child(2)
3. Confirm the axe-core finding for rule empty-heading.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0136.html
- https://cms.gov/medicare/quality/physician-compare-initiative/spotlight-announcements
- https://www.cms.gov/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/quality-improvement-interventions
- https://www.cms.gov/medicare/quality/nursing-home-improvement/resident-assessment-instrument-manual
- http://www.cms.gov/medicare/quality/nursing-home-improvement/announcements
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0007.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0728.html
- https://www.cms.gov/medicare/quality/physician-compare-initiative/spotlight-announcements
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0387.html
- https://www.cms.gov/medicare/quality/nursing-home-improvement/announcements
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0559.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P2168.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P2170.html
- https://cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0190.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0203.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0456.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0020.html
- https://cms.gov/priorities/medicare-prescription-drug-affordability/overview/medicare-drug-price-negotiation-program/pharmacy-dispensing-entity-resources
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0402.html
- https://www.cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/orthopedic-footwear
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0398.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0092.html

…and more — 47 pages total ([download CSV](csv/axe-core__empty-heading.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Remove empty headings or give them text. Don't use heading tags for spacing.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI

### Example pages
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0136.html

---

## Table header text should not be empty (WCAG criterion undetermined)

**Bug ID:** `VS-cda92c9d`  
**Pattern ID:** `VS-d69fc059`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=7&sortBy=meetingdate&year=all  
**XPath / selector:** `th`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-table-header` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 16 instances; 9 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<th></th>
```

### Description
Table header text should not be empty. Detected by axe-core rule empty-table-header on 9 of 8040 scanned pages (16 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=7&sortBy=meetingdate&year=all.
2. Locate the element: th
3. Confirm the axe-core finding for rule empty-table-header.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=7&sortBy=meetingdate&year=all
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55659&articleStatus=all&bc=3&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=17&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=317&proposed=Y&sortBy=status&status=all
- http://www.cms.gov/medicare/medicare-fee-for-service-payment/sharedsavingsprogram/application-information
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=291&proposed=N&sortBy=status&status=all
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0372.html
- https://www.cms.gov/newsroom/fact-sheets/2025-medicare-parts-b-premiums-and-deductibles
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36889&lcdStatus=all&sortBy=title&ver=25

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=7&sortBy=meetingdate&year=all
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55659&articleStatus=all&bc=3&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=17&proposed=N&sortBy=status&status=all

---

## ARIA role should be appropriate for the element (WCAG criterion undetermined)

**Bug ID:** `VS-5a03a4a0`  
**Pattern ID:** `VS-4fac2f41`  
**URL:** https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html  
**XPath / selector:** `#acc-6XAgmxPDpvK`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `aria-allowed-role` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 9 instances; 4 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<button class="acc-shadow-el acc-im..." role="img" aria-label="Arrow-Orange.gif" id="acc-6XAgmxPDpvK" tabindex="-1" data-represents="_player.5itpeIa4V5X...." style="left: 1096.5px; top:..." data-react
```

### Description
ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 4 of 8040 scanned pages (9 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html.
2. Locate the element: #acc-6XAgmxPDpvK
3. Confirm the axe-core finding for rule aria-allowed-role.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html
- http://www.cms.gov/home/chip.asp
- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Quality-Programs
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/PartCOrganizationDetermination/story.html

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Remove or change the ARIA role — it isn't allowed on this element type.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI

### Example pages
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html
- http://www.cms.gov/home/chip.asp
- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Quality-Programs

