www.medicaid.gov: week 2026-W25
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Change this week
- New this week
- 0
- Fixed this week
- 0
- Regressed this week
- 0
Exclude URLs from this report
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Fix these first
| Issue | Severity | Pages | Who it affects | How to fix | Evidence |
|---|---|---|---|---|---|
| All page content should be contained by landmarks (WCAG criterion undetermined) (rule↗) | Serious | 6004 | — | Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. | pages (CSV) |
| Page should contain a level-one heading (WCAG criterion undetermined) (rule↗) | Serious | 5984 | — | See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI | pages (CSV) |
| Document should have one main landmark (WCAG criterion undetermined) (rule↗) | Serious | 5978 | — | Each page should have exactly one <main> landmark. | pages (CSV) |
| Elements must only use supported ARIA attributes (WCAG 4.1.2) (rule↗) | Critical | 1743 | Without vision, Limited vision | Remove ARIA attributes that aren't allowed on this role/element. | pages (CSV) |
| Certain ARIA roles must contain particular children (WCAG 1.3.1) (rule↗) | Critical | 1743 | Without vision, Limited vision | Add the child roles this container role requires (e.g. a list needs listitem children). | pages (CSV) |
| Text has enhanced contrast (WCAG 1.4.6) (rule↗) | Moderate | 3216 | — | Increase text contrast to meet WCAG AAA (7:1). | pages (CSV) |
| Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5) (rule↗) | Moderate | 3216 | — | See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111 | pages (CSV) |
| Scrolling content can be accessed by keyboard (WCAG criterion undetermined) (rule↗) | Moderate | 3206 | — | See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57 | pages (CSV) |
Progress
| Week | Critical | Serious | Moderate | Minor |
|---|---|---|---|---|
| 2026-W24 | 4 | 8 | 25 | 1 |
| 2026-W25 | 3 | 9 | 23 | 1 |
Dropped from this week's sample
- Critical VS-9074b4dd Images must have alternative text (WCAG 1.1.1)
- Moderate VS-a24eaa8c Image has accessible name (WCAG 1.1.1)
- Moderate VS-4408605e Element has required aria-owns (WCAG 1.3.1)
- Moderate VS-3f067795 Table cell has header (WCAG 1.3.1)
- Moderate VS-efd91fdd Link in text block is visually distinguishable without color (WCAG 1.4.1)
- Moderate VS-28ebd979 Link has accessible name (WCAG 2.4.4)
This week at a glance 36 issue type(s)
- Median axe violations / page
- 6
- Pages with axe violations
- 7158 of 8091
- Median Alfa failures / page
- 65
- Pages with Alfa failures
- 3216 of 3216
- Unique pages audited
- 8091
- Lighthouse performance (median)
- 90/100 details
- Lighthouse SEO (median)
- 92/100
- Lighthouse best practices (median)
- 96/100
- Lighthouse agentic (median)
- 100/100
- Words per page (median)
- 410
- Reading ease (median)
- 41.9
- Reading grade (median)
- 15.6
- Misspellings
- 25+ distinct details
- Broken links
- 7 details
- Median page weight
- 748 KB -10 KB better
- Median requests per page
- 27
- Estimated energy per page (mean)
- 0.3622 Wh
Note: page counts differ between weeks (2828 → 8293). Prefer the "pages affected" columns over raw instance counts when comparing.
Scan coverage this week (8293 pages · 4985 succeeded of 5087 attempted)
| Engine | Pages | Coverage |
|---|---|---|
| axe | 8091 | 98% |
| resources | 8091 | 98% |
| plain-language | 4008 | 48% |
| standards | 3529 | 43% |
| alfa | 3216 | 39% |
| sustainability | 2063 | 25% |
| deprecated-html | 2042 | 25% |
| lighthouse | 1232 | 15% |
| security | 674 | 8% |
| tech | 473 | 6% |
Changes since 2026-W24 23 change(s)
axe-core
- Resolved: image-alt no longer fails on any scanned page.
- landmark-one-main spread: 1399 → 5978 pages affected (rate: 50% → 74% of pages scanned).
- page-has-heading-one spread: 1427 → 5984 pages affected (rate: 51% → 74% of pages scanned).
- region spread: 1402 → 6004 pages affected (rate: 50% → 74% of pages scanned).
- aria-allowed-attr spread: 311 → 1743 pages affected (rate: 11% → 22% of pages scanned).
- aria-required-children spread: 311 → 1743 pages affected (rate: 11% → 22% of pages scanned).
- aria-allowed-role spread: 122 → 606 pages affected (rate: 4% → 7% of pages scanned).
- aria-input-field-name spread: 116 → 600 pages affected (rate: 4% → 7% of pages scanned).
