www.cms.gov: week 2026-W26
You have URL exclusions active. They filter the findings on the Accessibility page; this whole-site score still reflects every scanned page.
Change this week
- New this week
- 2
- Fixed this week
- 0
- Regressed this week
- 3
Exclude URLs from this report
Hide findings on pages you are not responsible for — a section another team owns, or legacy pages out of contract. One pattern per line: a plain substring that matches anywhere in the URL (/medicare/, .aspx) or a slash-wrapped /regex/ (/medicare|medicaid/i); # comments are ignored. A finding is hidden when every affected page matches; for findings with more than 25 pages this is judged by the listed sample. This only changes what this report shows in your browser — every page is still scanned, and your list is saved on this device.
Fix these first
| Issue | Severity | Pages | Who it affects | How to fix | Evidence |
|---|---|---|---|---|---|
| Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5) (rule↗) | Moderate | 2812 | — | See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111 | pages (CSV) |
| Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8) (rule↗) | Moderate | 2804 | — | See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73 | pages (CSV) |
| Form field label is visible (WCAG criterion undetermined) (rule↗) | Moderate | 2738 | — | See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61 | pages (CSV) |
| Scrolling content can be accessed by keyboard (WCAG criterion undetermined) (rule↗) | Moderate | 1200 | — | See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57 | pages (CSV) |
| Headings are structured hierarchically (WCAG criterion undetermined) (rule↗) | Moderate | 956 | — | Use headings in a logical, non-skipping order. | pages (CSV) |
| Text has enhanced contrast (WCAG 1.4.6) (rule↗) | Moderate | 928 | — | Increase text contrast to meet WCAG AAA (7:1). | pages (CSV) |
| Link is distinguishable without relying on color (WCAG 1.4.8) (rule↗) | Moderate | 924 | — | See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74 | pages (CSV) |
| Accessible name of link or button matches visible label (WCAG 2.5.3) (rule↗) | Moderate | 925 | Without vision, Without speech | See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14 | pages (CSV) |
Progress
| Week | Critical | Serious | Moderate | Minor |
|---|---|---|---|---|
| 2026-W24 | 1 | 7 | 30 | 3 |
| 2026-W25 | 2 | 11 | 42 | 3 |
| 2026-W26 | 5 | 10 | 47 | 3 |
Dropped from this week's sample
- Moderate VS-f155eeec Element has required parent role (WCAG 1.3.1)
- Moderate VS-33b49e3b Info and Relationships (WCAG 1.3.1)
- Serious VS-c613c153 Scrollable region must have keyboard access (WCAG 2.1.1)
- Moderate VS-ff3ceb19 Main landmark should not be contained in another landmark (WCAG criterion undetermined)
- Moderate VS-cd69be3a Document should not have more than one main landmark (WCAG criterion undetermined)
- Moderate VS-66d5b8b4 Element has valid WAI-ARIA role (WCAG criterion undetermined)
This week at a glance 65 issue type(s)
- Median axe violations / page
- 0
- Pages with axe violations
- 1185 of 5573
- Median Alfa failures / page
- 61
- Pages with Alfa failures
- 2813 of 2813
- Unique pages audited
- 5573
- Lighthouse performance (median)
- 64/100 details
- Lighthouse SEO (median)
- 100/100
- Lighthouse best practices (median)
- 96/100
- Lighthouse agentic (median)
- 98/100
- Words per page (median)
- 688
- Reading ease (median)
- 40.5
- Reading grade (median)
- 14.1
- Misspellings
- 25+ distinct details
- Broken links
- 1744 details
- Median page weight
- 1.8 MB -27 KB better
- Median requests per page
- 44
- Estimated energy per page (mean)
- 0.5866 Wh
Note: page counts differ between weeks (8304 → 8040). Prefer the "pages affected" columns over raw instance counts when comparing.
Scan coverage this week (8040 pages · 5857 succeeded of 6562 attempted)
| Engine | Pages | Coverage |
|---|---|---|
| axe | 5573 | 69% |
| resources | 5573 | 69% |
| plain-language | 2826 | 35% |
| alfa | 2813 | 35% |
| standards | 2799 | 35% |
| sustainability | 632 | 8% |
| security | 590 | 7% |
| tech | 577 | 7% |
| lighthouse | 535 | 7% |
| deprecated-html | 529 | 7% |
Changes since 2026-W25 31 change(s)
axe-core
- New: label appeared this week.
- New: select-name appeared this week.
- New: landmark-banner-is-top-level appeared this week.