---

## Form field label is visible (WCAG criterion undetermined)

**Bug ID:** `VS-10d30a42`  
**Pattern ID:** `VS-7118fead`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r61` ([reference](https://alfa.siteimprove.com/rules/sia-r61))  
**Severity:** Moderate  
**Frequency:** 2738 instances; 2738 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 2738 of 8040 scanned pages (2738 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r61.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter
- https://cms.gov/about-cms/contact/database?combinedregionstate=region-All&field_switch=org&order=title&page=1&sort=asc
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A46&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/fact-sheets/medicare-care-choices-model-awards
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2017-transmittals-items/r3929cp
- https://cms.gov/
- https://cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-archive-page/report-congress-medicare-ambulatory-surgical-center-value-based-purchasing-implementation-plan
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A111&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A911&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56410&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r5p243i
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60430&ver=4
- https://www.cms.gov/contacts/wchs-inc/general-beneficiary-contact/1559111
- http://www.cms.gov/medicare/medicaid-coordination/reduce-avoidable-hospitalizations/enhanced-care-coordination-provider-information
- https://cms.gov/medicare/regulations-guidance/transmittals/2025-transmittals/r13471cp
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54399&articleStatus=all&bc=3&sortBy=title&ver=2
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=6&sort=asc
- https://www.cms.gov/about-cms/what-we-do/emergency-response/additional-information-available
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A51&f%5B1%5D=topic%3A126&f%5B2%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38047&lcdStatus=all&sortBy=title
- https://cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/home-health-services
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55531&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28
- https://www.cms.gov/nosurprises/help-resolve-payment-disputes/submit-feedback-on-certified-organizations
- https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-advantagepart-d-contract-and-enrollment-data/special-needs-plan-snp-data/snp-comprehensive-report-2026-05

…and more — 2738 pages total ([download CSV](csv/alfa__sia-r61.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=96&ncdver=1&sortBy=chapter
- https://cms.gov/about-cms/contact/database?combinedregionstate=region-All&field_switch=org&order=title&page=1&sort=asc
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9

---

## Scrolling content can be accessed by keyboard (WCAG criterion undetermined)

**Bug ID:** `VS-4151463b`  
**Pattern ID:** `VS-c18be945`  
**URL:** https://cms.gov/about-cms/contact/database?combinedregionstate=region-All&field_switch=org&order=title&page=1&sort=asc  
**XPath / selector:** `text: "Feedback"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 1204 instances; 1200 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 1200 of 8040 scanned pages (1204 instances).

### Steps to reproduce
1. Open https://cms.gov/about-cms/contact/database?combinedregionstate=region-All&field_switch=org&order=title&page=1&sort=asc.
2. Locate the element: text: "Feedback"
3. Confirm the Siteimprove Alfa finding for rule sia-r57.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://cms.gov/about-cms/contact/database?combinedregionstate=region-All&field_switch=org&order=title&page=1&sort=asc
- https://cms.gov/newsroom/fact-sheets/medicare-care-choices-model-awards
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2017-transmittals-items/r3929cp
- https://cms.gov/
- https://cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-archive-page/report-congress-medicare-ambulatory-surgical-center-value-based-purchasing-implementation-plan
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A111&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A911&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r5p243i
- https://www.cms.gov/contacts/wchs-inc/general-beneficiary-contact/1559111
- http://www.cms.gov/medicare/medicaid-coordination/reduce-avoidable-hospitalizations/enhanced-care-coordination-provider-information
- https://cms.gov/medicare/regulations-guidance/transmittals/2025-transmittals/r13471cp
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=6&sort=asc
- https://www.cms.gov/about-cms/what-we-do/emergency-response/additional-information-available
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A51&f%5B1%5D=topic%3A126&f%5B2%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/home-health-services
- https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-advantagepart-d-contract-and-enrollment-data/special-needs-plan-snp-data/snp-comprehensive-report-2026-05
- https://cms.gov/training-education/open-door-forums/about/odf-transcripts
- http://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A81&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/outreach-and-educationmedicare-learning-network-mlnmlnproductsmln-publications/mln2886155
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A71&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A221&f%5B3%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_pe_number&page=0&sort=asc
- https://cms.gov/medicare/cms-forms/cms-forms/cms-forms-items/cms1196256
- http://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/become-partner
- http://www.cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips
- http://www.cms.gov/medicare/medicaid-coordination/center-program-integrity/events
- https://www.cms.gov/medicare/forms-notices/cms-forms-list

…and more — 1200 pages total ([download CSV](csv/alfa__sia-r57.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57