- heading-order shrank: 711 → 519 pages affected (rate: 26% → 6% of pages scanned).
Alfa
- Resolved: sia-r2 no longer fails on any scanned page.
- Resolved: sia-r11 no longer fails on any scanned page.
- Resolved: sia-r46 no longer fails on any scanned page.
- Resolved: sia-r77 no longer fails on any scanned page.
- Resolved: sia-r62 no longer fails on any scanned page.
- sia-r73 spread: 814 → 863 pages affected (rate: 68% → 27% of pages scanned).
- sia-r14 spread: 123 → 1216 pages affected (rate: 10% → 38% of pages scanned).
- sia-r61 spread: 395 → 2341 pages affected (rate: 33% → 73% of pages scanned).
- sia-r87 spread: 390 → 2368 pages affected (rate: 33% → 74% of pages scanned).
- sia-r53 shrank: 601 → 211 pages affected (rate: 50% → 7% of pages scanned).
- sia-r8 spread: 39 → 256 pages affected (rate: 3% → 8% of pages scanned).
- sia-r68 spread: 117 → 919 pages affected (rate: 10% → 29% of pages scanned).
- sia-r113 spread: 39 → 257 pages affected (rate: 3% → 8% of pages scanned).
- sia-r18 spread: 94 → 689 pages affected (rate: 8% → 21% of pages scanned).
Embedded & linked resources
New this week (16694)
- https://www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/MA/MA-01-006.pdf
- https://www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/NH/NH-17-0001.pdf
- https://www.medicaid.gov/medicaid/spa/downloads/HI-21-0002.pdf
- https://www.medicaid.gov/medicaid/spa/downloads/HI-21-0004.pdf
- https://www.medicaid.gov/medicaid/spa/downloads/HI-21-0008.pdf
- https://www.medicaid.gov/medicaid/spa/downloads/HI-21-0001.pdf
- https://www.medicaid.gov/medicaid/spa/downloads/HI-21-0006.pdf
- https://www.medicaid.gov/medicaid/spa/downloads/HI-19-0005.pdf
- https://www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/HI/HI-20-0002_0.pdf
- https://www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/HI/HI-19-0007.pdf
- https://www.medicaid.gov/medicaid/managed-care/downloads/sdp-letter-02022026.pdf
- https://www.medicaid.gov/medicaid/managed-care/downloads/sdp-ltr-09092025.pdf
- https://www.medicaid.gov/medicaid/managed-care/downloads/sdp-ltr-evltn-findng-tmplte.pdf
- https://www.medicaid.gov/Federal-Policy-Guidance/Downloads/smd21001.pdf
- https://www.medicaid.gov/medicaid/managed-care/downloads/sdp-4386c-preprint-template.pdf
- https://www.medicaid.gov/medicaid/managed-care/downloads/sdp-4386c-preprint-addendum.xlsx
- https://www.medicaid.gov/sites/default/files/Federal-Policy-Guidance/Downloads/cib051420.pdf
- https://www.medicaid.gov/medicaid/managed-care/downloads/4386c-Preprint-AppendixK-Example.docx
- https://www.medicaid.gov/medicaid/managed-care/downloads/4386c-Preprint-COVID19-Example.docx
- https://www.medicaid.gov/sites/default/files/federal-policy-guidance/downloads/cib11022017.pdf
- https://www.medicaid.gov/sites/default/files/2020-02/appendix-a.pdf
- https://www.medicaid.gov/sites/default/files/2020-02/438-preprint.pdf
- https://www.medicaid.gov/tmsis/dataguide/v3/media/documents/DataGuideGlossary3.1.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-demonstration-mntrng-rdsgn-ovrly-ltr-06252025.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-evolving-bhc-appvd-mcrm-eval-final-rpt-04042025.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-a-oct-dec-2024.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-b-oct-dec-2024.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-demonstration-approval-technical-corrections-011725.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-acceptance-letter-01082025.pdf.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-evolving-bhc-proto-appvl-ltr-01062025.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-evol-medicaid-behav-hlth-contin-care-ca.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-dmnstn-aprvl-tchnl-crctns-11262024.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-a-jul-sep-2024.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-b-jul-sep-2024.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-cont-care-medicaid-enrollees-appvd-mgd-care-risk-mitigation-eval-des-11142024.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-temp-ext-appvl-09112024.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-evolving-bhcc-sud-qtrly-rpt-partb-apr-jun-2024.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-evolving-bhcc-sud-qtrly-rpt-parta-apr-jun-2024.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-metrics-rpt-part-a-jan-mar-2024.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-jan-mar-2024.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qutrly-metr-rprt-partA-oct-dec-2023.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qutrly-reprt-partB-oct-dec-2023.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-temp-ext-appvl-03042023.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-metrics-rpt-part-a-july-sept-2023.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-july-sept-2023.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-metrics-rpt-part-a-apr-june-2023.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-apr-june-2023.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-temp-ext-appvl-06162023.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-metrics-rpt-part-a-%20jan-mar-2023.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-jan-march-2023.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-metrics-rpt-part-a-oct-dec-2022.