# Accessibility bug reports — www.medicare.gov, week 2026-W37 19 issue type(s) from 2045 pages scanned. Generated 2026-09-09 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. --- ## Accessible name of link or button matches visible label (WCAG 2.5.3) **Bug ID:** `VS-e227ab60` **Pattern ID:** `VS-f7dba940` **URL:** http://medicare.gov/basics/forms-publications-mailings/forms **XPath / selector:** `` **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:** 36 instances; 15 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (14 weeks) ### Description Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 15 of 2045 scanned pages (36 instances). ### Steps to reproduce 1. Open http://medicare.gov/basics/forms-publications-mailings/forms. 2. Locate the element: 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 - http://medicare.gov/basics/forms-publications-mailings/forms - https://medicare.gov/basics/get-started-with-medicare - https://medicare.gov/basics/costs/help - https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options - https://medicare.gov/ - http://medicare.gov/?reset=true - https://www.medicare.gov/providers-services/original-medicare/skilled-nursing - https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/buying-a-medigap-policy - https://medicare.gov/talk-to-someone - https://www.medicare.gov/health-drug-plans/part-d - http://medicare.gov/prescription-payment-plan - https://medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options - http://medicare.gov/basics/reporting-medicare-fraud-and-abuse - https://www.medicare.gov/basics/get-started-with-medicare - http://medicare.gov/basics/get-started-with-medicare/using-medicare ### 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 - http://medicare.gov/basics/forms-publications-mailings/forms - https://medicare.gov/basics/get-started-with-medicare - https://medicare.gov/basics/costs/help --- ## Documents must have element to aid in navigation (WCAG 2.4.2) **Bug ID:** `VS-6b7a29c6` **Pattern ID:** `VS-c80d5faa` **URL:** https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care **XPath / selector:** `html` **WCAG SC:** 2.4.2 — Page Titled (Level A) **Rule:** axe-core — `document-title` ([reference](https://dequeuniversity.com/rules/axe/4.12/document-title?application=axeAPI)) **Severity:** Serious **Frequency:** 18 instances; 18 of 2045 pages affected **History:** first seen 2026-W32, last seen 2026-W37 (6 weeks) ### HTML snippet ```html <html lang="en"> ``` ### Description Documents must have <title> element to aid in navigation. Detected by axe-core rule document-title on 18 of 2045 scanned pages (18 instances). ### Steps to reproduce 1. Open https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care. 2. Locate the element: html 3. Confirm the axe-core finding for rule document-title against WCAG 2.4.2 Page Titled. ### 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.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care - https://www.medicare.gov/care-compare/resources/nursing-home/staffing - https://www.medicare.gov/care-compare/resources/care-compare/resources/information-for-providers - https://medicare.gov/care-compare/resources/information-about-provider-types - http://medicare.gov/care-compare/resources/information-about-provider-types - https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/staffing - https://www.medicare.gov/care-compare/resources/about-this-tool - https://www.medicare.gov/care-compare/resources/information-about-provider-types - https://www.medicare.gov/care-compare/resources/information-for-providers - https://www.medicare.gov/care-compare/resources/care-compare/resources/information-about-provider-types - https://medicare.gov/care-compare/resources/care-compare/resources/information-about-provider-types - https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/health-inspections - https://www.medicare.gov/care-compare/resources/care-compare/resources/resources-and-information - http://medicare.gov/care-compare/resources/care-compare/resources/information-about-provider-types - https://www.medicare.gov/care-compare/resources/nursing-home/quality-of-resident-care - https://www.medicare.gov/care-compare/resources/nursing-home/health-inspections - https://www.medicare.gov/care-compare/resources/care-compare/resources/about-this-tool - https://www.medicare.gov/care-compare/resources/resources-and-information ### 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 page a unique, descriptive <title>. See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/document-title?application=axeAPI ### Example pages - https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care - https://www.medicare.gov/care-compare/resources/nursing-home/staffing - https://www.medicare.gov/care-compare/resources/care-compare/resources/information-for-providers --- ## Document has a title element (WCAG 2.4.2) **Bug ID:** `VS-35ddbdcd` **Pattern ID:** `VS-0728f339` **URL:** https://www.medicare.gov/care-compare/resources/information-about-provider-types **XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys` **WCAG SC:** 2.4.2 — Page Titled (Level A) **Rule:** Siteimprove Alfa — `sia-r1` ([reference](https://alfa.siteimprove.com/rules/sia-r1)) **Severity:** Moderate **Frequency:** 3 instances; 3 of 2045 pages affected **History:** first seen 2026-W32, last seen 2026-W37 (5 weeks) ### Description Document has a title element. Detected by Siteimprove Alfa rule sia-r1 on 3 of 2045 scanned pages (3 instances). ### Steps to reproduce 1. Open https://www.medicare.gov/care-compare/resources/information-about-provider-types. 