# Accessibility bug reports — www.cms.gov, week 2026-W27

60 issue type(s) from 8287 pages scanned. Generated 2026-07-18 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-59084c57`  
**Pattern ID:** `VS-179ad9b3`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html  
**XPath / selector:** `<a href="http://www.cms.gov/" title="CMS Home Page">`  
**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:** 888 instances; 366 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 366 of 8287 scanned pages (888 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html.
2. Locate the element: <a href="http://www.cms.gov/" title="CMS Home Page">
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://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33831&ver=46
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60347&ver=4
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56632&articleStatus=all&bc=3&sortBy=title&ver=31
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57593&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40049&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34209&ver=43
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56692&articleStatus=all&bc=3&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40197&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56397&ver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40037&ver=4
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57649&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57867&articleStatus=all&bc=3&sortBy=title&ver=33
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57788&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=41
- https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?bc=AAAAgAAAAAAAAA%3D%3D&NCDId=177&ncdver=5
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=3&sortBy=title&ver=22
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59295&articleStatus=all&bc=3&sortBy=title&ver=6
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56872&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59805&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18

…and more — 366 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://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12

---

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

**Bug ID:** `VS-e330168a`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N  
**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:** 3222 instances; 1334 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 1334 of 8287 scanned pages (3222 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.
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/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55076&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58955&articleStatus=all&bc=3&sortBy=title&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38647&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37502&lcdStatus=all&sortBy=title&ver=21
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57020&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34426&lcdStatus=all&sortBy=title&ver=55
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33831&ver=46
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57830&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60347&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=37
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56632&articleStatus=all&bc=3&sortBy=title&ver=31
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39636&lcdStatus=all&sortBy=title&ver=4
- https://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/lcd.aspx?bc=6&lcdid=35073&lcdStatus=all&sortBy=title&ver=51
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53605&ver=21

…and more — 1334 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/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18

---

## ARIA progressbar nodes must have an accessible name (WCAG 1.1.1)

**Bug ID:** `VS-0eab3ca0`  
**Pattern ID:** `VS-f7280372`  
**URL:** https://cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&proposedStatus=all  
**XPath / selector:** `#spnCountSpinner`  
**WCAG SC:** 1.1.1 — Non-text Content (Level A)  
**Rule:** axe-core — `aria-progressbar-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-progressbar-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 2 instances; 1 of 8287 pages affected
  
**History:** first seen 2026-W27, last seen 2026-W27 (1 week)

### HTML snippet
```html
<span class="ds-c-spinner ds-c-spinner--small" id="spnCountSpinner" aria-valuetext="Loading" role="progressbar"></span>
```

### Description
ARIA progressbar nodes must have an accessible name. Detected by axe-core rule aria-progressbar-name on 1 of 8287 scanned pages (2 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&proposedStatus=all.
2. Locate the element: #spnCountSpinner
3. Confirm the axe-core finding for rule aria-progressbar-name 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://cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&proposedStatus=all

### 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 progressbar an accessible name.

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

---

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

**Bug ID:** `VS-b3ffc848`  
**Pattern ID:** `VS-a0bdbdf6`  
**URL:** https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=3&sortBy=title&ver=16  
**XPath / selector:** `ul:nth-child(5)`  
**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:** 2352 instances; 617 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

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

### Description
<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 617 of 8287 scanned pages (2352 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=3&sortBy=title&ver=16.
2. Locate the element: ul:nth-child(5)
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://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=3&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55230&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56726&ver=42
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=15
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A21&f%5B2%5D=topic%3A71&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=57715&articleStatus=all&bc=3&sortBy=title&ver=55
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A21&f%5B1%5D=topic%3A176&items_per_page=10&page=0&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A161&f%5B1%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/view/lcd.aspx?bc=6&lcdid=37502&lcdStatus=all&sortBy=title&ver=21
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33906&ver=51
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57830&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36920&lcdStatus=all&sortBy=title&ver=90
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=37
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53033&bc=12&contractorName=all&dateOption=current&sortBy=code&ver=139
- https://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/newsroom/search?f%5B0%5D=topic%3A21&f%5B1%5D=topic%3A71&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=34021&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39314&lcdStatus=all&sortBy=title&ver=11
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A46&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=34228&lcdStatus=all&sortBy=title&ver=51
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36377&lcdStatus=all&sortBy=title&ver=7
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33438&lcdStatus=all&sortBy=title&ver=47

…and more — 617 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://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=3&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55230&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56726&ver=42

