``` ### Description Images must have alternative text. Detected by axe-core rule image-alt on 5 of 8594 scanned pages (5 instances). ### Steps to reproduce 1. Open https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=265. 2. Locate the element: img[border="0"] 3. Confirm the axe-core finding for rule image-alt against WCAG 1.1.1 Non-text Content. ### Impact Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%). - **Without vision** (1.0% of population) - **Limited vision** (2.4% of population) - **Limited cognitive, language, or learning ability** (11.0% of population) ### Affected pages - https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=265 - https://cms.gov/icd10m/FY2024-version41.1-fullcode-cms/fullcode_cms/P0001.html - https://cms.gov/priorities/electronic-prior-authorization/overview - https://cms.gov/icd10m/FY2027-nprm-v44-fullcode-cms/fullcode_cms/P0001.html - https://cms.gov/icd10m/version38-1-fullcode-cms/fullcode_cms/P0001.html ### Testing environment Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing. ### Suggested fix **How to fix:** Give every a meaningful alt attribute. Use alt="" only for decorative images so screen readers skip them. See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI ### Example pages - https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=265 - https://cms.gov/icd10m/FY2024-version41.1-fullcode-cms/fullcode_cms/P0001.html - https://cms.gov/priorities/electronic-prior-authorization/overview --- ## ARIA progressbar nodes must have an accessible name (WCAG 1.1.1) **Bug ID:** `VS-0892d964` **Pattern ID:** `VS-f7280372` **URL:** https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&sortBy=relevance **XPath / selector:** `#searchResults > tfoot > tr > .text-center[colspan="5"][data-exclude="true"] > .ds-c-spinner[aria-valuetext="Loading"][role="progressbar"]` **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:** 1 instances; 1 of 8594 pages affected **History:** first seen 2026-W27, last seen 2026-W28 (2 weeks) ### HTML snippet ```html ``` ### Description ARIA progressbar nodes must have an accessible name. Detected by axe-core rule aria-progressbar-name on 1 of 8594 scanned pages (1 instances). ### Steps to reproduce 1. Open https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&sortBy=relevance. 2. Locate the element: #searchResults > tfoot > tr > .text-center[colspan="5"][data-exclude="true"] > .ds-c-spinner[aria-valuetext="Loading"][role="progressbar"] 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://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&sortBy=relevance ### 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 --- ## Image has accessible name (WCAG 1.1.1) **Bug ID:** `VS-b17374d3` **Pattern ID:** `VS-a24eaa8c` **URL:** https://cms.gov/priorities/electronic-prior-authorization/overview **XPath / selector:** `

` **WCAG SC:** 1.1.1 — Non-text Content (Level A) **Rule:** Siteimprove Alfa — `sia-r2` ([reference](https://alfa.siteimprove.com/rules/sia-r2)) **Severity:** Moderate **Frequency:** 1 instances; 1 of 8594 pages affected **History:** first seen 2026-W24, last seen 2026-W28 (4 weeks) ### Description Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 1 of 8594 scanned pages (1 instances). ### Steps to reproduce 1. Open https://cms.gov/priorities/electronic-prior-authorization/overview. 2. Locate the element:

3. Confirm the Siteimprove Alfa finding for rule sia-r2 against WCAG 1.1.1 Non-text Content. ### Impact Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%). - **Without vision** (1.0% of population) - **Limited vision** (2.4% of population) - **Limited cognitive, language, or learning ability** (11.0% of population) ### Affected pages - https://cms.gov/priorities/electronic-prior-authorization/overview ### Testing environment Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing. ### Suggested fix **How to fix:** Give every an accessible name (alt text), or alt="" if purely decorative. See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2 --- ## Certain ARIA roles must contain particular children (WCAG 1.3.1) **Bug ID:** `VS-f755d264` **Pattern ID:** `VS-9429bb8d` **URL:** http://www.cms.gov/Medicare/Prevention/PrevntionGenInfo/medicare-preventive-services/MPS-QuickReferenceChart-1.html **XPath / selector:** `#SERVICES` **WCAG SC:** 1.3.1 — Info and Relationships (Level A) **Rule:** axe-core — `aria-required-children` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI)) **Severity:** Critical **Frequency:** 1 instances; 1 of 8594 pages affected **History:** first seen 2026-W28, last seen 2026-W28 (1 week) ### HTML snippet ```html