{
 "domain": "www.cms.gov",
 "week": "2026-W24",
 "generatedAt": "2026-07-06T00:53:54.445Z",
 "reports": [
  {
   "instance_id": "VS-e1f7ea68",
   "pattern_id": "VS-179ad9b3",
   "a11y_pattern_fingerprint": "e7bac73319e452f783dbc9ac7a50ef65c6973a8841f507cb28b7168f9f48a792",
   "a11y_pattern_display_id": "A11Y-PAT-E7BAC73319E4",
   "a11y_occurrence_fingerprint": "89b2868015fc4077bd1e3e42f671c6ab047828c7a67c2d0febc15c65c1ea7097",
   "a11y_occurrence_display_id": "A11Y-OCC-89B2868015FC",
   "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
   "xpath": "<a href=\"http://www.hhs.gov\">",
   "html_snippet": null,
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "frequency": {
    "instances": 32,
    "pages_affected": 6,
    "total_pages_scanned": 2629
   },
   "likely_source": "unknown",
   "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)",
   "description": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 6 of 2629 scanned pages (32 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": "<a href=\"http://www.hhs.gov\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": "<a href=\"http://www.medicare.gov\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": "<a href=\"http://www.usa.gov\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/about/current-partners",
     "xpath": "<a class=\"ds-u-text-decoration--none\" href=\"#federal\" title=\"Federal Partners\" data-once=\"linkMatch\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/about/current-partners",
     "xpath": "<a class=\"ds-u-text-decoration--none\" href=\"#law-enforcement\" title=\"Law Enforcement Partners\" data-once=\"linkMatch\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/about/current-partners",
    "https://www.cms.gov/medicare/enrollment-renewal/providers-suppliers/chain-ownership-system-pecos"
   ],
   "affected_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/about/current-partners",
    "https://www.cms.gov/medicare/enrollment-renewal/providers-suppliers/chain-ownership-system-pecos",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/medicare/medicaid-coordination/states/education",
    "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html.",
    "Locate the element: <a href=\"http://www.hhs.gov\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r113.csv"
  },
  {
   "instance_id": "VS-0e9663dd",
   "pattern_id": "VS-f7dba940",
   "a11y_pattern_fingerprint": "ac8975eaf689b91cdbe013c4a29539174adc9c016054562fd84ae380207562a1",
   "a11y_pattern_display_id": "A11Y-PAT-AC8975EAF689",
   "a11y_occurrence_fingerprint": "d627e0705e3a77c3e5621e7a4dd16face8e39d9356b796038db03b70e067d5e6",
   "a11y_occurrence_display_id": "A11Y-OCC-D627E0705E3A",
   "url": "http://cms.gov/priorities/innovation/models",
   "xpath": "<button type=\"button\" aria-expanded=\"false\" aria-label=\"click to display filter options\" class=\"ds-c-button searchBar__mobileFilterToggle__button\">",
   "html_snippet": null,
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "frequency": {
    "instances": 36,
    "pages_affected": 20,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "description": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 20 of 2629 scanned pages (36 instances).",
   "examples": [
    {
     "url": "http://cms.gov/priorities/innovation/models",
     "xpath": "<button type=\"button\" aria-expanded=\"false\" aria-label=\"click to display filter options\" class=\"ds-c-button searchBar__mobileFilterToggle__button\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter",
     "xpath": "<a id=\"aBasketManuButton\" class=\"basket-icon log-click \" title=\"View documents in your Basket\" data-page-action=\"Clicked the Basket navbar link.\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter",
     "xpath": "<a href=\"#\" data-bs-toggle=\"collapse\" id=\"aCollapseNavigation\" aria-label=\"Collapse Document Navigation\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
     "xpath": "<a id=\"aBasketManuButton\" class=\"basket-icon log-click \" title=\"View documents in your Basket\" data-page-action=\"Clicked the Basket navbar link.\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
     "xpath": "<a href=\"#\" data-bs-toggle=\"collapse\" id=\"aCollapseNavigation\" aria-label=\"Collapse Document Navigation\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://cms.gov/priorities/innovation/models",
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239"
   ],
   "affected_pages": [
    "http://cms.gov/priorities/innovation/models",
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=7&sortBy=status&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/cal.aspx?calid=140",
    "http://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=31",
    "https://www.cms.gov/medicare-coverage-database/view/cal.aspx?calid=91",
    "https://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=13",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=26&sortBy=status&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=46&ncdver=1&sortBy=chapter",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=104",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=3&sortBy=status&status=all",
    "https://www.cms.gov/medicare/regulations-guidance/physician-self-referral/significant-regulatory-history",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=102&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=82&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/reports/reports.aspx",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=85&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/reports/national-coverage-ncacal-status-report.aspx?ncacaldoctype=all&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=30&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/cal.aspx?bc=17&calid=146&ncacaldoctype=all&sortBy=status&status=all"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://cms.gov/priorities/innovation/models.",