---

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

**Bug ID:** `VS-88b35be5`  
**Pattern ID:** `VS-6175596b`  
**URL:** https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N  
**XPath / selector:** `tr:nth-child(2) > td[valign="top"]:nth-child(4) > 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:** 266 instances; 8 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<li> pVO<sub>2</sub>
  </li>
```

### Description
<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 8 of 8287 scanned pages (266 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N.
2. Locate the element: tr:nth-child(2) > td[valign="top"]:nth-child(4) > 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://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?bc=20&sortBy=title&taid=26&year=0
- 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/view/ncacal-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=289&NcaName=Magnetic+Resonance+Imaging+%28MRI%29+%282nd+Recon%29&proposed=Y&ver=4
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=33&sortBy=title&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=315&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=20&doctype=all&mcdid=35&sortBy=updated&timeframe=30
- https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=ACAAAAAAQAAA&NCAId=292&type=Closed

### 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://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?bc=20&sortBy=title&taid=26&year=0
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=35&sortBy=title&status=all

---

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

**Bug ID:** `VS-79907f9c`  
**Pattern ID:** `VS-07ba3b17`  
**URL:** https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=0&sort=asc  
**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:** 2 instances; 2 of 8287 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W27 (3 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 2 of 8287 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=0&sort=asc.
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://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=0&sort=asc
- https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_revision_date&page=6&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://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=0&sort=asc
- https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_revision_date&page=6&sort=asc

---

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

**Bug ID:** `VS-78b7e6cd`  
**Pattern ID:** `VS-d6097011`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7  
**XPath / selector:** `<ol style="list-style-type: decimal;">`  
**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:** 973 instances; 222 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 222 of 8287 scanned pages (973 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7.
2. Locate the element: <ol style="list-style-type: decimal;">
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/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57830&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=37
- https://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/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38805&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40189&proposedStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34074&lcdStatus=all&sortBy=title&ver=39
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34061&lcdStatus=all&sortBy=title&ver=25
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33794&lcdStatus=all&sortBy=title&ver=164
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=23
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33954&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=32
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34194&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=39367&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34353&lcdStatus=all&sortBy=title&ver=35
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36975&lcdStatus=all&sortBy=title&ver=24
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39832&lcdStatus=all&sortBy=title&ver=13
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36524&lcdStatus=all&sortBy=title&ver=36
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37921&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdStatus=all
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38506&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=39944&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38566&lcdStatus=all&sortBy=title

…and more — 222 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/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57830&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4

---

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

**Bug ID:** `VS-2e71bf2f`  
**Pattern ID:** `VS-4408605e`  
**URL:** https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12  
**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:** 192 instances; 109 of 8287 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W27 (3 weeks)

### Description
Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 109 of 8287 scanned pages (192 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12.
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
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57593&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56692&articleStatus=all&bc=3&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59101&ver=23
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57649&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57788&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=41
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57071&articleStatus=all&bc=3&sortBy=title&ver=36
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57791&articleStatus=all&bc=3&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58229&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57224&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=68
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56462&articleStatus=all&bc=3&sortBy=title&ver=32
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57327&articleStatus=all&bc=3&sortBy=title&ver=36
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53252&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=237
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58243&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57791&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56850&articleStatus=all&bc=3&sortBy=title&ver=32
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57065&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=32
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52992&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=30
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57614&ver=15
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56666&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=19
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57113&ver=44
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57305&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56493&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13

…and more — 109 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
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57593&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17

---

## Element has required owned roles (WCAG 1.3.1)

**Bug ID:** `VS-ca93e8b4`  
**Pattern ID:** `VS-3c632d31`  
**URL:** https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=3&sortBy=title&ver=22  
**XPath / selector:** `<h4>`  
**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:** 11 instances; 11 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 11 of 8287 scanned pages (11 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=3&sortBy=title&ver=22.
2. Locate the element: <h4>
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://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=3&sortBy=title&ver=22
- http://www.cms.gov/training-education/partner-outreach-resources/privacy
- http://www.cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives
- https://www.cms.gov/medicare/quality/health-insurance-marketplace-initiatives
- http://www.cms.gov/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/quality-improvement-interventions
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37244&lcdStatus=all&sortBy=title&ver=39
- https://www.cms.gov/marketplace/about/oversight/other-insurance-protections/prescription-drug-data-collection-rxdc
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59487&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- https://www.cms.gov/priorities/health-equity/minority-health/officina-salud-minorias/observancias-salud
- https://cms.gov/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/quality-improvement-interventions
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37578&lcdStatus=all&sortBy=title&ver=30

### 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://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=3&sortBy=title&ver=22
- http://www.cms.gov/training-education/partner-outreach-resources/privacy
- http://www.cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives

---

## Table cell has header (WCAG 1.3.1)

**Bug ID:** `VS-ca6fa621`  
**Pattern ID:** `VS-3f067795`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N  
**XPath / selector:** `<td colspan="6" valign="top">`  
**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:** 385 instances; 9 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 9 of 8287 scanned pages (385 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.
2. Locate the element: <td colspan="6" valign="top">
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/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=224&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=55
- https://www.cms.gov/medicare-coverage-database/reports/national-coverage-medicare-coverage-documents-report.aspx?docTypeId=1&status=all
- https://www.cms.gov/medicare-coverage-database/reports/national-coverage-medicare-coverage-documents-report.aspx?docTypeId=-1&sortBy=title&status=all
- https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=190&ncdver=2
- https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=ACAAAAAAQAAA&NCAId=292&type=Closed

### 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/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N

---

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

**Bug ID:** `VS-6ba7deb5`  
**Pattern ID:** `VS-0ddc2ac6`  
**URL:** https://www.cms.gov/  
**XPath / selector:** `<button type="button" id="trigger-tabs-1562390284" 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:** 5 instances; 1 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (3 weeks)

### Description
Element in required WAI-ARIA context role. Detected by Siteimprove Alfa rule sia-r42 on 1 of 8287 scanned pages (5 instances).

### Steps to reproduce
1. Open https://www.cms.gov/.
2. Locate the element: <button type="button" id="trigger-tabs-1562390284" 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://www.cms.gov/

### 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

---

## Info and Relationships (WCAG 1.3.1)

**Bug ID:** `VS-5dc13dda`  
**Pattern ID:** `VS-33b49e3b`  
**URL:** https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N  
**XPath / selector:** `<th nowrap="" style="background:#4C94D8;mso-background-themecolor: text2;mso-background-themetint:128;padding:0in 5.4pt 0in 5.4pt;height:15.0pt">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r76` ([reference](https://alfa.siteimprove.com/rules/sia-r76))  
**Severity:** Moderate  
**Frequency:** 5 instances; 1 of 8287 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W27 (2 weeks)

### Description
Info and Relationships. Detected by Siteimprove Alfa rule sia-r76 on 1 of 8287 scanned pages (5 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N.
2. Locate the element: <th nowrap="" style="background:#4C94D8;mso-background-themecolor: text2;mso-background-themetint:128;padding:0in 5.4pt 0in 5.4pt;height:15.0pt">
3. Confirm the Siteimprove Alfa finding for rule sia-r76 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-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&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-r76

---

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

**Bug ID:** `VS-01080991`  
**Pattern ID:** `VS-8ade3360`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40179&ver=7  
**XPath / selector:** `#lblProposedLcd > .system-link.log-click[target="_blank"]`  
**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:** 2140 instances; 894 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<a href="https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40178&amp;ver=3" target="_blank" class="log-click system-link" data-page-action="Clicked the Source Proposed LCD link">DL401
```

### Description
Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 894 of 8287 scanned pages (2140 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40179&ver=7.
2. Locate the element: #lblProposedLcd > .system-link.log-click[target="_blank"]
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://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40179&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&ver=25
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=15
- https://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?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36406&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38647&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37502&lcdStatus=all&sortBy=title&ver=21
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=40000&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38645&lcdStatus=all&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33906&ver=51
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34426&lcdStatus=all&sortBy=title&ver=55
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33831&ver=46
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36920&lcdStatus=all&sortBy=title&ver=90
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=37
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39636&lcdStatus=all&sortBy=title&ver=4
- https://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/lcd.aspx?bc=6&lcdid=37750&lcdStatus=all&sortBy=title&ver=29
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39314&lcdStatus=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40049&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39962&lcdStatus=all&sortBy=title&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34633&lcdStatus=all&sortBy=title&ver=54

…and more — 894 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://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40179&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&ver=25
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=15

---

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

**Bug ID:** `VS-40c36708`  
**Pattern ID:** `VS-efd91fdd`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34196&lcdStatus=all&sortBy=title&ver=30  
**XPath / selector:** `<a href="#" data-bs-toggle="modal" data-bs-target="#MCDNoticeBoadModal" id="aBoardItemLink_2">`  
**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:** 8 instances; 8 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 8 of 8287 scanned pages (8 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34196&lcdStatus=all&sortBy=title&ver=30.
2. Locate the element: <a href="#" data-bs-toggle="modal" data-bs-target="#MCDNoticeBoadModal" id="aBoardItemLink_2">
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/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57797&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53084&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=28
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59809&articleStatus=all&bc=3&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/overview-and-quick-search.aspx
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35121&lcdStatus=all&sortBy=title&ver=31
- https://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?ArticleType=SAD%7CEd&bc=IAAAACAAAAAA&CoverageSelection=Local&CptHcpcsCode=92145&kq=true&LCDId=36954&PolicyType=Both&s=All&SearchType=Advanced&ver=26
- http://www.cms.gov/medicare-coverage-database/new-search/search.aspx

### 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/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57797&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53084&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=28