2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys 3. Confirm the Siteimprove Alfa finding for rule sia-r1 against WCAG 2.4.2 Page Titled. ### 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.medicare.gov/care-compare/resources/information-about-provider-types - https://www.medicare.gov/care-compare/resources/nursing-home/quality-of-resident-care - https://www.medicare.gov/care-compare/resources/resources-and-information ### 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-r1 ### Example pages - https://www.medicare.gov/care-compare/resources/information-about-provider-types - https://www.medicare.gov/care-compare/resources/nursing-home/quality-of-resident-care - https://www.medicare.gov/care-compare/resources/resources-and-information --- ## Frames must have an accessible name (WCAG 4.1.2) **Bug ID:** `VS-4ce07b66` **Pattern ID:** `VS-3f76c7ea` **URL:** https://medicare.gov/publication-ordering/10111-S **XPath / selector:** `iframe[height="100%"]` **WCAG SC:** 4.1.2 — Name, Role, Value (Level A) **Rule:** axe-core — `frame-title` ([reference](https://dequeuniversity.com/rules/axe/4.12/frame-title?application=axeAPI)) **Severity:** Serious **Frequency:** 14 instances; 14 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (14 weeks) ### HTML snippet ```html <iframe data-src="https://surveys.cms...." width="100%" height="100%" frameborder="0" name="survey-iframe-SI_6tb..." data-name="embedded-iframe-SI_6..." allow="local-network-access" style="border-radi ``` ### Description Frames must have an accessible name. Detected by axe-core rule frame-title on 14 of 2045 scanned pages (14 instances). ### Steps to reproduce 1. Open https://medicare.gov/publication-ordering/10111-S. 2. Locate the element: iframe[height="100%"] 3. Confirm the axe-core finding for rule frame-title 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://medicare.gov/publication-ordering/10111-S - https://www.medicare.gov/publication-ordering/10110 - http://medicare.gov/publication-ordering/10110 - https://medicare.gov/basics/forms-publications-mailings/forms/appeals - https://medicare.gov/coverage/radiation-therapy - https://medicare.gov/health-apps/welldoc - https://medicare.gov/publication-ordering/11173 - http://medicare.gov/publication-ordering/11173 - https://www.medicare.gov/health-drug-plans/coordination - http://medicare.gov/publication-ordering/11469-S - http://medicare.gov/publication-ordering/11022-LE - http://medicare.gov/prescription-payment-plan/examples - https://www.medicare.gov/providers-services/claims-appeals-complaints/claims/check-status - https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/copayment-changing ### 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 <iframe> a descriptive title attribute. See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/frame-title?application=axeAPI ### Example pages - https://medicare.gov/publication-ordering/10111-S - https://www.medicare.gov/publication-ordering/10110 - http://medicare.gov/publication-ordering/10110 --- ## aria-hidden element does not contain focusable elements (WCAG 4.1.2) **Bug ID:** `VS-5d0cfc79` **Pattern ID:** `VS-f6cf30ff` **URL:** http://medicare.gov/publication-ordering/11377 **XPath / selector:** `<div class="search-block__content" aria-hidden="true" id="search_form_block-content">` **WCAG SC:** 4.1.2 — Name, Role, Value (Level A) **Rule:** Siteimprove Alfa — `sia-r17` ([reference](https://alfa.siteimprove.com/rules/sia-r17)) **Severity:** Moderate **Frequency:** 479 instances; 471 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (14 weeks) ### Description aria-hidden element does not contain focusable elements. Detected by Siteimprove Alfa rule sia-r17 on 471 of 2045 scanned pages (479 instances). ### Steps to reproduce 1. Open http://medicare.gov/publication-ordering/11377. 2. Locate the element: <div class="search-block__content" aria-hidden="true" id="search_form_block-content"> 3. Confirm the Siteimprove Alfa finding for rule sia-r17 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 - http://medicare.gov/publication-ordering/11377 - http://medicare.gov/basics/forms-publications-mailings/forms - http://medicare.gov/publication-ordering/12177-S - https://www.medicare.gov/coverage/hospital-beds - https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package - https://www.medicare.gov/health-drug-plans/part-d/basics/costs - https://www.medicare.gov/publication-ordering/12207 - https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision - https://medicare.gov/providers-services/claims-appeals-complaints/claims - http://medicare.gov/health-apps/noom - http://medicare.gov/coverage/mental-health-care-outpatient-intensive-outpatient-program-services - http://medicare.gov/publication-ordering/12217-S - https://www.medicare.gov/coverage/hepatitis-b-virus-hbv-infection-screenings - http://medicare.gov/basics/forms-publications-mailings/mailings/signing-up - https://medicare.gov/basics/get-started-with-medicare - https://www.medicare.gov/health-drug-plans/part-d/basics/choose-coverage/switch-drop-rejoin - http://medicare.gov/coverage/pulmonary-rehabilitation-programs - http://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/drug-plan-changing-medicare-advantage-plan-termination - http://medicare.gov/go-digital - https://medicare.gov/health-drug-plans/part-d/what-plans-cover/plan-rules/safety-management-programs - https://medicare.gov/coverage/osteoporosis-drugs - https://www.medicare.gov/publication-ordering/10050-B - https://www.medicare.gov/coverage/home-health-services - https://www.medicare.gov/coverage/monoclonal-antibodies-for-the-treatment-of-early-alzheimers-disease - https://www.medicare.gov/publication-ordering/10050-SB …and more — 471 pages total ([download CSV](csv/alfa__sia-r17.