www.medicaid.gov: week 2026-W28
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Change this week
- New this week
- 0
- Fixed this week
- 0
- Regressed this week
- 2
Exclude URLs from this report
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Findings scoped to your excluded URLs, matching this view (counts use the same up-to-25-page sample).
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 | 5249 | — | 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 | 5237 | — | 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 | 5226 | — | Each page should have exactly one <main> landmark. | pages (CSV) |
| Text has enhanced contrast (WCAG 1.4.6) (rule↗) | Moderate | 4198 | — | 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 | 4198 | — | See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111 | pages (CSV) |
| Scrolling content can be accessed by keyboard (WCAG criterion undetermined) (rule↗) | Moderate | 4191 | — | See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57 | pages (CSV) |
| Elements must only use supported ARIA attributes (WCAG 4.1.2) (rule↗) | Critical | 1311 | 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 | 1311 | Without vision, Limited vision | Add the child roles this container role requires (e.g. a list needs listitem children). | pages (CSV) |
Progress
| Week | Critical | Serious | Moderate | Minor |
|---|---|---|---|---|
| 2026-W24 | 4 | 8 | 25 | 1 |
| 2026-W25 | 3 | 9 | 23 | 1 |
| 2026-W26 | 4 | 7 | 23 | 1 |
| 2026-W27 | 4 | 8 | 24 | 1 |
| 2026-W28 | 4 | 8 | 27 | 1 |
Dropped from this week's sample
This week at a glance 40 issue type(s)
- Median axe violations / page
- 6
- Pages with axe violations
- 6363 of 8458
- Median Alfa failures / page
- 65
- Pages with Alfa failures
- 4198 of 4198
- Unique pages audited
- 8458
- Lighthouse performance (median)
- 88/100 details
- Lighthouse SEO (median)
- 92/100
- Lighthouse best practices (median)
- 96/100
- Lighthouse agentic (median)
- 100/100
- Words per page (median)
- 482
- Reading ease (median)
- 35.9
- Reading grade (median)
- 16.4
- Misspellings
- 25+ distinct details
- Broken links
- 11 details
- Median page weight
- 750 KB +1 KB worse
- Median requests per page
- 27
- Estimated energy per page (mean)
- 0.7075 Wh
Note: page counts differ between weeks (8292 → 8593). Prefer the "pages affected" columns over raw instance counts when comparing.
Scan coverage this week (8593 pages · 8606 succeeded of 8608 attempted)
| Engine | Pages | Coverage |
|---|---|---|
| axe | 8458 | 98% |
| resources | 8458 | 98% |
| plain-language | 4258 | 50% |
| standards | 4257 | 50% |
| alfa | 4198 | 49% |
| deprecated-html | 898 | 10% |
| tech | 891 | 10% |
| lighthouse | 861 | 10% |
| security | 829 | 10% |
| sustainability | 798 | 9% |
Changes since 2026-W27 9 change(s)
axe-core
- New: landmark-main-is-top-level appeared this week.
- New: landmark-no-duplicate-main appeared this week.
- landmark-one-main shrank: 5357 → 5226 pages affected (rate: 66% → 62% of pages scanned).
- page-has-heading-one shrank: 5369 → 5237 pages affected (rate: 66% → 62% of pages scanned).
- region shrank: 5385 → 5249 pages affected (rate: 66% → 62% of pages scanned).
Alfa
- Resolved: sia-r46 no longer fails on any scanned page.
- sia-r61 shrank: 2735 → 2608 pages affected (rate: 66% → 62% of pages scanned).
- sia-r87 shrank: 2770 → 2621 pages affected (rate: 67% → 62% of pages scanned).
- sia-r73 spread: 1394 → 1590 pages affected (rate: 34% → 38% of pages scanned).