---

## Links must have discernible text (WCAG 2.4.4)

**Bug ID:** `VS-a1ce930a`  
**Pattern ID:** `VS-e9fe47ac`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=320&proposed=Y  
**XPath / selector:** `ol[type="A"] > a[href$="#5A"]`  
**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:** 19 instances; 9 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<a href="#5A">
</a>
```

### Description
Links must have discernible text. Detected by axe-core rule link-name on 9 of 8287 scanned pages (19 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=320&proposed=Y.
2. Locate the element: ol[type="A"] > a[href$="#5A"]
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-coverage-database/view/ncacal-decision-memo.aspx?NCAId=320&proposed=Y
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N
- http://www.cms.gov/data-research/cms-data/learn-more-about-cms-data
- 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/data-research/cms-data/learn-more-about-cms-data
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=20&doctype=all&mcdid=35&sortBy=updated&timeframe=30
- https://cms.gov/medicare/medicare-contracting/medicare-administrative-contractors/archive-j11-now-known-as-jurisdiction-m
- https://www.cms.gov/medicare/enrollment-renewal/providers-suppliers/hospitals-center
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=320&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:** 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-coverage-database/view/ncacal-decision-memo.aspx?NCAId=320&proposed=Y
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N
- http://www.cms.gov/data-research/cms-data/learn-more-about-cms-data

---

## Link has accessible name (WCAG 2.4.4)

**Bug ID:** `VS-23ab4948`  
**Pattern ID:** `VS-28ebd979`  
**URL:** https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N  
**XPath / selector:** `<a href="#3I6">`  
**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:** 8 instances; 5 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 5 of 8287 scanned pages (8 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N.
2. Locate the element: <a href="#3I6">
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
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N
- 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/data-research/cms-data/learn-more-about-cms-data
- https://cms.gov/medicare/medicare-contracting/medicare-administrative-contractors/archive-j11-now-known-as-jurisdiction-m
- https://www.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
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N
- 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/data-research/cms-data/learn-more-about-cms-data

---

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

**Bug ID:** `VS-b6d0e2cb`  
**Pattern ID:** `VS-c126b6a6`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.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:** 90 instances; 90 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

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

### Description
<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 90 of 8287 scanned pages (90 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.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/P0376.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0178.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0245.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0260.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0293.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0386.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0163.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0188.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0327.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0155.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0253.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0051.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0032.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0057.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0025.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0102.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0169.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0234.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0120.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0015.html

…and more — 90 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/P0376.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html

---

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

**Bug ID:** `VS-497c6e09`  
**Pattern ID:** `VS-7a0e5645`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.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:** 47 instances; 47 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 47 of 8287 scanned pages (47 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.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/version33-fullcode-cms/fullcode_cms/P0376.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0327.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0051.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0032.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0025.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0102.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0234.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0120.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0015.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0329.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0153.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0252.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0177.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0122.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0347.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0087.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0275.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0194.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0513.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0894.html

…and more — 47 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/version33-fullcode-cms/fullcode_cms/P0376.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html

---

## Form elements must have labels (WCAG 4.1.2)

**Bug ID:** `VS-8c488e2b`  
**Pattern ID:** `VS-fafffee0`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.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:** 90 instances; 90 of 8287 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W27 (2 weeks)

### 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 90 of 8287 scanned pages (90 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.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/P0376.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0178.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0245.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0260.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0293.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0386.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0163.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0188.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0327.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0155.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0253.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0051.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0032.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0057.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0025.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0102.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0169.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0234.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0120.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0015.html

…and more — 90 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/P0376.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html

---

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

**Bug ID:** `VS-a12223ee`  
**Pattern ID:** `VS-fab92378`  
**URL:** https://www.cms.gov/priorities/innovation/models/medicare-demonstrations  
**XPath / selector:** `.per-page-select-1`  
**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:** 2 instances; 1 of 8287 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W27 (2 weeks)

### HTML snippet
```html
<select name="per-page-1" class="ds-c-field per-page-select-1"><option value="5">5</option><option value="10" selected="">10</option><option value="20">20</option></select>
```

### Description
Select element must have an accessible name. Detected by axe-core rule select-name on 1 of 8287 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/priorities/innovation/models/medicare-demonstrations.
2. Locate the element: .per-page-select-1
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://www.cms.gov/priorities/innovation/models/medicare-demonstrations

### 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

---

## ARIA input fields must have an accessible name (WCAG 4.1.2)

**Bug ID:** `VS-6e858b03`  
**Pattern ID:** `VS-0841abc2`  
**URL:** https://www.cms.gov/files/linked-video-files/long-term-care-indian-country-oneida-nation-wisconsin  
**XPath / selector:** `#simplebox-placeholder`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-input-field-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1 instances; 1 of 8287 pages affected
  
**History:** first seen 2026-W27, last seen 2026-W27 (1 week)

### HTML snippet
```html
<yt-formatted-string id="simplebox-placeholder" role="textbox" tabindex="0" class="style-scope ytd-comment-simplebox-renderer">Add a comment...</yt-formatted-string>
```

### Description
ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 1 of 8287 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/files/linked-video-files/long-term-care-indian-country-oneida-nation-wisconsin.
2. Locate the element: #simplebox-placeholder
3. Confirm the axe-core finding for rule aria-input-field-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/files/linked-video-files/long-term-care-indian-country-oneida-nation-wisconsin

### 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/aria-input-field-name?application=axeAPI

---

## Form field has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-5540b04d`  
**Pattern ID:** `VS-a48e6078`  
**URL:** https://www.cms.gov/priorities/nursing-home-careers/get-up-40000-student-loan-repayment  
**XPath / selector:** `<input class="long email_text_field ds-c-field" name="email" id="email" type="email">`  
**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:** 1 instances; 1 of 8287 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W27 (3 weeks)

### Description
Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 1 of 8287 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/priorities/nursing-home-careers/get-up-40000-student-loan-repayment.
2. Locate the element: <input class="long email_text_field ds-c-field" name="email" id="email" type="email">
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://www.cms.gov/priorities/nursing-home-careers/get-up-40000-student-loan-repayment

### 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

---

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

**Bug ID:** `VS-3710ce48`  
**Pattern ID:** `VS-be8d563e`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N  
**XPath / selector:** `font[color="FF0000"] > 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:** 371 instances; 50 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<strong>3. Blood-based Biomarker Tests (effective January XX, 2021)</strong>
```

### Description
Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 50 of 8287 scanned pages (371 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.
2. Locate the element: font[color="FF0000"] > 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/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39464&lcdStatus=all&sortBy=title&ver=8
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33832&lcdStatus=all&sortBy=title&ver=20
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34425&lcdStatus=all&sortBy=title&ver=43
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37897&lcdStatus=all&sortBy=title&ver=18
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33828&lcdStatus=all&sortBy=title&ver=27
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52461&articleStatus=all&bc=3&sortBy=title&ver=21
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33803&lcdStatus=all&sortBy=title&ver=57
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39464&ver=8
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33832&lcdStatus=all&sortBy=title&ver=20
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33828&lcdStatus=all&sortBy=title&ver=27
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33832&ver=20
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=33370&proposedStatus=all&sortBy=title&ver=58
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39402&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33611&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39402&lcdStatus=all&sortBy=title&ver=14
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=26
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33803&ver=47
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33318&lcdStatus=all&sortBy=title&ver=57
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37899&lcdStatus=all&sortBy=title&ver=14
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56190&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=3
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33370&lcdStatus=all&sortBy=title&ver=58
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33318&lcdStatus=all&sortBy=title&ver=63