### Example pages
- https://cms.gov/about-cms/contact/database?combinedregionstate=region-All&field_switch=org&order=title&page=1&sort=asc
- https://cms.gov/newsroom/fact-sheets/medicare-care-choices-model-awards
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2017-transmittals-items/r3929cp

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-7b546c25`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9  
**XPath / selector:** `<h3 id="h3GeneralInformationHeader" class="document-view-section-header">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 962 instances; 956 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 956 of 8040 scanned pages (962 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9.
2. Locate the element: <h3 id="h3GeneralInformationHeader" class="document-view-section-header">
3. Confirm the Siteimprove Alfa finding for rule sia-r53.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56410&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60430&ver=4
- http://www.cms.gov/medicare/medicaid-coordination/reduce-avoidable-hospitalizations/enhanced-care-coordination-provider-information
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54399&articleStatus=all&bc=3&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38047&lcdStatus=all&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55531&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53134&articleStatus=all&bc=3&sortBy=title&ver=84
- https://cms.gov/priorities/innovation/where-innovation-happening
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54283&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60181&articleStatus=all&bc=3&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58507&articleStatus=all&bc=3&sortBy=title&ver=6
- https://www.cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/infusion-pumps
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54445&ver=27
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56336&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56747&articleStatus=all&bc=3&sortBy=title&ver=28
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55214&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55404&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58977&articleStatus=all&bc=3&sortBy=title&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58362&articleStatus=all&bc=3&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59466&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=7
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56748&ver=29
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59070&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4

…and more — 956 pages total ([download CSV](csv/alfa__sia-r53.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Use headings in a logical, non-skipping order.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53

### Example pages
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56410&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-49c83ef9`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9  
**XPath / selector:** `<h4>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 684 instances; 441 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 441 of 8040 scanned pages (684 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9.
2. Locate the element: <h4>
3. Confirm the Siteimprove Alfa finding for rule sia-r78.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77
- https://cms.gov/
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38047&lcdStatus=all&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55531&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53134&articleStatus=all&bc=3&sortBy=title&ver=84
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54283&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60181&articleStatus=all&bc=3&sortBy=title&ver=12
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0343.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54445&ver=27
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0082.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56747&articleStatus=all&bc=3&sortBy=title&ver=28
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58362&articleStatus=all&bc=3&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59466&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=7
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56748&ver=29
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56559&articleStatus=all&bc=3&sortBy=title&ver=26
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54194&articleStatus=all&bc=3&sortBy=title&ver=23
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57733&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59350&articleStatus=all&bc=3&sortBy=title&ver=27
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59470&articleStatus=all&bc=3&sortBy=title&ver=4
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55710&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=16
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59872&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53986&articleStatus=all&bc=3&sortBy=title&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57948&articleStatus=all&bc=3&sortBy=title&ver=38
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53441&articleStatus=all&bc=3&sortBy=title&ver=10

…and more — 441 pages total ([download CSV](csv/alfa__sia-r78.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78

### Example pages
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57575&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=77
- https://cms.gov/

---

## Element with orientation is not locked (WCAG criterion undetermined)

**Bug ID:** `VS-ea04f291`  
**Pattern ID:** `VS-7fbb8b20`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html  
**XPath / selector:** `{"type":"document","children":[{"type":"element","children":[{"type":"element","`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r59` ([reference](https://alfa.siteimprove.com/rules/sia-r59))  
**Severity:** Moderate  
**Frequency:** 61 instances; 61 of 8040 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W26 (1 week)

### Description
Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 61 of 8040 scanned pages (61 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html.
2. Locate the element: {"type":"document","children":[{"type":"element","children":[{"type":"element","
3. Confirm the Siteimprove Alfa finding for rule sia-r59.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0162.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0285.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0699.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0891.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0045.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0109.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0320.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0182.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0338.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0364.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0369.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0070.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0322.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0270.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0286.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0359.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0584.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0116.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0349.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0157.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0306.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0001.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0590.html

…and more — 61 pages total ([download CSV](csv/alfa__sia-r59.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r59

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0162.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0285.html