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-r17 ### Example pages - http://medicare.gov/publication-ordering/11377 - http://medicare.gov/basics/forms-publications-mailings/forms - http://medicare.gov/publication-ordering/12177-S --- ## Text has sufficient color contrast (Enhanced) (WCAG 1.4.3) **Bug ID:** `VS-233abdbd` **Pattern ID:** `VS-f7e99f4b` **URL:** https://www.medicare.gov/coverage/mental-health-substance-use-disorder **XPath / selector:** `text: "For finding the care you need"` **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:** 106 instances; 14 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (14 weeks) ### Description Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 14 of 2045 scanned pages (106 instances). ### Steps to reproduce 1. Open https://www.medicare.gov/coverage/mental-health-substance-use-disorder. 2. Locate the element: text: "For finding the care you need" 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://www.medicare.gov/coverage/mental-health-substance-use-disorder - https://medicare.gov/health-drug-plans/health-plans/your-coverage-options/MSA/Examples - https://medicare.gov/basics/your-medicare-rights/your-rights - http://medicare.gov/providers-services/claims-appeals-complaints/appeals/drug-plans - https://medicare.gov/prescription-payment-plan/examples - https://medicare.gov/coverage/mental-health-substance-use-disorder - https://www.medicare.gov/prescription-payment-plan/examples - http://medicare.gov/basics/your-medicare-rights/your-rights - https://medicare.gov/basics/end-stage-renal-disease - https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods - http://medicare.gov/what-medicare-covers/what-part-a-covers/health-care-prescriptions-in-a-nursing-home - http://medicare.gov/providers-services/original-medicare/nursing-homes/choosing - http://medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare/denial-part-a-hospital-status - https://medicare.gov/providers-services/claims-appeals-complaints/appeals/medicare-health-plans ### 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://www.medicare.gov/coverage/mental-health-substance-use-disorder - https://medicare.gov/health-drug-plans/health-plans/your-coverage-options/MSA/Examples - https://medicare.gov/basics/your-medicare-rights/your-rights --- ## Text has enhanced contrast (WCAG 1.4.6) **Bug ID:** `VS-c4f8c4b4` **Pattern ID:** `VS-646b1e0b` **URL:** https://www.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D **XPath / selector:** `text: "Feedback"` **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:** 564 instances; 281 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (14 weeks) ### Description Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 281 of 2045 scanned pages (564 instances). ### Steps to reproduce 1. Open https://www.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D. 2. Locate the element: text: "Feedback" 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.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D - http://medicare.gov/basics/forms-publications-mailings/forms - https://www.medicare.gov/coverage/hospital-beds - https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package - https://www.medicare.gov/care-compare?providerType=Hospice - https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision - http://medicare.gov/account/login?Lang=en-us - http://medicare.gov/coverage/mental-health-care-outpatient-intensive-outpatient-program-services - https://www.medicare.gov/account/login?client_id=carecompare&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ij9ndWlkZWRTZWFyY2g9SG9zcGl0YWwifX0%3D - https://www.medicare.gov/coverage/hepatitis-b-virus-hbv-infection-screenings - http://medicare.gov/basics/forms-publications-mailings/mailings/signing-up - https://medicare.gov/basics/get-started-with-medicare - https://www.medicare.gov/account/login?client_id=carecompare&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ii9yZXNvdXJjZXMvYWJvdXQtdGhpcy10b29sIn19 - http://medicare.gov/coverage/pulmonary-rehabilitation-programs - http://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/drug-plan-changing-medicare-advantage-plan-termination - https://medicare.gov/coverage/osteoporosis-drugs - https://www.medicare.gov/coverage/home-health-services - https://www.medicare.gov/coverage/monoclonal-antibodies-for-the-treatment-of-early-alzheimers-disease - https://www.medicare.gov/account/login?client_id=carecompare&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ij9wcm92aWRlclR5cGU9SG9zcGljZSJ9fQ%3D%3D - https://medicare.gov/coverage/mental-health-care-inpatient - https://www.medicare.gov/coverage/blood-sugar-control-solutions - https://medicare.gov/coverage/breast-prostheses - https://www.medicare.gov/coverage/popular-topics - https://www.medicare.gov/coverage/insulin - https://medicare.gov/basics/get-started-with-medicare/after-65 …and more — 281 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.