…and more — 50 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/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39464&lcdStatus=all&sortBy=title&ver=8
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52

---

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

**Bug ID:** `VS-519d2cb4`  
**Pattern ID:** `VS-f7e99f4b`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52  
**XPath / selector:** `text: "Situation"`  
**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:** 172 instances; 24 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 24 of 8287 scanned pages (172 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52.
2. Locate the element: text: "Situation"
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/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52
- http://www.cms.gov/about-cms/components/cpi/victimizedproviderproject
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34425&lcdStatus=all&sortBy=title&ver=43
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33803&lcdStatus=all&sortBy=title&ver=57
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39464&ver=8
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=33370&proposedStatus=all&sortBy=title&ver=58
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39402&lcdStatus=all&sortBy=title&ver=14
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39402&lcdStatus=all&sortBy=title&ver=14
- https://cms.gov/priorities/innovation/innovation-models/md-tccm
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33318&lcdStatus=all&sortBy=title&ver=63
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33828&lcdStatus=all&sortBy=title&ver=27
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39383&lcdStatus=all&sortBy=title&ver=13
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33828&ver=27
- https://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=52489&articleStatus=all&bc=3&sortBy=title&ver=24
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33611&lcdStatus=all&sortBy=title&ver=25
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=33&sortBy=title&status=all
- http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37921&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33803&lcdStatus=all&sortBy=title&ver=61
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39462&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39464&lcdStatus=all&sortBy=title&ver=8
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39462&lcdStatus=all&sortBy=title&ver=9

### 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/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52
- http://www.cms.gov/about-cms/components/cpi/victimizedproviderproject
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34425&lcdStatus=all&sortBy=title&ver=43

---

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

**Bug ID:** `VS-dc9b976a`  
**Pattern ID:** `VS-6c86a43a`  
**URL:** https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/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:** 1 instances; 1 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 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 1 of 8287 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/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/MLN4151758-ICD-10-PCS/ICD10PCS/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

---

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

**Bug ID:** `VS-c5d3f7aa`  
**Pattern ID:** `VS-3a9437f7`  
**URL:** https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/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 8287 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W27 (2 weeks)

### Description
Text is not too small to read. Detected by Siteimprove Alfa rule sia-r47 on 1 of 8287 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/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/MLN4151758-ICD-10-PCS/ICD10PCS/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-8f470a84`  
**Pattern ID:** `VS-dd1c019f`  
**URL:** https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings  
**XPath / selector:** `a[href$="#_ftnref1"] > 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:** 10 instances; 2 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<span lang="X-NONE">[1]</span>
```

### Description
lang attribute must have a valid value. Detected by axe-core rule valid-lang on 2 of 8287 scanned pages (10 instances).

### Steps to reproduce
1. Open https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings.
2. Locate the element: a[href$="#_ftnref1"] > 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/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33609&lcdStatus=all&sortBy=title&ver=14

### 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/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33609&lcdStatus=all&sortBy=title&ver=14

---

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

**Bug ID:** `VS-765760a0`  
**Pattern ID:** `VS-400f3a18`  
**URL:** https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings  
**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:** 10 instances; 2 of 8287 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W27 (2 weeks)

### Description
Element with lang attribute has correct language. Detected by Siteimprove Alfa rule sia-r7 on 2 of 8287 scanned pages (10 instances).

### Steps to reproduce
1. Open https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings.
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/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33609&lcdStatus=all&sortBy=title&ver=14

### 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/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33609&lcdStatus=all&sortBy=title&ver=14

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-a9787d4d`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N  
**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:** 6746 instances; 1336 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 1336 of 8287 scanned pages (6746 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.
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/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55076&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58955&articleStatus=all&bc=3&sortBy=title&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38647&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37502&lcdStatus=all&sortBy=title&ver=21
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57020&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34426&lcdStatus=all&sortBy=title&ver=55
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33831&ver=46
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57830&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60347&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=37
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56632&articleStatus=all&bc=3&sortBy=title&ver=31
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39636&lcdStatus=all&sortBy=title&ver=4
- https://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/lcd.aspx?bc=6&lcdid=35073&lcdStatus=all&sortBy=title&ver=51
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53605&ver=21

…and more — 1336 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/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18

---

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

**Bug ID:** `VS-7157beaa`  
**Pattern ID:** `VS-2208081b`  
**URL:** https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency  
**XPath / selector:** `<p class="ds-c-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:** 39969 instances; 3327 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 3327 of 8287 scanned pages (39969 instances).

### Steps to reproduce
1. Open https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency.
2. Locate the element: <p class="ds-c-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://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?page=9
- https://www.cms.gov/marketplace/in-person-assisters/technical-resources
- https://cms.gov/priorities/innovation-center/value-based-care-spotlight/external-resources
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A33466&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=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93
- https://cms.gov/training-education/medicare-learning-networkr-mln/resources-training/mln-matters-articles
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12274otn
- https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10261otn
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55076&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A21&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A136&f%5B3%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r9r242i
- https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2026-end-stage-renal-disease-esrd-prospective-payment-system-final-rule
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A101&f%5B1%5D=topic%3A181&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/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7
- http://www.cms.gov/marketplace/in-person-assisters/outreach-education
- https://www.cms.gov/about-cms/information-systems/privacy/notice-privacy-practices-original-medicare
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12261fm
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A81&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A446&f%5B3%5D=topic%3A456&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/data-research/cms-covid-19-data-products/medicare-home-covid-19-vaccine-analysis
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58955&articleStatus=all&bc=3&sortBy=title&ver=4
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A71&f%5B1%5D=topic%3A161&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A6076&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC

…and more — 3327 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://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?page=9
- https://www.cms.gov/marketplace/in-person-assisters/technical-resources

---

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

**Bug ID:** `VS-a5ac5bda`  
**Pattern ID:** `VS-fbf54eba`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N  
**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:** 104753 instances; 1332 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 1332 of 8287 scanned pages (104753 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.
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/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55076&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58955&articleStatus=all&bc=3&sortBy=title&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38647&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37502&lcdStatus=all&sortBy=title&ver=21
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57020&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34426&lcdStatus=all&sortBy=title&ver=55
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33831&ver=46
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57830&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60347&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=37
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56632&articleStatus=all&bc=3&sortBy=title&ver=31
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39636&lcdStatus=all&sortBy=title&ver=4
- https://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/lcd.aspx?bc=6&lcdid=35073&lcdStatus=all&sortBy=title&ver=51
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53605&ver=21

…and more — 1332 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/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18

---

## Scrollable element is keyboard accessible (WCAG 1.4.8)

**Bug ID:** `VS-a5a67b93`  
**Pattern ID:** `VS-388b5438`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93  
**XPath / selector:** `<p style="line-height: 14.4pt; background: white;">`  
**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:** 1717 instances; 118 of 8287 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W27 (3 weeks)

### Description
Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 118 of 8287 scanned pages (1717 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93.
2. Locate the element: <p style="line-height: 14.4pt; background: white;">
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/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37502&lcdStatus=all&sortBy=title&ver=21
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33831&ver=46
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=37
- https://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/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38151&lcdStatus=all&sortBy=title&ver=6
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60245&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34541&lcdStatus=all&sortBy=title&ver=21
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52519&ver=39
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54901&ver=27
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=16
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37504&lcdStatus=all&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38125&lcdStatus=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34045&lcdStatus=all&sortBy=title&ver=38
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37822&lcdStatus=all&sortBy=title&ver=18
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=38
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39464&ver=8
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35026&lcdStatus=all&sortBy=title&ver=75
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39373&lcdStatus=all&sortBy=title&ver=6
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59520&articleStatus=all&bc=3&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39242&lcdStatus=all&sortBy=title&ver=8
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39863&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38584&lcdStatus=all&sortBy=title&ver=15

…and more — 118 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/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37502&lcdStatus=all&sortBy=title&ver=21

---

## iframe element is not empty (WCAG 1.4.8)

**Bug ID:** `VS-efd71db9`  
**Pattern ID:** `VS-48291402`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N  
**XPath / selector:** `<p class="MsoNormal" 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:** 472 instances; 68 of 8287 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W27 (3 weeks)

### Description
iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 68 of 8287 scanned pages (472 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.
2. Locate the element: <p class="MsoNormal" 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://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://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?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38647&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=228&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33794&lcdStatus=all&sortBy=title&ver=164
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=39297&proposedStatus=all&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38151&lcdStatus=all&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39832&lcdStatus=all&sortBy=title&ver=13
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39276&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=16
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38649&lcdStatus=all&sortBy=title&ver=13
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38385&lcdStatus=all&sortBy=title&ver=40
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59831&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33794&lcdStatus=all&sortBy=title&ver=171
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56240&ver=8
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39464&ver=8
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38647&lcdStatus=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39242&lcdStatus=all&sortBy=title&ver=8
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39262&ver=8
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=16
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=15
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58993&articleStatus=all&bc=3&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39402&lcdStatus=all&sortBy=title&ver=14
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39402&lcdStatus=all&sortBy=title&ver=14

…and more — 68 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://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://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?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7

---

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

**Bug ID:** `VS-9a9d9e41`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency  
**XPath / selector:** `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">`  
**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:** 121903 instances; 3338 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 3338 of 8287 scanned pages (121903 instances).

### Steps to reproduce
1. Open https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency.
2. Locate the element: <a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">
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://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?page=9
- https://www.cms.gov/marketplace/in-person-assisters/technical-resources
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html
- https://cms.gov/priorities/innovation-center/value-based-care-spotlight/external-resources
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A33466&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=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93
- https://cms.gov/training-education/medicare-learning-networkr-mln/resources-training/mln-matters-articles
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12274otn
- https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10261otn
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55076&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A21&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A136&f%5B3%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r9r242i
- https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2026-end-stage-renal-disease-esrd-prospective-payment-system-final-rule
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A101&f%5B1%5D=topic%3A181&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/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7
- http://www.cms.gov/marketplace/in-person-assisters/outreach-education
- https://www.cms.gov/about-cms/information-systems/privacy/notice-privacy-practices-original-medicare
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12261fm
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A81&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A446&f%5B3%5D=topic%3A456&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/data-research/cms-covid-19-data-products/medicare-home-covid-19-vaccine-analysis
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58955&articleStatus=all&bc=3&sortBy=title&ver=4

…and more — 3338 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://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?page=9
- https://www.cms.gov/marketplace/in-person-assisters/technical-resources

---

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

**Bug ID:** `VS-98a6b159`  
**Pattern ID:** `VS-d25f622d`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N  
**XPath / selector:** `#dmHeader0`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 477 instances; 455 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<h4 id="dmHeader0">I. Decision</h4>
```