- New: button-name appeared this week.
- Resolved: scrollable-region-focusable no longer fails on any scanned page.
- Resolved: landmark-main-is-top-level no longer fails on any scanned page.
- Resolved: landmark-no-duplicate-main no longer fails on any scanned page.
- page-has-heading-one spread: 21 → 158 pages affected (rate: 0% → 3% of pages scanned).
- empty-heading shrank: 286 → 47 pages affected (rate: 4% → 1% of pages scanned).
- image-alt shrank: 273 → 32 pages affected (rate: 4% → 1% of pages scanned).
Alfa
- New: sia-r42 appeared this week.
- New: sia-r59 appeared this week.
- New: sia-r75 appeared this week.
- New: sia-r7 appeared this week.
- New: sia-r20 appeared this week.
- New: sia-r47 appeared this week.
- New: sia-r84 appeared this week.
- New: sia-r45 appeared this week.
- New: sia-r17 appeared this week.
- Resolved: sia-r21 no longer fails on any scanned page.
- Resolved: sia-r110 no longer fails on any scanned page.
- Resolved: sia-r76 no longer fails on any scanned page.
- sia-r66 shrank: 1184 → 928 pages affected (rate: 42% → 33% of pages scanned).
- sia-r74 shrank: 1181 → 924 pages affected (rate: 42% → 33% of pages scanned).
- sia-r14 shrank: 1179 → 925 pages affected (rate: 42% → 33% of pages scanned).
- sia-r57 spread: 1011 → 1200 pages affected (rate: 36% → 43% of pages scanned).
- sia-r53 shrank: 1116 → 956 pages affected (rate: 40% → 34% of pages scanned).
- sia-r78 shrank: 653 → 441 pages affected (rate: 23% → 16% of pages scanned).
- sia-r113 shrank: 659 → 471 pages affected (rate: 23% → 17% of pages scanned).
- sia-r2 shrank: 96 → 14 pages affected (rate: 3% → 0% of pages scanned).
- sia-r64 shrank: 102 → 22 pages affected (rate: 4% → 1% of pages scanned).
Embedded & linked resources
New this week (11816)
- http://www.cms.hhs.gov/DemoProjectsEvalRpts/downloads/2004_Demonstration_Competitive_Bidding_Clinical_Laboratory_Services.pdf
- https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&co=aHR0cHM6Ly93d3cuY21zLmdvdjo0NDM.&hl=en&v=MerVUtRoajKEbP7pLiGXkL28&size=normal&anchor-ms=20000&execute-ms=30000&cb=7x6y7whx738b
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- https://www.google.com/recaptcha/api2/bframe?hl=en&v=TnA7HacJFoBWt9hnlunBlYfK&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&bft=0dAFcWeA48lgZJXFlEL-gPO2ottvlqT9mTS7RePUlP1f-oESyKdak7baWKKyELvn94T1WKd1ex2xSKQb2HJKHZ40OJOGIXn1nSaA
- https://www.cms.gov/files/document/r11248otn.pdf
- https://www.cms.gov/medicare/medicare-fee-for-service-payment/acuteinpatientpps/downloads/dwnlds/acumen_study_on_wage_index.zip
- https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&co=aHR0cHM6Ly93d3cuY21zLmdvdjo0NDM.&hl=en&v=TnA7HacJFoBWt9hnlunBlYfK&size=normal&anchor-ms=20000&execute-ms=30000&cb=8hfaj72ogkwk
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- https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&co=aHR0cHM6Ly93d3cuY21zLmdvdjo0NDM.&hl=en&v=MerVUtRoajKEbP7pLiGXkL28&size=normal&anchor-ms=20000&execute-ms=30000&cb=d1uo0wg5eijb
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- https://www.google.com/recaptcha/api2/bframe?hl=en&v=MerVUtRoajKEbP7pLiGXkL28&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&bft=0dAFcWeA6sQskouKULzFJqUAvygWLsrWnt2A5A2hw8I4eLggEVcrm3kTTCFkiaW_zQrvzdfjuQ9kZB8rmc2ICTb0Coov4i3DbEbg
- https://www.cms.gov/files/document/r11282cp.pdf
- https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/reports/downloads/pac-prd_finalrpt_vol3of4.pdf
- https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/reports/downloads/pac-prd_finalrpt_vol1of4.pdf
- https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/reports/downloads/pac-prd_finalrpt_vol4of4.pdf
- https://13811856.fls.doubleclick.net/activityi;src=13811856;type=cms-c0;cat=cms-c0;rcb=0;qty=1;npa=0;auiddc=1160507456.1782382137;gdid=dYmQxMT;uaa=x86;uab=64;uafvl=Chromium%3B148.0.7778.96%7CHeadlessChrome%3B148.0.7778.96%7CNot%252FA)Brand%3B99.0.0.0;uamb=0;uam=;uap=Windows;uapv=;uaw=0;pscdl=noapi;frm=0;_tu=YCA;gtm=45fe66n1v9190667573za200zb9131934939zd9131934939xec;gcd=13l3l3l3l1l1;dma=0;dc_fmt=2;tag_exp=0~115616986~115938466~115938469~119027224;epver=2;dc_random=1782382136_NqneRtl-pq3y4x7khkBr3xgHvrd2CVzvYw;_dc_test=1;~oref=https%3A%2F%2Fwww.cms.gov%2Fpriorities%2Fnursing-home-careers%2Foverview%2Fcertified-nursing-assistant-cna?