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D - http://medicare.gov/basics/forms-publications-mailings/forms - https://www.medicare.gov/coverage/hospital-beds --- ## Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8) **Bug ID:** `VS-bcdee59b` **Pattern ID:** `VS-2208081b` **URL:** https://www.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D **XPath / selector:** `<p class="csp-login-card-description">` **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:** 5519 instances; 535 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (14 weeks) ### Description Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 535 of 2045 scanned pages (5519 instances). ### Steps to reproduce 1. Open https://www.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D. 2. Locate the element: <p class="csp-login-card-description"> 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://www.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D - http://medicare.gov/publication-ordering/11377 - http://medicare.gov/basics/forms-publications-mailings/forms - http://medicare.gov/publication-ordering/12177-S - https://www.medicare.gov/coverage/hospital-beds - https://www.medicare.gov/my/premiums/dashboard?client_id=max&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fmy&relay=%2Fpremiums%2Fdashboard%3Fclient_id%3Dmax%26Lang%3Des-mx%26redirect_uri%3Dhttps%253A%252F%252Fwww.medicare.gov%252Fmy - https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package - https://www.medicare.gov/health-drug-plans/part-d/basics/costs - https://www.medicare.gov/medical-equipment-suppliers/note-for-suppliers - https://www.medicare.gov/publication-ordering/12207 - https://www.medicare.gov/care-compare?providerType=Hospice - https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision - https://medicare.gov/providers-services/claims-appeals-complaints/claims - http://medicare.gov/health-apps/noom - http://medicare.gov/account/login?Lang=en-us - http://medicare.gov/coverage/mental-health-care-outpatient-intensive-outpatient-program-services - http://medicare.gov/publication-ordering/12217-S - https://www.medicare.gov/account/login?client_id=carecompare&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ij9ndWlkZWRTZWFyY2g9SG9zcGl0YWwifX0%3D - https://www.medicare.gov/coverage/hepatitis-b-virus-hbv-infection-screenings - http://medicare.gov/basics/forms-publications-mailings/mailings/signing-up - https://medicare.gov/basics/get-started-with-medicare - https://www.medicare.gov/account/login?client_id=carecompare&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ii9yZXNvdXJjZXMvYWJvdXQtdGhpcy10b29sIn19 - https://www.medicare.gov/health-drug-plans/part-d/basics/choose-coverage/switch-drop-rejoin - http://medicare.gov/coverage/pulmonary-rehabilitation-programs - http://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/drug-plan-changing-medicare-advantage-plan-termination …and more — 535 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://www.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D - http://medicare.gov/publication-ordering/11377 - http://medicare.gov/basics/forms-publications-mailings/forms --- ## Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5) **Bug ID:** `VS-c199cd3d` **Pattern ID:** `VS-cb53cc4d` **URL:** https://www.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D **XPath / selector:** `<a href="https://www.medicare.gov/about-us" data-listener-attached="true">` **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:** 17918 instances; 535 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (14 weeks) ### Description Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 535 of 2045 scanned pages (17918 instances). ### Steps to reproduce 1. Open https://www.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D. 2. Locate the element: <a href="https://www.medicare.gov/about-us" data-listener-attached="true"> 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://www.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D - http://medicare.gov/publication-ordering/11377 - http://medicare.gov/basics/forms-publications-mailings/forms - http://medicare.gov/publication-ordering/12177-S - https://www.medicare.gov/coverage/hospital-beds - https://www.medicare.gov/my/premiums/dashboard?client_id=max&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fmy&relay=%2Fpremiums%2Fdashboard%3Fclient_id%3Dmax%26Lang%3Des-mx%26redirect_uri%3Dhttps%253A%252F%252Fwww.medicare.gov%252Fmy - https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package - https://www.medicare.gov/health-drug-plans/part-d/basics/costs - https://www.medicare.gov/medical-equipment-suppliers/note-for-suppliers - https://www.medicare.gov/publication-ordering/12207 - https://www.medicare.gov/care-compare?providerType=Hospice - https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision - https://medicare.gov/providers-services/claims-appeals-complaints/claims - http://medicare.gov/health-apps/noom - http://medicare.gov/account/login?Lang=en-us - http://medicare.gov/coverage/mental-health-care-outpatient-intensive-outpatient-program-services - http://medicare.gov/publication-ordering/12217-S - https://www.medicare.gov/account/login?client_id=carecompare&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ij9ndWlkZWRTZWFyY2g9SG9zcGl0YWwifX0%3D - https://www.medicare.gov/coverage/hepatitis-b-virus-hbv-infection-screenings - http://medicare.gov/basics/forms-publications-mailings/mailings/signing-up - https://medicare.gov/basics/get-started-with-medicare - https://www.medicare.gov/account/login?client_id=carecompare&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ii9yZXNvdXJjZXMvYWJvdXQtdGhpcy10b29sIn19 - https://www.medicare.gov/health-drug-plans/part-d/basics/choose-coverage/switch-drop-rejoin - http://medicare.gov/coverage/pulmonary-rehabilitation-programs - http://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/drug-plan-changing-medicare-advantage-plan-termination …and more — 535 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://www.