### Description
Heading levels should only increase by one. Detected by axe-core rule heading-order on 455 of 8287 scanned pages (477 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.
2. Locate the element: #dmHeader0
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-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://cms.gov/training-education/medicare-learning-networkr-mln/resources-training/mln-matters-articles
- https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2Fascpayment%2Fdownloads%2Fascpuf2004.zip
- https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2FASCPayment%2FDownloads%2F2011-ASC-Approved-HCPCS-Codes-and-Payment-Rates.zip
- https://www.cms.gov/data-research/cms-covid-19-data-products/medicare-home-covid-19-vaccine-analysis
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34008&lcdStatus=all&sortBy=title
- http://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2Fphysicianfeesched%2Fdownloads%2Fpe_townhall_hcpcs_level.zip
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A441&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/apps/aha/license.asp?file=%2Ffiles%2Fzip%2Fi%2Foce-quarterly-data-files-v263r0.zip
- https://www.cms.gov/data-research/research/statistical-resources-dually-eligible-beneficiaries/state-mma-file-dual-eligible-beneficiaries
- http://www.cms.gov/priorities/key-initiatives/opioids
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38805&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40189&proposedStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=228&proposed=N
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A126&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A441&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-alphabetical-report.aspx?lcdid=38443&lcdStatus=all&sortBy=title
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A161&f%5B1%5D=topic%3A356&f%5B2%5D=topic%3A841&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=38662&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=37&sortBy=title&status=all
- https://www.cms.gov/priorities/health-equity/minority-health/resource-center/language/navajo-dine-bizaad
- https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2FASCPayment%2FDownloads%2F2019-Jan-ASC-Addenda-Corrections.zip
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37822&lcdStatus=all&sortBy=title
- https://cms.gov/medicare/payment/fee-schedules/physician-fee-schedule/advanced-primary-care-management-services
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A21&f%5B1%5D=topic%3A441&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/reports/national-coverage-annual-report.aspx?docType=all&year=2026

…and more — 455 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-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://cms.gov/training-education/medicare-learning-networkr-mln/resources-training/mln-matters-articles
- https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2Fascpayment%2Fdownloads%2Fascpuf2004.zip

---

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

**Bug ID:** `VS-826dee8c`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html  
**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:** 131 instances; 131 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

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

### Description
Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 131 of 8287 scanned pages (131 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html.
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/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html
- https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-addenda
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- http://www.cms.gov/marketplace/about/health-insurance-quality-initiatives/enrollee-survey
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0178.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0245.html
- https://cms.gov/medical-bill-rights/help
- https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/about/current-partners
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0260.html
- https://cms.gov/derechos-facturas-medicas/ayuda/guias/defensor-del-paciente
- https://www.cms.gov/derechos-facturas-medicas/ayuda/guias
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0293.html
- https://www.cms.gov/initiatives/medicare-prescription-drug-affordability/overview/medicare-drug-price-negotiation-program
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0386.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0163.html
- http://www.cms.gov/data-research/cms-information-technology/tlc
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0188.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0327.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0155.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0253.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0051.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html

…and more — 131 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/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html
- https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-addenda
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html

---

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

**Bug ID:** `VS-bae30fda`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.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:** 2099 instances; 92 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 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 92 of 8287 scanned pages (2099 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.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/P0376.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0178.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0245.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0260.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0293.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0386.html
- https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0163.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0188.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0327.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0155.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0253.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0051.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0032.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0057.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0025.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0102.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0169.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0234.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0120.html

…and more — 92 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/P0376.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html