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-oct-dec-2022.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-metrics-rpt-part-a-july-sept-2022.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-july-sept-2022.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-temp-ext-appvl-11282022.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-metrics-rpt-part-a-apr-jun-2022.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-apr-jun-2022.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-cms-aprvd-intrn-evltn-rprt.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-complete-ltr-06092022.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-ext-req-06012022.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-metrics-rpt-part-a-jan-mar-2022.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-jan-march-2022.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-metrics-rpt-part-a-oct-dec-2021.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-oct-dec-2021.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/wv/wv-creating-continuum-care-medicaid-state-accptance-of-mgd-care-rsk-mtgn-covid-19-amndmnt.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/wv/wv-contnum-care-medicl-enrollees-risk-mitigation-apprvl-ca.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-metrics-rpt-part-a-jul-sep-2021.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-jul-sep-2021.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-metrics-rpt-part-a-apr-jun-2021.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-apr-jun-2021.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-metrics-rpt-part-a-jan-mar-2021.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-jan-mar-2021.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qutrly-metrcs-retro-apr-2018-mar-2020.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qutrly-retro-apr-2018-mar-2020.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qutrly-metrcs-retro-partA-jul-2020-sep-2020.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qutrly-metrcs-retro-partA-oct-2020-dec-2020.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qutrly-retro-jul-2020-sep-2020.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qutrly-retro-oct-2020-dec-2020.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-cms-ltr-state-02122021.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-metrics-rpt-part-a-apr-june-2020.xlsx
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wv-creating-continuum-care-medicaid-enrollees-sud-qtrly-rpt-apr-june-2020.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/wv/continuum-care/wv-creating-continuum-care-medicaid-enrollees-monitoring-protocol-alignment-form-02720.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/wv/wv-creating-continuum-care-medicaid-enrollees-substance-ca.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/wv/continuum-care/wv-creating-continuum-care-medicaid-enrollees-sud-final-eval-design-20190927.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/wv/continuum-care/wv-creating-continuum-care-medicaid-enrollees-substance-amend-cmpltnss-ltr-20190807.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/wv/wv-creating-continuum-care-medicaid-enrollees-substance-pa2.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/wv/continuum-care/wv-creating-continuum-care-medicaid-enrollees-qtrly-monitoring-rpt-dy2q1-2019.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/wv/continuum-care/wv-creating-continuum-care-medicaid-enrollees-substance-demo-final-monitoring-protocol-20190530.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/wv/continuum-care/wv-creating-continuum-care-medicaid-enrollees-substance-tech-corrections-ltr-20190409.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/wv/continuum-care/wv-creating-continuum-care-medicaid-enrollees-qtrly-monitoring-rpt-dy1q1-2018.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/wv/continuum-care/wv-creating-continuum-care-medicaid-enrollees-substance-demo-draft-monitoring-protocol-122118.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/wv/continuum-care/wv-creating-continuum-care-medicaid-enrollees-substance-demo-accptnc-10272017.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/wv/continuum-care/wv-creating-continuum-care-medicaid-enrollees-substance-creating-continuum-sud-stcs-20171010.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/wv/continuum-care/wv-creating-continuum-care-medicaid-enrollees-substance-demo-app-12062016.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/wv/continuum-care/wv-creating-continuum-care-medicaid-enrollees-substance-cms-cmpltnss-ltr-120516.pdf
- http://medicaid.gov/federal-policy-guidance/downloads/cib052423.pdf
- http://medicaid.gov/sites/default/files/federal-policy-guidance/downloads/SMD16003.pdf
- http://medicaid.gov/sites/default/files/Federal-Policy-Guidance/downloads/SMD11004.pdf
- http://medicaid.gov/sites/default/files/Federal-Policy-Guidance/downloads/SMD10016.pdf
- http://medicaid.gov/sites/default/files/Federal-Policy-Guidance/downloads/FAQ-09-10-2013.pdf
| Type | Count |
|---|---|
| PDF documents | 15551 |
| Spreadsheets | 1001 |
| Archives (zip, etc.) | 375 |
| Audio files | 145 |
| Word/text documents | 75 |
| Images | 18 |
| Embedded media players | 9 |
| Presentations | 4 |