Embedded & linked resources
New this week (1828)
- https://www.medicaid.gov/sites/default/files/2019-12/hcbs-waivers-application.pdf
- https://www.medicaid.gov/medicaid/quality-of-care/downloads/mcc-cov-scd-tretmnt.pdf
- https://www.medicaid.gov/federal-policy-guidance/downloads/SMD-05-003.pdf
- https://www.medicaid.gov/medicaid/program-integrity/downloads/state-memo-cms-6058-fc-09252020.pdf
- https://www.medicaid.gov/sites/default/files/2019-12/state-memo-cms-6058-fc-112019.pdf
- https://www.medicaid.gov/sites/default/files/2019-12/fcbc-webinar.pdf
- https://www.medicaid.gov/federal-policy-guidance/downloads/6501-Term.pdf
- https://www.medicaid.gov/sites/default/files/2019-12/revalidation-2016-001.pdf
- https://www.medicaid.gov/sites/default/files/2019-12/fcbc-2016-002.pdf
- https://www.medicaid.gov/sites/default/files/2019-12/cms-sub-regulatory-guidance-on-overpayments.pdf
- https://www.medicaid.gov/federal-policy-guidance/downloads/SMD060115.pdf
- https://www.medicaid.gov/federal-policy-guidance/downloads/payment-suspensions-info-bulletin-3-25-2011.pdf
- https://www.medicaid.gov/federal-policy-guidance/downloads/SMD-10-017.pdf
- https://www.medicaid.gov/federal-policy-guidance/downloads/09-10-2010-Recent-Policy-Developments.pdf
- https://www.medicaid.gov/sites/default/files/2019-12/reporttocongress.pdf
- https://www.medicaid.gov/federal-policy-guidance/downloads/11-09-2010-Recent-Developments.pdf
- https://www.medicaid.gov/federal-policy-guidance/downloads/SMD10021.pdf
- https://www.medicaid.gov/federal-policy-guidance/downloads/10-01-2010-Recent-Policy-Developments.pdf
- https://www.medicaid.gov/federal-policy-guidance/downloads/09-08-2010-Home-Health.pdf
- https://www.medicaid.gov/medicaid/quality-of-care/downloads/hcbs-quality-measures-brief-1-assessment-care-planning.pdf
- https://www.medicaid.gov/medicaid/quality-of-care/downloads/hcbs-quality-measures-brief-2-person-reported-outcome.pdf
- https://www.medicaid.gov/medicaid/quality-of-care/downloads/hcbs-quality-measures-brief-3-rebalancing.pdf
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf
- https://www.medicaid.gov/federal-policy-guidance/downloads/CIB07072026-Fast-Track-Recission.pdf
- http://medicaid.gov/medicaid/downloads/smd26003-ppt.pdf
- https://www.medicaid.gov/medicaid/spa/downloads/CO-25-0022.pdf
- https://www.medicaid.gov/medicaid/spa/downloads/CO-25-0039.pdf
- https://www.medicaid.gov/medicaid/spa/downloads/CA-26-0003.pdf
- https://www.medicaid.gov/allotment/downloads/ltr-to-med-agen-usvi.pdf
- https://www.medicaid.gov/medicaid/spa/downloads/OK-26-0006.pdf
- https://www.medicaid.gov/medicaid/spa/downloads/MO-25-0002.pdf
- https://www.medicaid.gov/medicaid/quality-of-care/downloads/mih-resource-sheet-2024.pdf
- https://www.medicaid.gov/medicaid/quality-of-care/downloads/mih-expert-workgroup-recommendations.pdf
- https://www.medicaid.gov/medicaid/quality-of-care/downloads/mhi-webinar-052024.pdf
- https://www.medicaid.gov/medicaid/quality-of-care/downloads/mhi-transcript-052024.pdf
- https://www.medicaid.gov/medicaid/quality-of-care/downloads/mhi-webinar-062024.pdf
- https://www.medicaid.gov/medicaid/quality-of-care/downloads/mhi-transcript-062024.pdf
- https://www.medicaid.gov/medicaid/quality-of-care/downloads/mihi-webinar-transcript-062024.pdf
- https://www.medicaid.gov/medicaid/quality-of-care/downloads/mihi-webinar4-slides.pdf
- https://www.medicaid.gov/medicaid/quality-of-care/downloads/mihi-webinar4-transcript.pdf
- https://www.medicaid.gov/medicaid/quality-of-care/downloads/hospital-aim-bundles-collab-slides.pdf
- https://www.medicaid.gov/medicaid/quality-of-care/downloads/hospital-aim-bundles-collab-transcript.pdf
- https://www.medicaid.gov/medicaid/quality-of-care/downloads/expert-panel-members-updated.pdf
- https://www.medicaid.gov/medicaid/downloads/chip-parity-spa-guide-jan-2025.pdf
- https://www.medicaid.gov/medicaid/downloads/parity-temp-rfc.pdf
- https://www.medicaid.gov/medicaid/downloads/parity-state-summary-temp.xlsx
- https://www.medicaid.gov/medicaid/downloads/parity-state-summary-temp-instr-guide.pdf
- https://www.medicaid.gov/medicaid/downloads/parity-plan-report-temp.xlsx
- https://www.medicaid.gov/medicaid/downloads/parity-state-ffs-report-prog-temp.xlsx