---

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

**Bug ID:** `VS-f61ae1eb`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.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:** 90 instances; 90 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

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

### Description
Document should have one main landmark. Detected by axe-core rule landmark-one-main on 90 of 8287 scanned pages (90 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.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/P0376.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0178.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0245.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0260.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0293.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0386.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0163.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0188.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0327.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0155.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0253.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0051.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0032.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0057.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0025.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0102.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0169.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0234.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0120.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0015.html

…and more — 90 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/P0376.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html

---

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

**Bug ID:** `VS-b7e0e1ee`  
**Pattern ID:** `VS-0ba8ce9d`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=228&proposed=N  
**XPath / selector:** `td[width="25%"]`  
**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:** 593 instances; 21 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<td width="25%" scope="row">January 20, 2009</td>
```

### Description
scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 21 of 8287 scanned pages (593 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=228&proposed=N.
2. Locate the element: td[width="25%"]
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?ncaid=228&proposed=N
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=246&NcaName=Magnetic+Resonance+Imaging+%28MRI%29+%282nd+Recon%29&ver=4
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38571&lcdStatus=all&sortBy=title&ver=8
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=224&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?bc=20&sortBy=title&taid=26&year=0
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?=%2C&bc=BEAAAAAAAQAAAA%3D%3D&ncdid=190&NCDSect=280.1&ncdver=3
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=55
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=331&NCDver=4
- 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=267&proposed=Y&sortBy=relevance
- https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=90
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&ncaid=90&proposed=Y&sortBy=title&year=2026
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?NCAId=267
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=224
- https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=190&ncdver=2
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=224&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=289&NcaName=Magnetic+Resonance+Imaging+%28MRI%29+%282nd+Recon%29&proposed=Y&ver=4
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=331&ncdver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=39122&proposedStatus=all&sortBy=title&ver=3
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=24&sortBy=title&status=all
- https://www.cms.gov/medicare-coverage-database/details/medcac-meeting-details.aspx?bc=AgAAAQAAEAoA&DocType=NCA%7CCAL&fromdb=true&MEDCACId=47&NCAId=224&NcaName=Pharmacogenomic+Testing+for+Warfarin+Response&ver=11&year=2009

### 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?ncaid=228&proposed=N
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=246&NcaName=Magnetic+Resonance+Imaging+%28MRI%29+%282nd+Recon%29&ver=4
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33

---

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

**Bug ID:** `VS-81344b63`  
**Pattern ID:** `VS-8806389c`  
**URL:** https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html  
**XPath / selector:** `main`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 8 instances; 8 of 8287 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W27 (3 weeks)

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

### Description
Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 8 of 8287 scanned pages (8 instances).

### Steps to reproduce
1. Open https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html.
2. Locate the element: main
3. Confirm the axe-core finding for rule landmark-unique.

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

### Affected pages
- https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html
- https://www.cms.gov/apps/media?page=1
- https://www.cms.gov/priorities/innovation/models/medicare-demonstrations
- https://cms.gov/data-tools
- https://www.cms.gov/newsroom
- https://www.cms.gov/apps/media
- https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/index.html
- http://www.cms.gov/home/medicaid.asp

### 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/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html
- https://www.cms.gov/apps/media?page=1
- https://www.cms.gov/priorities/innovation/models/medicare-demonstrations

---

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

**Bug ID:** `VS-9f603d4f`  
**Pattern ID:** `VS-30db094d`  
**URL:** http://www.cms.gov/data-research/statistics-trends-and-reports/mcbs-public-use-file  
**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 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (3 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 8287 scanned pages (4 instances).

### Steps to reproduce
1. Open http://www.cms.gov/data-research/statistics-trends-and-reports/mcbs-public-use-file.
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
- http://www.cms.gov/data-research/statistics-trends-and-reports/mcbs-public-use-file
- https://www.cms.gov/Research-Statistics-Data-and-Systems/Downloadable-Public-Use-Files/MCBS-Public-Use-File/index
- https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Outpatient.html
- http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-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
- http://www.cms.gov/data-research/statistics-trends-and-reports/mcbs-public-use-file
- https://www.cms.gov/Research-Statistics-Data-and-Systems/Downloadable-Public-Use-Files/MCBS-Public-Use-File/index
- https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Outpatient.html

---

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

**Bug ID:** `VS-be44c833`  
**Pattern ID:** `VS-ff3ceb19`  
**URL:** https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html  
**XPath / selector:** `#NAV_MAIN`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-main-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 8287 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W27 (2 weeks)

### HTML snippet
```html
<div id="NAV_MAIN" role="main">
```

### Description
Main landmark should not be contained in another landmark. Detected by axe-core rule landmark-main-is-top-level on 1 of 8287 scanned pages (1 instances).

### Steps to reproduce
1. Open https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html.
2. Locate the element: #NAV_MAIN
3. Confirm the axe-core finding for rule landmark-main-is-top-level.

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

### Affected pages
- https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.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/landmark-main-is-top-level?application=axeAPI

---

## Document should not have more than one main landmark (WCAG criterion undetermined)

**Bug ID:** `VS-68876761`  
**Pattern ID:** `VS-cd69be3a`  
**URL:** https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html  
**XPath / selector:** `main`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-no-duplicate-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 8287 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W27 (2 weeks)

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

### Description
Document should not have more than one main landmark. Detected by axe-core rule landmark-no-duplicate-main on 1 of 8287 scanned pages (1 instances).

### Steps to reproduce
1. Open https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html.
2. Locate the element: main
3. Confirm the axe-core finding for rule landmark-no-duplicate-main.

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

### Affected pages
- https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.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/landmark-no-duplicate-main?application=axeAPI

---

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

**Bug ID:** `VS-eb3d004a`  
**Pattern ID:** `VS-0066c67d`  
**URL:** https://cms.gov/medicare/quality/nursing-home-improvement/announcements  
**XPath / selector:** `h3:nth-child(56)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-heading` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 20 instances; 20 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<h3>&nbsp;</h3>
```

### Description
Headings should not be empty. Detected by axe-core rule empty-heading on 20 of 8287 scanned pages (20 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare/quality/nursing-home-improvement/announcements.
2. Locate the element: h3:nth-child(56)
3. Confirm the axe-core finding for rule empty-heading.