- https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&co=aHR0cHM6Ly93d3cuY21zLmdvdjo0NDM.&hl=en&v=TnA7HacJFoBWt9hnlunBlYfK&size=normal&anchor-ms=20000&execute-ms=30000&cb=66hkp520gqvh
- https://www.google.com/recaptcha/api2/bframe?hl=en&v=TnA7HacJFoBWt9hnlunBlYfK&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&bft=0dAFcWeA65Mre0-Y02cvZakCuCEWq1Y6yB4zRDyU1bvCZr6x7zHju78of9uZLXXrOjr3UxHq_w71ClwWcJ3XTMXBjlWB5Gz_w7iw
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2017downloads/r3929cp.pdf
- https://cms.gov/medicare/medicare-fee-for-service-payment/ascpayment/downloads/c_asc_rtc-2011.pdf
- https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&co=aHR0cHM6Ly93d3cuY21zLmdvdjo0NDM.&hl=en&v=MerVUtRoajKEbP7pLiGXkL28&size=normal&anchor-ms=20000&execute-ms=30000&cb=c0g3vlkx4vza
- https://www.google.com/recaptcha/api2/bframe?hl=en&v=MerVUtRoajKEbP7pLiGXkL28&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&bft=0dAFcWeA5a1AAjR2vlSaqHe__joRW3BFW24zbdX1IufBXerg97OETpO7KB3L5ZjigrgYHZ8XZniHCzEJSEXsqs_gpGv5s0FLjNQw
- https://cms.gov/files/document/r5p243i.pdf
- https://cms.gov/files/document/r5p243f.pdf
- https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&co=aHR0cHM6Ly93d3cuY21zLmdvdjo0NDM.&hl=en&v=MerVUtRoajKEbP7pLiGXkL28&size=normal&anchor-ms=20000&execute-ms=30000&cb=a0ldnhx4iv37
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- https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&co=aHR0cHM6Ly93d3cuY21zLmdvdjo0NDM.&hl=en&v=TnA7HacJFoBWt9hnlunBlYfK&size=normal&anchor-ms=20000&execute-ms=30000&cb=gx7v0529yrg4
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- https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&co=aHR0cHM6Ly93d3cuY21zLmdvdjo0NDM.&hl=en&v=MerVUtRoajKEbP7pLiGXkL28&size=normal&anchor-ms=20000&execute-ms=30000&cb=6kil6fq13iqo
- https://www.google.com/recaptcha/api2/bframe?hl=en&v=MerVUtRoajKEbP7pLiGXkL28&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&bft=0dAFcWeA6FkaaaoCjiQrt00hj4jcOZBDUsubdvKhwRN3pf2Cv0XCavjfRaZjVB3Lkbpb5MgL2zQUPgB_jmA-qzc-jll6Y4OFI2uA
- https://cms.gov/files/document/r13471cp.pdf
- https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&co=aHR0cHM6Ly93d3cuY21zLmdvdjo0NDM.&hl=en&v=TnA7HacJFoBWt9hnlunBlYfK&size=normal&anchor-ms=20000&execute-ms=30000&cb=gwkmbwoanmb0
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- https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&co=aHR0cHM6Ly93d3cuY21zLmdvdjo0NDM.&hl=en&v=MerVUtRoajKEbP7pLiGXkL28&size=normal&anchor-ms=20000&execute-ms=30000&cb=acohra6bhby6
- https://www.google.com/recaptcha/api2/bframe?hl=en&v=MerVUtRoajKEbP7pLiGXkL28&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&bft=0dAFcWeA5w9tPRChfh7BE39pXrL4mtlr8hxTmWzpVHoMd4J3JvJRV2Qj_7UOud3PpT8YBwk3ruH1JLY1PkLa6Wqx1cr7VIKdGO2Q
- https://www.cms.gov/files/document/flu-vaccine-postcard-6x4-english-2024.pdf
- https://www.cms.gov/files/document/flu-vaccine-postcard-6x4-spanish-2024.pdf
- https://www.cms.gov/files/document/2024-2025-tribal-calendar.pdf
- https://www.cms.gov/files/document/ta-2020-flu-shot-ad-little-boy.pdf
- https://www.cms.gov/files/document/ta-2020-flu-shot-fillable-little-boy.pdf