- https://www.medicaid.gov/medicaid/downloads/parity-plan-state-ffs-prog-report-instr-guide.pdf
- https://www.medicaid.gov/state-resource-center/state-operations-and-technical-assistance/downloads/cmcs-mental-health-parity-092023.pdf
- https://www.medicaid.gov/sites/default/files/2019-12/fact-sheet-cms-2333-f.pdf
- https://www.medicaid.gov/sites/default/files/2019-12/faq-cms-2333-f.pdf
- https://www.medicaid.gov/sites/default/files/2019-12/medicaid-parity-fr-rollout.pdf
- https://www.medicaid.gov/state-resource-center/state-operations-and-technical-assistance/downloads/february2017.pdf
- https://www.medicaid.gov/federal-policy-guidance/downloads/faq101117.pdf
- https://www.medicaid.gov/medicaid/benefits/downloads/bhs/parity-toolkit.pdf
- https://www.medicaid.gov/sites/default/files/2019-12/parity-roadmap.pdf
- https://www.medicaid.gov/sites/default/files/2019-12/parity-webinar.pdf
- https://www.medicaid.gov/sites/default/files/2019-12/parity-webinar-022317.pdf
- https://www.medicaid.gov/sites/default/files/2019-12/parity-webinar-030917.pdf
- https://www.medicaid.gov/sites/default/files/2019-12/teft-phr-evaluation-tools.pdf
- https://www.medicaid.gov/medicaid-chip-program-information/by-topics/delivery-systems/grant-programs/downloads/grantee-exp-phr.pdf
- https://www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/KS/KS-13-13.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/Downloads/NE40199.zip
- https://www.medicaid.gov/medicaid/spa/downloads/GA-20-0009.pdf
- https://www.medicaid.gov/medicaid/spa/downloads/GA-20-0011.pdf
- https://www.medicaid.gov/medicaid/spa/downloads/GA-17-0014.pdf
- https://www.medicaid.gov/medicaid/spa/downloads/GA-21-0002.pdf
- https://www.medicaid.gov/medicaid/spa/downloads/GA-20-0003.pdf
- https://www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/GA/GA-20-0006.pdf
- https://www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/AR/AR-20-0005.pdf
- https://www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/GA/GA-19-0008.pdf.pdf
- https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/Downloads/WI0485.zip
- https://www.medicaid.gov/sites/default/files/Federal-Policy-Guidance/downloads/SHO-14-002.pdf
- https://www.medicaid.gov/medicaid/spa/downloads/WY-23-0002.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19transcript12122023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19allstatecall12122023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19transcript12052023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19allstatecall12052023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19transcript11142023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19allstatecall11142023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19transcript10312023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19allstatecall10312023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19transcript10172023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19allstatecall10172023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19transcript10102023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19allstatecall10102023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19transcript09262023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19allstatecall09262023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19transcript09192023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19allstatecall09192023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19transcript09122023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19allstatecall09122023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19transcript08292023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19allstatecall08292023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19transcript08222023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19allstatecall08222023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19transcript08152023.pdf
- https://www.medicaid.gov/resources-for-states/downloads/covid19allstatecall08152023.pdf
| Type | Count |
|---|---|
| PDF documents | 12466 |
| Spreadsheets | 722 |
| Archives (zip, etc.) | 292 |
| Audio files | 103 |
| Word/text documents | 53 |
| Images | 34 |
| Embedded media players | 9 |
| Presentations | 3 |
| SVG | 1 |
| Video files | 1 |