---

## Form field error is identified and described (WCAG criterion undetermined)

**Bug ID:** `VS-0573529a`  
**Pattern ID:** `VS-e43903a1`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html  
**XPath / selector:** `<ul id="globar">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r75` ([reference](https://alfa.siteimprove.com/rules/sia-r75))  
**Severity:** Moderate  
**Frequency:** 118 instances; 59 of 8040 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W26 (1 week)

### Description
Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 59 of 8040 scanned pages (118 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html.
2. Locate the element: <ul id="globar">
3. Confirm the Siteimprove Alfa finding for rule sia-r75.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0162.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0285.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0699.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0891.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0045.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0109.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0320.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0182.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0338.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0364.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0369.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0070.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0322.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0270.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0286.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0359.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0584.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0116.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0349.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0157.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0306.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0001.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0590.html

…and more — 59 pages total ([download CSV](csv/alfa__sia-r75.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r75

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0085.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0162.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0285.html

---

## Presentational attribute (use CSS) (WCAG criterion undetermined)

**Bug ID:** `VS-fa5b9016`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0190.html  
**XPath / selector:** `table`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 1732 instances; 39 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<table class="hhshead" cellpadding="0" cellspacing="0" summary="HHS Header. Table for formatting only.">
	<tbody><tr><td class="hhsbann" align="left">
    <img class="hhsimg" src="hhs_left.gif" width=
```

### Description
Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 39 of 8040 scanned pages (1732 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0190.html.
2. Locate the element: table
3. Confirm the deprecated-html finding for rule presentational-attr.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0190.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53322&articleStatus=all&bc=3&sortBy=title&ver=16
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0136.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0364.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56724&articleStatus=all&bc=3&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52464&ver=65
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38709&lcdStatus=all&sortBy=title&ver=4
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0590.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0215.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56453&bc=1&contractOption=all&docType=6%2C1&keyword=cataract+extraction&keywordType=all&sortBy=relevance&ver=12
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0559.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0244.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40025&ver=8
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=317&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0402.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0062.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0093.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39585&lcdStatus=all&sortBy=title&ver=5
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0049.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0301.html
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39616&lcdStatus=all&sortBy=title&ver=5
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0372.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34428&lcdStatus=all&sortBy=title&ver=93
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52842&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0692.html

…and more — 39 pages total ([download CSV](csv/deprecated-html__presentational-attr.csv)).

### Testing environment
Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
Not captured by automated scan — requires manual testing.

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0190.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53322&articleStatus=all&bc=3&sortBy=title&ver=16
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0136.html

---

## Duplicate role landmark is labeled (WCAG criterion undetermined)

**Bug ID:** `VS-7e3499f8`  
**Pattern ID:** `VS-f2542d87`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=163&proposed=N&sortBy=status&status=all  
**XPath / selector:** `<pre>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r79` ([reference](https://alfa.siteimprove.com/rules/sia-r79))  
**Severity:** Moderate  
**Frequency:** 7 instances; 7 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### Description
Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 7 of 8040 scanned pages (7 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=163&proposed=N&sortBy=status&status=all.
2. Locate the element: <pre>
3. Confirm the Siteimprove Alfa finding for rule sia-r79.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=163&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=17&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAAAAAAAEAAA&NCAId=56&proposed=N&ver=&viewAMA=Y