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D - http://medicare.gov/publication-ordering/11377 - http://medicare.gov/basics/forms-publications-mailings/forms --- ## All page content should be contained by landmarks (WCAG criterion undetermined) **Bug ID:** `VS-e5af4051` **Pattern ID:** `VS-f18df681` **URL:** http://medicare.gov/publication-ordering/11377 **XPath / selector:** `.ds-u-clearfix` **WCAG SC:** _undetermined_ **Rule:** axe-core — `region` ([reference](https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI)) **Severity:** Serious **Frequency:** 3475 instances; 1736 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (14 weeks) ### HTML snippet ```html <div class="ds-u-clearfix form-block__intro"> ``` ### Description All page content should be contained by landmarks. Detected by axe-core rule region on 1736 of 2045 scanned pages (3475 instances). ### Steps to reproduce 1. Open http://medicare.gov/publication-ordering/11377. 2. Locate the element: .ds-u-clearfix 3. Confirm the axe-core finding for rule region. ### Impact Not captured by automated scan — requires manual testing. ### Affected pages - http://medicare.gov/publication-ordering/11377 - https://www.medicare.gov/coverage/emergency-department-services - https://www.medicare.gov/publication-ordering/02179 - https://medicare.gov/coverage/blood-sugar-control-solutions - http://medicare.gov/publication-ordering/11376-S - http://medicare.gov/basics/forms-publications-mailings/forms - https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin - http://medicare.gov/publication-ordering/12177-S - https://www.medicare.gov/coverage/hospital-beds - https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package - https://www.medicare.gov/prescription-payment-plan - https://www.medicare.gov/health-drug-plans/part-d/basics/costs - http://medicare.gov/health-drug-plans/medigap/ready-to-buy/when - https://medicare.gov/coverage/alcohol-misuse-screenings-counseling - http://medicare.gov/publication-ordering/11417 - http://medicare.gov/glp1bridge - http://medicare.gov/publication-ordering/12200-S - http://medicare.gov/coverage/alcohol-misuse-screenings-counseling - https://www.medicare.gov/publication-ordering/12207 - https://medicare.gov/basics/get-started-with-medicare/get-more-coverage - http://medicare.gov/coverage/covid-19-vaccine - https://www.medicare.gov/coverage/radiation-therapy - https://medicare.gov/publication-ordering/12033-S - https://medicare.gov/publication-ordering/10988-S - https://medicare.gov/publications/search/all-non-english-pubs?page=4 …and more — 1736 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 - http://medicare.gov/publication-ordering/11377 - https://www.medicare.gov/coverage/emergency-department-services - https://www.medicare.gov/publication-ordering/02179 --- ## Heading levels should only increase by one (WCAG criterion undetermined) **Bug ID:** `VS-99e6ff9b` **Pattern ID:** `VS-d25f622d` **URL:** https://medicare.gov/publications/search/all-non-english-pubs?page=4 **XPath / selector:** `.layout__column.ds-l-col--12 > h3:nth-child(1)` **WCAG SC:** _undetermined_ **Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI)) **Severity:** Moderate **Frequency:** 40 instances; 40 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (14 weeks) ### HTML snippet ```html <h3>Polish</h3> ``` ### Description Heading levels should only increase by one. Detected by axe-core rule heading-order on 40 of 2045 scanned pages (40 instances). ### Steps to reproduce 1. Open https://medicare.gov/publications/search/all-non-english-pubs?page=4. 2. Locate the element: .layout__column.ds-l-col--12 > h3:nth-child(1) 3. Confirm the axe-core finding for rule heading-order. ### Impact Not captured by automated scan — requires manual testing. ### Affected pages - https://medicare.gov/publications/search/all-non-english-pubs?page=4 - https://medicare.gov/publications/search/all-non-english-pubs - http://medicare.gov/publications/search/all-non-english-pubs?page=7 - http://medicare.gov/basics/end-stage-renal-disease - https://medicare.gov/publications/search/all-non-english-pubs?page=5 - https://www.medicare.gov/publications/search/all-non-english-pubs?page=1 - https://medicare.gov/publications/search/all-non-english-pubs?page=1 - https://medicare.gov/publications/search/all-non-english-pubs?page=10 - https://medicare.gov/publications/search/all-non-english-pubs?page=3 - https://www.medicare.gov/publications/search/all-non-english-pubs?page=8 - http://medicare.gov/publications/search/all-non-english-pubs?page=6 - http://medicare.gov/publications/search/all-non-english-pubs?page=10 - http://medicare.gov/publications/search/all-non-english-pubs?page=5 - http://medicare.gov/publications/search/all-non-english-pubs?page=1 - https://medicare.gov/publications/search/all-non-english-pubs?page=6 - https://medicare.gov/publications/search/all-non-english-pubs?page=7 - http://medicare.gov/publications/search/all-non-english-pubs?page=3 - https://medicare.gov/publications/search/all-non-english-pubs?page=0 - http://medicare.gov/publications/search/all-non-english-pubs - https://www.medicare.gov/care-compare/resources/about-this-tool - https://medicare.gov/publications/search/all-non-english-pubs?page=2 - https://www.medicare.gov/publications/search/all-non-english-pubs?page=0 - https://www.medicare.gov/publications/search/all-non-english-pubs?page=2 - https://www.medicare.gov/publications/search/all-non-english-pubs?page=10 - https://www.medicare.gov/publications/search/all-non-english-pubs?page=9 …and more — 40 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://medicare.gov/publications/search/all-non-english-pubs?page=4 - https://medicare.gov/publications/search/all-non-english-pubs - http://medicare.gov/publications/search/all-non-english-pubs?page=7 --- ## Document should have one main landmark (WCAG criterion undetermined) **Bug ID:** `VS-ecfe3a79` **Pattern ID:** `VS-d5d82446` **URL:** https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care **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:** 21 instances; 21 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (14 weeks) ### HTML snippet ```html <html lang="en"> ``` ### Description Document should have one main landmark. Detected by axe-core rule landmark-one-main on 21 of 2045 scanned pages (21 instances). ### Steps to reproduce 1. Open https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care. 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.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care - https://medicare.gov/my/medicare-complaint - https://www.medicare.gov/care-compare/resources/nursing-home/staffing - https://www.medicare.gov/care-compare/resources/care-compare/resources/information-for-providers - https://medicare.gov/care-compare/resources/information-about-provider-types - http://medicare.gov/care-compare/resources/information-about-provider-types - http://medicare.gov/my/medicare-complaint - https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/staffing - https://www.medicare.gov/care-compare/resources/about-this-tool - https://www.medicare.gov/care-compare/resources/information-about-provider-types - https://www.medicare.gov/care-compare/resources/information-for-providers - https://www.medicare.gov/care-compare/resources/care-compare/resources/information-about-provider-types - https://www.medicare.gov/my/medicare-complaint - https://medicare.gov/care-compare/resources/care-compare/resources/information-about-provider-types - https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/health-inspections - https://www.medicare.gov/care-compare/resources/care-compare/resources/resources-and-information - http://medicare.gov/care-compare/resources/care-compare/resources/information-about-provider-types - https://www.medicare.gov/care-compare/resources/nursing-home/quality-of-resident-care - https://www.medicare.gov/care-compare/resources/nursing-home/health-inspections - https://www.medicare.gov/care-compare/resources/care-compare/resources/about-this-tool - https://www.medicare.gov/care-compare/resources/resources-and-information ### 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.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care - https://medicare.gov/my/medicare-complaint - https://www.medicare.gov/care-compare/resources/nursing-home/staffing --- ## Page should contain a level-one heading (WCAG criterion undetermined) **Bug ID:** `VS-76f781fc` **Pattern ID:** `VS-fa44f293` **URL:** http://medicare.gov/publications/search/item/112371 **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:** 9 instances; 9 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (14 weeks) ### HTML snippet ```html <html lang="en" dir="ltr" prefix="og: https://ogp.me/ns#" class=" js"> ``` ### Description Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 9 of 2045 scanned pages (9 instances). ### Steps to reproduce 1. Open http://medicare.gov/publications/search/item/112371. 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 - http://medicare.gov/publications/search/item/112371 - https://medicare.gov/publications/search/item/112376 - http://medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment - http://medicare.gov/publications/search/item/112376 - https://medicare.gov/publications/search/item/112371 - https://www.medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment - https://www.medicare.gov/publications/search/item/112376 - https://medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment - https://www.medicare.gov/publications/search/item/112371 ### 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 - http://medicare.gov/publications/search/item/112371 - https://medicare.gov/publications/search/item/112376 - http://medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment --- ## Table header text should not be empty (WCAG criterion undetermined) **Bug ID:** `VS-3a2f2791` **Pattern ID:** `VS-d69fc059` **URL:** https://medicare.gov/account/login/help **XPath / selector:** `thead > tr > 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:** 3 instances; 3 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (14 weeks) ### HTML snippet ```html <th class=""> </th> ``` ### Description Table header text should not be empty. Detected by axe-core rule empty-table-header on 3 of 2045 scanned pages (3 instances). ### Steps to reproduce 1. Open https://medicare.gov/account/login/help. 2. Locate the element: thead > tr > 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://medicare.gov/account/login/help - https://www.medicare.gov/account/login/help - http://medicare.gov/account/login/help ### 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://medicare.gov/account/login/help - https://www.medicare.gov/account/login/help - http://medicare.gov/account/login/help --- ## Scrolling content can be accessed by keyboard (WCAG criterion undetermined) **Bug ID:** `VS-1b05f456` **Pattern ID:** `VS-c18be945` **URL:** https://www.