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

### Affected pages
- https://cms.gov/medicare/quality/nursing-home-improvement/announcements
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=3&sortBy=title&ver=22
- http://www.cms.gov/training-education/partner-outreach-resources/privacy
- https://www.cms.gov/about-cms/work-us/careers/careers-frequently-asked-questions-faq
- https://www.cms.gov/about-cms/what-we-do/nursing-homes
- https://cms.gov/medicare/appeals-grievances/fee-for-service/second-level-appeal
- http://www.cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives
- https://www.cms.gov/medicare/quality/health-insurance-marketplace-initiatives
- http://www.cms.gov/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/quality-improvement-interventions
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37244&lcdStatus=all&sortBy=title&ver=39
- https://www.cms.gov/marketplace/about/oversight/other-insurance-protections/prescription-drug-data-collection-rxdc
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59487&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- https://www.cms.gov/priorities/health-equity/minority-health/officina-salud-minorias/observancias-salud
- https://cms.gov/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/quality-improvement-interventions
- https://cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/annual-wellness-visits
- https://www.cms.gov/newsroom/press-releases/medicare-expands-coverage-pet-scans-cancer-diagnostic-tool
- https://cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/orthopedic-footwear
- https://www.cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39591&lcdStatus=all&sortBy=title&ver=11
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37578&lcdStatus=all&sortBy=title&ver=30

### 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://cms.gov/medicare/quality/nursing-home-improvement/announcements
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=3&sortBy=title&ver=22
- http://www.cms.gov/training-education/partner-outreach-resources/privacy

---

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

**Bug ID:** `VS-6cfac969`  
**Pattern ID:** `VS-d69fc059`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N  
**XPath / selector:** `tr:nth-child(2) > th:nth-child(1)`  
**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:** 19 instances; 8 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<th valign="top"> <p>&nbsp;</p>  </th>
```

### Description
Table header text should not be empty. Detected by axe-core rule empty-table-header on 8 of 8287 scanned pages (19 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.
2. Locate the element: tr:nth-child(2) > th:nth-child(1)
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/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=224&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=55
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=224&proposed=Y
- https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=ACAAAAAAQAAA&NCAId=292&type=Closed
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56104&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17

### 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/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N

---

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

**Bug ID:** `VS-5c71ec5c`  
**Pattern ID:** `VS-4fac2f41`  
**URL:** https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html  
**XPath / selector:** `body`  
**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:** 3 instances; 2 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<body style="background: #072137" class="cs-HTML theme-unified view-desktop is-landscape ff-on ff-drop-in-base ff-multiple-quiz-tracking ff-player-size-option sidebar-left zoom-mode timeline-playing n
```

### Description
ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 2 of 8287 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html.
2. Locate the element: body
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/MLN4151758-ICD-10-PCS/ICD10PCS/story.html
- http://www.cms.gov/home/medicaid.asp

### 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/MLN4151758-ICD-10-PCS/ICD10PCS/story.html
- http://www.cms.gov/home/medicaid.asp

---

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

**Bug ID:** `VS-5af87ad8`  
**Pattern ID:** `VS-7118fead`  
**URL:** https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency  
**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:** 3288 instances; 3288 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 3288 of 8287 scanned pages (3288 instances).

### Steps to reproduce
1. Open https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency.
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://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?page=9
- https://www.cms.gov/marketplace/in-person-assisters/technical-resources
- https://cms.gov/priorities/innovation-center/value-based-care-spotlight/external-resources
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A33466&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=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93
- https://cms.gov/training-education/medicare-learning-networkr-mln/resources-training/mln-matters-articles
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12274otn
- https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10261otn
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55076&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A21&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A136&f%5B3%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r9r242i
- https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2026-end-stage-renal-disease-esrd-prospective-payment-system-final-rule
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A101&f%5B1%5D=topic%3A181&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/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7
- http://www.cms.gov/marketplace/in-person-assisters/outreach-education
- https://www.cms.gov/about-cms/information-systems/privacy/notice-privacy-practices-original-medicare
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12261fm
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A81&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A446&f%5B3%5D=topic%3A456&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/data-research/cms-covid-19-data-products/medicare-home-covid-19-vaccine-analysis
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58955&articleStatus=all&bc=3&sortBy=title&ver=4
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A71&f%5B1%5D=topic%3A161&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A6076&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC

…and more — 3288 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://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?page=9
- https://www.cms.gov/marketplace/in-person-assisters/technical-resources

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-64678315`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N  
**XPath / selector:** `<h4 id="dmHeader0">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 1298 instances; 1294 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 1294 of 8287 scanned pages (1298 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.
2. Locate the element: <h4 id="dmHeader0">
3. Confirm the Siteimprove Alfa finding for rule sia-r53.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93
- https://cms.gov/training-education/medicare-learning-networkr-mln/resources-training/mln-matters-articles
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7
- https://www.cms.gov/data-research/cms-covid-19-data-products/medicare-home-covid-19-vaccine-analysis
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58955&articleStatus=all&bc=3&sortBy=title&ver=4
- http://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2Fphysicianfeesched%2Fdownloads%2Fpe_townhall_hcpcs_level.zip
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A441&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=6&lcdid=38647&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37502&lcdStatus=all&sortBy=title&ver=21
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57020&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34426&lcdStatus=all&sortBy=title&ver=55
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33831&ver=46
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60347&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=37
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56632&articleStatus=all&bc=3&sortBy=title&ver=31
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39636&lcdStatus=all&sortBy=title&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12

…and more — 1294 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://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93
- https://cms.gov/training-education/medicare-learning-networkr-mln/resources-training/mln-matters-articles

---

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

**Bug ID:** `VS-e02a91a9`  
**Pattern ID:** `VS-c18be945`  
**URL:** https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency  
**XPath / selector:** `text: "Feedback"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 1269 instances; 1266 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 1266 of 8287 scanned pages (1269 instances).

### Steps to reproduce
1. Open https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency.
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/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency
- https://cms.gov/priorities/innovation-center/value-based-care-spotlight/external-resources
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A81&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A446&f%5B3%5D=topic%3A456&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%3A71&f%5B1%5D=topic%3A161&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A6076&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A161&f%5B1%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medicare-fee-service-recovery-audit-program
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A441&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/priorities/innovation-center/value-based-care-spotlight/patient-provider-voices/whole-person-care-stories/improving-health-access-care-rural-areas-one-pennsylvania-couples-story
- https://www.cms.gov/medicare/payment/medicare-part-b-drug-average-sales-price/asp-events
- https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/visitation-intermediate-care-facilities-individuals-intellectual-disabilities-icfiids-and
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11544cp
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=2&sort=desc
- https://www.cms.gov/newsroom/press-releases/cms-final-rule-improves-health-equity-access-treatment-hospital-readiness-covid-19-vaccination-data
- https://www.cms.gov/newsroom/press-releases/medicare-announces-funding-state-health-insurance-counseling-programs-2009
- http://www.cms.gov/medicare/audits-compliance/part-a-cost-report/medicare-cost-report-electronic-filing-mcref
- https://cms.gov/medicare/regulations-guidance/transmittals/2016-transmittals
- https://www.cms.gov/data-research/cms-information-technology/cio-resource-library
- http://www.cms.gov/data-research/statistics-trends-and-reports/cfo-report
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A33316&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/regulations-and-guidance/guidance/transmittals/2018-transmittals-items/r13p240
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A116&f%5B1%5D=topic%3A186&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A446&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals?items_per_page=25&order=field_dyna_cr_number&page=12&sort=desc
- https://www.cms.gov/medicare/quality/hospice-quality-reporting-program/how-update-hospice-demographic-data
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_release_date&page=4&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_subject_formatted&page=12&sort=desc