- https://cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=14&sortBy=title&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=38&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=304&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=289&proposed=Y

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r79

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=163&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=17&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAAAAAAAEAAA&NCAId=56&proposed=N&ver=&viewAMA=Y

---

## First focusable element is link to main content (WCAG criterion undetermined)

**Bug ID:** `VS-610dd9e4`  
**Pattern ID:** `VS-aa242c2d`  
**URL:** https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r87` ([reference](https://alfa.siteimprove.com/rules/sia-r87))  
**Severity:** Moderate  
**Frequency:** 3 instances; 3 of 8040 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W26 (2 weeks)

### Description
First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 3 of 8040 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r87.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html
- http://www.cms.gov/priorities/electronic-prior-authorization/overview
- https://www.cms.gov/data-research/statistics-trends-reports/next-generation-aco-model-ngaco-public-use-files

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87

### Example pages
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html
- http://www.cms.gov/priorities/electronic-prior-authorization/overview
- https://www.cms.gov/data-research/statistics-trends-reports/next-generation-aco-model-ngaco-public-use-files

---

## Keyboard trap does not exist (WCAG criterion undetermined)

**Bug ID:** `VS-6c936872`  
**Pattern ID:** `VS-4c341c77`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=45&sortBy=meetingdate&year=all  
**XPath / selector:** `<p>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r85` ([reference](https://alfa.siteimprove.com/rules/sia-r85))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 8040 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W26 (2 weeks)

### Description
Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 2 of 8040 scanned pages (2 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=45&sortBy=meetingdate&year=all.
2. Locate the element: <p>
3. Confirm the Siteimprove Alfa finding for rule sia-r85.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=45&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=289&proposed=Y

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=45&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=289&proposed=Y

---

## aria attribute is defined in WAI-ARIA (WCAG criterion undetermined)

**Bug ID:** `VS-ca0df64d`  
**Pattern ID:** `VS-7f897be7`  
**URL:** https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html  
**XPath / selector:** `@aria-role="scrollbar"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r20` ([reference](https://alfa.siteimprove.com/rules/sia-r20))  
**Severity:** Moderate  
**Frequency:** 2 instances; 1 of 8040 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W26 (1 week)

### Description
aria attribute is defined in WAI-ARIA. Detected by Siteimprove Alfa rule sia-r20 on 1 of 8040 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html.
2. Locate the element: @aria-role="scrollbar"
3. Confirm the Siteimprove Alfa finding for rule sia-r20.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r20

---

## No obsolete or deprecated elements are used (WCAG criterion undetermined)

**Bug ID:** `VS-95db8afb`  
**Pattern ID:** `VS-3d033717`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=304&proposed=N  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r70` ([reference](https://alfa.siteimprove.com/rules/sia-r70))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 8040 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W26 (2 weeks)

### Description
No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 1 of 8040 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=304&proposed=N.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r70.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=304&proposed=N

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r70

---

## aria attribute is permitted for element role (WCAG criterion undetermined)

**Bug ID:** `VS-d8d22dc1`  
**Pattern ID:** `VS-e05344b9`  
**URL:** https://www.cms.gov/data-research/statistics-trends-reports/next-generation-aco-model-ngaco-public-use-files  
**XPath / selector:** `@aria-label="Open REACH ACOs"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18))  
**Severity:** Moderate  
**Frequency:** 6 instances; 1 of 8040 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W26 (2 weeks)

### Description
aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 1 of 8040 scanned pages (6 instances).

### Steps to reproduce
1. Open https://www.cms.gov/data-research/statistics-trends-reports/next-generation-aco-model-ngaco-public-use-files.
2. Locate the element: @aria-label="Open REACH ACOs"
3. Confirm the Siteimprove Alfa finding for rule sia-r18.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/data-research/statistics-trends-reports/next-generation-aco-model-ngaco-public-use-files

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Only use ARIA states/properties that are allowed on this element/role.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18

---

## Obsolete <font> element (use CSS) (WCAG criterion undetermined)

**Bug ID:** `VS-f735967d`  
**Pattern ID:** `VS-91d2294a`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=380&ncdver=1  
**XPath / selector:** `font`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `font-element`  
**Severity:** Moderate  
**Frequency:** 2 instances; 1 of 8040 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W26 (3 weeks)

### HTML snippet
```html
<font color="FF0000"><em>
<p><strong>A. General</strong></p>

<p>Respiratory Assist Devices (RADs) with bi-level capability, with or without a backup rate feature, are devices that use a non-invasive 
```

### Description
Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 1 of 8040 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=380&ncdver=1.
2. Locate the element: font
3. Confirm the deprecated-html finding for rule font-element.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=380&ncdver=1

### Testing environment
Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
Not captured by automated scan — requires manual testing.