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D **XPath / selector:** `text: "Feedback"` **WCAG SC:** _undetermined_ **Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57)) **Severity:** Moderate **Frequency:** 3215 instances; 502 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (14 weeks) ### Description Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 502 of 2045 scanned pages (3215 instances). ### Steps to reproduce 1. Open https://www.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D. 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://www.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D - http://medicare.gov/publication-ordering/11377 - http://medicare.gov/basics/forms-publications-mailings/forms - http://medicare.gov/publication-ordering/12177-S - https://www.medicare.gov/coverage/hospital-beds - https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package - https://www.medicare.gov/health-drug-plans/part-d/basics/costs - https://www.medicare.gov/publication-ordering/12207 - https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision - https://medicare.gov/providers-services/claims-appeals-complaints/claims - http://medicare.gov/health-apps/noom - http://medicare.gov/account/login?Lang=en-us - http://medicare.gov/coverage/mental-health-care-outpatient-intensive-outpatient-program-services - http://medicare.gov/publication-ordering/12217-S - https://www.medicare.gov/account/login?client_id=carecompare&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ij9ndWlkZWRTZWFyY2g9SG9zcGl0YWwifX0%3D - https://www.medicare.gov/coverage/hepatitis-b-virus-hbv-infection-screenings - http://medicare.gov/basics/forms-publications-mailings/mailings/signing-up - https://medicare.gov/basics/get-started-with-medicare - https://www.medicare.gov/account/login?client_id=carecompare&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ii9yZXNvdXJjZXMvYWJvdXQtdGhpcy10b29sIn19 - https://www.medicare.gov/health-drug-plans/part-d/basics/choose-coverage/switch-drop-rejoin - http://medicare.gov/coverage/pulmonary-rehabilitation-programs - http://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/drug-plan-changing-medicare-advantage-plan-termination - http://medicare.gov/go-digital - https://medicare.gov/health-drug-plans/part-d/what-plans-cover/plan-rules/safety-management-programs - https://medicare.gov/coverage/osteoporosis-drugs …and more — 502 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://www.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D - http://medicare.gov/publication-ordering/11377 - http://medicare.gov/basics/forms-publications-mailings/forms --- ## Table header has scope (WCAG criterion undetermined) **Bug ID:** `VS-a7b9b5f6` **Pattern ID:** `VS-2cd767ca` **URL:** https://www.medicare.gov/coverage/hospital-beds **XPath / selector:** `<h2 class="text-align-center ds-u-padding-x--4 ds-u-md-padding-x--0 ds-u-margin-bottom--0">` **WCAG SC:** _undetermined_ **Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78)) **Severity:** Moderate **Frequency:** 207 instances; 155 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (14 weeks) ### Description Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 155 of 2045 scanned pages (207 instances). ### Steps to reproduce 1. Open https://www.medicare.gov/coverage/hospital-beds. 2. Locate the element: <h2 class="text-align-center ds-u-padding-x--4 ds-u-md-padding-x--0 ds-u-margin-bottom--0"> 3. Confirm the Siteimprove Alfa finding for rule sia-r78. ### Impact Not captured by automated scan — requires manual testing. ### Affected pages - https://www.medicare.gov/coverage/hospital-beds - http://medicare.gov/health-apps/noom - http://medicare.gov/coverage/mental-health-care-outpatient-intensive-outpatient-program-services - https://www.medicare.gov/coverage/hepatitis-b-virus-hbv-infection-screenings - http://medicare.gov/coverage/pulmonary-rehabilitation-programs - https://medicare.gov/coverage/osteoporosis-drugs - https://www.medicare.gov/coverage/home-health-services - https://www.medicare.gov/coverage/monoclonal-antibodies-for-the-treatment-of-early-alzheimers-disease - https://medicare.gov/coverage/mental-health-care-inpatient - https://www.medicare.gov/coverage/blood-sugar-control-solutions - https://medicare.gov/coverage/breast-prostheses - https://www.medicare.gov/coverage/insulin - https://www.medicare.gov/coverage/mental-health-substance-use-disorder - https://www.medicare.gov/coverage/flu-shots - https://www.medicare.gov/coverage/flexible-sigmoidoscopies - https://medicare.gov/coverage/physical-activity-nutrition-risk-assessment - https://www.medicare.gov/coverage/preventive-screening-services - https://www.medicare.gov/publications/search/all-non-english-pubs?page=1 - https://medicare.gov/coverage/pancreas-transplants - https://medicare.gov/coverage/long-term-care-hospital-services - https://medicare.gov/publications/search/all-non-english-pubs?page=1 - https://medicare.gov/coverage/depression-screening - https://www.medicare.gov/coverage/cardiovascular-disease-screenings - http://medicare.gov/coverage/foot-care-for-diabetes - https://medicare.gov/publications/search/all-non-english-pubs?page=10 …and more — 155 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://www.medicare.gov/coverage/hospital-beds - http://medicare.gov/health-apps/noom - http://medicare.gov/coverage/mental-health-care-outpatient-intensive-outpatient-program-services --- ## Headings are structured hierarchically (WCAG criterion undetermined) **Bug ID:** `VS-62a19f47` **Pattern ID:** `VS-f054f4a4` **URL:** https://www.medicare.gov/publications/search/all-non-english-pubs?page=1 **XPath / selector:** `<h3>` **WCAG SC:** _undetermined_ **Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53)) **Severity:** Moderate **Frequency:** 16 instances; 16 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (14 weeks) ### Description Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 16 of 2045 scanned pages (16 instances). ### Steps to reproduce 1. Open https://www.medicare.gov/publications/search/all-non-english-pubs?page=1. 2. Locate the element: <h3> 3. Confirm the Siteimprove Alfa finding for rule sia-r53. ### Impact Not captured by automated scan — requires manual testing. ### Affected pages - https://www.medicare.gov/publications/search/all-non-english-pubs?page=1 - https://medicare.gov/publications/search/all-non-english-pubs?page=1 - https://medicare.gov/publications/search/all-non-english-pubs?page=10 - http://medicare.gov/publications/search/all-non-english-pubs?page=10 - https://medicare.gov/publications/search/all-non-english-pubs?page=7 - http://medicare.gov/publications/search/all-non-english-pubs?page=3 - https://medicare.gov/publications/search/all-non-english-pubs?page=0 - https://medicare.gov/publications/search/all-non-english-pubs?page=2 - https://www.medicare.gov/publications/search/all-non-english-pubs?page=10 - https://www.medicare.gov/publications/search/all-non-english-pubs?page=9 - https://medicare.gov/basics/end-stage-renal-disease - http://medicare.gov/publications/search/all-non-english-pubs?page=8 - http://medicare.gov/publications/search/all-non-english-pubs?page=0 - https://www.medicare.gov/publications/search/all-non-english-pubs - https://www.medicare.gov/publications/search/all-non-english-pubs?page=3 - http://medicare.gov/publications/search/all-non-english-pubs?page=4 ### 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.medicare.gov/publications/search/all-non-english-pubs?page=1 - https://medicare.gov/publications/search/all-non-english-pubs?page=1 - https://medicare.gov/publications/search/all-non-english-pubs?page=10 --- ## First focusable element is link to main content (WCAG criterion undetermined) **Bug ID:** `VS-c091ca6a` **Pattern ID:** `VS-aa242c2d` **URL:** https://www.medicare.gov/care-compare?providerType=Hospice **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:** 11 instances; 11 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (14 weeks) ### Description First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 11 of 2045 scanned pages (11 instances). ### Steps to reproduce 1. Open https://www.medicare.gov/care-compare?providerType=Hospice. 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.medicare.gov/care-compare?providerType=Hospice - https://www.medicare.gov/care-compare?providerType=MedicalEquipmentSuppliers - https://www.medicare.gov/care-compare?guidedSearch=DialysisFacility - https://www.medicare.gov/care-compare?providerType=NursingHome - https://www.medicare.gov/care-compare?guidedSearch=NursingHome - https://www.medicare.gov/care-compare/resources/information-about-provider-types - https://medicare.gov/care-compare?guidedSearch=InpatientRehabilitation - https://www.medicare.gov/care-compare?guidedSearch=LongTermCare - https://www.medicare.gov/care-compare/resources/nursing-home/quality-of-resident-care - https://www.medicare.gov/care-compare/resources/resources-and-information - https://medicare.gov/care-compare?guidedSearch=LongTermCare ### 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.medicare.gov/care-compare?providerType=Hospice - https://www.medicare.gov/care-compare?providerType=MedicalEquipmentSuppliers - https://www.medicare.gov/care-compare?guidedSearch=DialysisFacility --- ## aria attribute is permitted for element role (WCAG criterion undetermined) **Bug ID:** `VS-01b62c6d` **Pattern ID:** `VS-e05344b9` **URL:** https://www.medicare.gov/providers-services/claims-appeals-complaints/claims/share-your-medicare-claims/connected-apps **XPath / selector:** `@aria-labelledby="block-contentb0ba37f0-ea8d-46ab-a2fa-4e3517887f3b-accordion-button"` **WCAG SC:** _undetermined_ **Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18)) **Severity:** Moderate **Frequency:** 1 instances; 1 of 2045 pages affected **History:** first seen 2026-W24, last seen 2026-W37 (11 weeks) ### Description aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 1 of 2045 scanned pages (1 instances). ### Steps to reproduce 1. Open https://www.medicare.gov/providers-services/claims-appeals-complaints/claims/share-your-medicare-claims/connected-apps. 2. Locate the element: @aria-labelledby="block-contentb0ba37f0-ea8d-46ab-a2fa-4e3517887f3b-accordion-button" 3. Confirm the Siteimprove Alfa finding for rule sia-r18. ### Impact Not captured by automated scan — requires manual testing. ### Affected pages - https://www.medicare.gov/providers-services/claims-appeals-complaints/claims/share-your-medicare-claims/connected-apps ### 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