…and more — 1266 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/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency
- https://cms.gov/priorities/innovation-center/value-based-care-spotlight/external-resources
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A81&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A446&f%5B3%5D=topic%3A456&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-87eb0ce4`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8  
**XPath / selector:** `<h4>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 590 instances; 387 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 387 of 8287 scanned pages (590 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8.
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=58649&articleStatus=all&bc=3&sortBy=title&ver=8
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57020&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- http://www.cms.gov/priorities/innovation/key-concepts/bundled-payments
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56632&articleStatus=all&bc=3&sortBy=title&ver=31
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53605&ver=21
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57593&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38805&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40189&proposedStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59809&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56692&articleStatus=all&bc=3&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59101&ver=23
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57649&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57474&ver=34
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57867&articleStatus=all&bc=3&sortBy=title&ver=33
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34194&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57788&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=41
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=39367&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=3&sortBy=title&ver=22
- https://www.cms.gov/marketplace/resources/forms-reports-other
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59295&articleStatus=all&bc=3&sortBy=title&ver=6
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56872&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59805&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56065&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=23

…and more — 387 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=58649&articleStatus=all&bc=3&sortBy=title&ver=8
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57020&ver=3

---

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

**Bug ID:** `VS-6e8c48b9`  
**Pattern ID:** `VS-7fbb8b20`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.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:** 47 instances; 47 of 8287 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W27 (2 weeks)

### Description
Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 47 of 8287 scanned pages (47 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.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/P0376.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0327.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0051.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0032.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0025.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0102.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0234.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0120.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0015.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0329.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0153.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0252.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0177.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0122.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0347.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0087.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0275.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0194.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0513.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0894.html

…and more — 47 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/P0376.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html

---

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

**Bug ID:** `VS-8e908e0a`  
**Pattern ID:** `VS-e43903a1`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.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:** 94 instances; 47 of 8287 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W27 (2 weeks)

### Description
Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 47 of 8287 scanned pages (94 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.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/P0376.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0327.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0051.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0032.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0025.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0102.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0234.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0120.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0015.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0329.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0153.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0252.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0177.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0122.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0347.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0087.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0275.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0194.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0513.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0894.html

…and more — 47 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/P0376.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html

---

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

**Bug ID:** `VS-742b1d3e`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20  
**XPath / selector:** `table`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 1000 instances; 44 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<table style="height: 15px;" border="black" width="415">
<tbody>
<tr>
<td style="text-align: center;">
<p><strong>Proliferation Group</strong></p>
</td>
<td style="text-align: center;">
<p><strong>Hor
```

### Description
Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 44 of 8287 scanned pages (1000 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20.
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://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaid=289
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0245.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33832&lcdStatus=all&sortBy=title&ver=20
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0293.html
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34427&lcdStatus=all&sortBy=title&ver=100
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33828&lcdStatus=all&sortBy=title&ver=27
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=224&proposed=Y
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0253.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0032.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0057.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0025.html
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=1
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0234.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39383&lcdStatus=all&sortBy=title&ver=11
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58324&articleStatus=all&bc=3&sortBy=title&ver=35
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39402&lcdStatus=all&sortBy=title&ver=14
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=3&sortBy=title&ver=40
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56635&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37199&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39232&lcdStatus=all&sortBy=title&ver=6
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0122.html

…and more — 44 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://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html
- https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaid=289

---

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

**Bug ID:** `VS-46fc3107`  
**Pattern ID:** `VS-f2542d87`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N  
**XPath / selector:** `<pre>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r79` ([reference](https://alfa.siteimprove.com/rules/sia-r79))  
**Severity:** Moderate  
**Frequency:** 8 instances; 8 of 8287 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### Description
Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 8 of 8287 scanned pages (8 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.
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
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=228&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=224&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=17&sortBy=title&status=all
- https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=90
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?NCAId=267
- https://cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=29&sortBy=title&status=all
- https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=ACAAAAAAQAAA&NCAId=292&type=Closed

### 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
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=228&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=224&proposed=Y

---

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

**Bug ID:** `VS-17e2c243`  
**Pattern ID:** `VS-4c341c77`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaid=289  
**XPath / selector:** `<p>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r85` ([reference](https://alfa.siteimprove.com/rules/sia-r85))  
**Severity:** Moderate  
**Frequency:** 24 instances; 8 of 8287 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W27 (3 weeks)

### Description
Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 8 of 8287 scanned pages (24 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaid=289.
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
- https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaid=289
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=60
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=67
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=14&doctype=all&ncdid=291&ncdver=2&sortBy=title&year=2026
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=315&proposed=N
- https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=ACAAAAAAQAAA&NCAId=292&type=Closed

### 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
- https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaid=289
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N

---

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

**Bug ID:** `VS-8e3cfde4`  
**Pattern ID:** `VS-3d033717`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&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:** 6 instances; 6 of 8287 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W27 (3 weeks)

### Description
No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 6 of 8287 scanned pages (6 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&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=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=60
- https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=90
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=67
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=14&doctype=all&ncdid=291&ncdver=2&sortBy=title&year=2026
- https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=ACAAAAAAQAAA&NCAId=292&type=Closed

### 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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=60
- https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=90

---

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

**Bug ID:** `VS-62e26f27`  
**Pattern ID:** `VS-aa242c2d`  
**URL:** https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/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:** 2 instances; 2 of 8287 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W27 (3 weeks)

### Description
First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 2 of 8287 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/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/MLN4151758-ICD-10-PCS/ICD10PCS/story.html
- http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-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/MLN4151758-ICD-10-PCS/ICD10PCS/story.html
- http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files

---

## Tables are used for tabular data, not layout (WCAG criterion undetermined)

**Bug ID:** `VS-97e4119c`  
**Pattern ID:** `VS-3d3b2245`  
**URL:** https://www.cms.gov/priorities/health-equity/minority-health/resource-center/language/navajo-dine-bizaad  
**XPath / selector:** `<div role="region">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r40` ([reference](https://alfa.siteimprove.com/rules/sia-r40))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 8287 pages affected
  
**History:** first seen 2026-W27, last seen 2026-W27 (1 week)

### Description
Tables are used for tabular data, not layout. Detected by Siteimprove Alfa rule sia-r40 on 1 of 8287 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/priorities/health-equity/minority-health/resource-center/language/navajo-dine-bizaad.
2. Locate the element: <div role="region">
3. Confirm the Siteimprove Alfa finding for rule sia-r40.

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

### Affected pages
- https://www.cms.gov/priorities/health-equity/minority-health/resource-center/language/navajo-dine-bizaad

### 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-r40

---

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

**Bug ID:** `VS-f1076d9f`  
**Pattern ID:** `VS-7f897be7`  
**URL:** https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/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:** 1 instances; 1 of 8287 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W27 (2 weeks)

### Description
aria attribute is defined in WAI-ARIA. Detected by Siteimprove Alfa rule sia-r20 on 1 of 8287 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/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/MLN4151758-ICD-10-PCS/ICD10PCS/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

---

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

**Bug ID:** `VS-17102650`  
**Pattern ID:** `VS-e05344b9`  
**URL:** http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files  
**XPath / selector:** `@aria-label="Open Medicare Diabetes Prevention Program"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18))  
**Severity:** Moderate  
**Frequency:** 6 instances; 1 of 8287 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W27 (3 weeks)

### Description
aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 1 of 8287 scanned pages (6 instances).

### Steps to reproduce
1. Open http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files.
2. Locate the element: @aria-label="Open Medicare Diabetes Prevention Program"
3. Confirm the Siteimprove Alfa finding for rule sia-r18.

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

### Affected pages
- http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-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