- https://www.cms.gov/files/document/ta-2020-flu-shot-bookmark-little-boy.pdf
- https://www.cms.gov/files/document/tribal-affairs-drop-ad-horizontal.pdf
- https://www.cms.gov/files/document/tribal-affairs-drop-ad-vertical.pdf
- https://www.cms.gov/files/document/flu-shots-are-covered-medicare-printablefillable-ad-tribal.pdf
- https://www.cms.gov/files/document/flu-make-your-appointment-printablefillable-ad-tribal.pdf
- https://www.cms.gov/Medicare/Coverage/DeterminationProcess/downloads/id108TA.pdf
- https://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/downloads/id77c.pdf
- https://goldcopd.org/wp-content/uploads/2024/11/GOLD-2025-Report-v1.0-15Nov2024_WMV.pdf
- https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Downloads/Final-DMEPOS-Quality-Standards-Eff-01-09-2018.pdf
- https://www.cms.gov/files/document/datasnapshot-copd-2022.pdf
- https://www.richardsonproducts.com/fdavent.pdf
- https://www.govinfo.gov/content/pkg/FR-2006-01-27/pdf/06-798.pdf
- https://www.govinfo.gov/content/pkg/FR-2024-06-24/pdf/FR-2024-06-24.pdf
- https://www.ventnews.org/_files/ugd/fef361_6598f59fb9cd4c05a3bf564e5727ac29.pdf
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- https://www.cms.gov/medicare-coverage-database/help/Document_Type_Descriptions.pdf?t=639182584123554393
- https://cms.gov/files/document/2024-medicare-fee-service-supplemental-improper-payment-data.pdf
- https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Le5sgYTAAAAAAfYUrrXelM08neQEbZ7-zTvjrbL&co=aHR0cHM6Ly93d3cuY21zLmdvdjo0NDM.&hl=en&v=MerVUtRoajKEbP7pLiGXkL28&size=normal&anchor-ms=20000&execute-ms=30000&cb=itpj1wxwubpo
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- https://www.govinfo.gov/content/pkg/FR-2023-11-06/pdf/2023-23915.pdf
- https://www.govinfo.gov/content/pkg/FR-2021-11-08/pdf/2021-23907.pdf
- https://www.govinfo.gov/content/pkg/FR-2020-11-09/pdf/2020-24485.pdf
- http://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/esrdqip/downloads/esrd-final-rule-2019.pdf
- https://www.gpo.gov/fdsys/pkg/FR-2017-11-01/pdf/2017-23671.pdf
- http://www.gpo.gov/fdsys/pkg/FR-2015-11-06/pdf/2015-27928.pdf
- http://www.gpo.gov/fdsys/pkg/FR-2013-12-02/pdf/2013-28451.pdf
- http://www.gpo.gov/fdsys/pkg/FR-2012-11-09/pdf/2012-26903.pdf
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- https://www.cms.gov/files/zip/snp-comprehensive-report-may-2026.zip
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- https://www.cms.gov/files/document/nsg-attachments-rule-faqs.pdf
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- https://www.cms.gov/files/document/claim-status-transactions-basics.pdf
- https://www.cms.gov/files/document/health-plan-eligibility-and-benefits-transaction-basics.pdf
- http://www.cms.gov/about-cms/agency-information/cmsleadership/downloads/cms_organizational_chart.pdf
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| Type | Count |
|---|---|
| PDF documents | 7497 |
| Iframes | 3330 |
| Archives (zip, etc.) | 2602 |
| Spreadsheets | 743 |
| Presentations | 51 |
| Word/text documents | 37 |
| Images | 24 |
| Embedded media players | 13 |
| Audio files | 13 |
| Video files | 11 |