    "Locate the element: <button type=\"button\" aria-expanded=\"false\" aria-label=\"click to display filter options\" class=\"ds-c-button searchBar__mobileFilterToggle__button\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r14.csv"
  },
  {
   "instance_id": "VS-544f1c21",
   "pattern_id": "VS-9074b4dd",
   "a11y_pattern_fingerprint": "a978dea41024ecf3c2edc0da00aac9058166a8299fabb3a47324cc4a04812e96",
   "a11y_pattern_display_id": "A11Y-PAT-A978DEA41024",
   "a11y_occurrence_fingerprint": "6fecab0377c57f0d735c04a6c8ad93dd6b5253529723f63a642ecacc23ecc942",
   "a11y_occurrence_display_id": "A11Y-OCC-6FECAB0377C5",
   "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
   "xpath": "img[src$=\"cms-site-logo.png\"]",
   "html_snippet": "<img src=\"cms-site-logo.png\">",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "image-alt",
   "rule_label": "Images must have alternative text",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 11,
    "pages_affected": 11,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Images must have alternative text (WCAG 1.1.1)",
   "description": "Images must have alternative text. Detected by axe-core rule image-alt on 11 of 2629 scanned pages (11 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": "img[src$=\"cms-site-logo.png\"]",
     "html_snippet": "<img src=\"cms-site-logo.png\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
     "xpath": "img[src$=\"cms-site-logo.png\"]",
     "html_snippet": "<img src=\"cms-site-logo.png\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0006.html",
     "xpath": "img[src$=\"cms-site-logo.png\"]",
     "html_snippet": "<img src=\"cms-site-logo.png\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0097.html",
     "xpath": "img[src$=\"cms-site-logo.png\"]",
     "html_snippet": "<img src=\"cms-site-logo.png\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0174.html",
     "xpath": "img[src$=\"cms-site-logo.png\"]",
     "html_snippet": "<img src=\"cms-site-logo.png\">"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0006.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0006.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0097.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0174.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0023.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0026.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html.",
    "Locate the element: img[src$=\"cms-site-logo.png\"]",
    "Confirm the axe-core finding for rule image-alt against WCAG 1.1.1 Non-text Content."
   ],
   "remediation_tip": "Give every <img> a meaningful alt attribute. Use alt=\"\" only for decorative images so screen readers skip them.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__image-alt.csv"
  },
  {
   "instance_id": "VS-5be66cad",
   "pattern_id": "VS-a24eaa8c",
   "a11y_pattern_fingerprint": "9706dec6d1fe236347283238777ae900c1508adec6284acb1378d2ccabf1a12d",
   "a11y_pattern_display_id": "A11Y-PAT-9706DEC6D1FE",
   "a11y_occurrence_fingerprint": "911eb6cc77c59978c847b4c2e64536c630ab9208b390175fc37a81e3edcca385",
   "a11y_occurrence_display_id": "A11Y-OCC-911EB6CC77C5",
   "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
   "xpath": "<img src=\"cms-site-logo.png\">",
   "html_snippet": null,
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r2",
   "rule_label": "Image has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r2",
   "severity": "Moderate",
   "frequency": {
    "instances": 3,
    "pages_affected": 3,
    "total_pages_scanned": 2629
   },
   "likely_source": "unknown",
   "summary": "Image has accessible name (WCAG 1.1.1)",
   "description": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 3 of 2629 scanned pages (3 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": "<img src=\"cms-site-logo.png\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
     "xpath": "<img src=\"cms-site-logo.png\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html",
     "xpath": "<img src=\"cms-site-logo.png\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html.",
    "Locate the element: <img src=\"cms-site-logo.png\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r2 against WCAG 1.1.1 Non-text Content."
   ],
   "remediation_tip": "Give every <img> an accessible name (alt text), or alt=\"\" if purely decorative.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r2.csv"
  },
  {
   "instance_id": "VS-6e9a6724",
   "pattern_id": "VS-a0bdbdf6",
   "a11y_pattern_fingerprint": "50fa0bbb036fd28c57bc5ee2b6fb73013dc820fbf44b86b2ef1f1dc50e546ca4",
   "a11y_pattern_display_id": "A11Y-PAT-50FA0BBB036F",
   "a11y_occurrence_fingerprint": "6c5a55947fa01f92db89bcccbf47ac14d825e4279401765a18ac032c545f1d9e",
   "a11y_occurrence_display_id": "A11Y-OCC-6C5A55947FA0",
   "url": "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A46&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
   "xpath": ".pager__items",
   "html_snippet": "<ul class=\"pager__items js-pager__items cms-evo-unstyled-list ds-u-display--flex ds-u-justify-content--center\">",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "list",
   "rule_label": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 17,
    "pages_affected": 9,
    "total_pages_scanned": 2629
   },
   "likely_source": "unknown",
   "summary": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements (WCAG 1.3.1)",
   "description": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 9 of 2629 scanned pages (17 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A46&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
     "xpath": ".pager__items",
     "html_snippet": "<ul class=\"pager__items js-pager__items cms-evo-unstyled-list ds-u-display--flex ds-u-justify-content--center\">"
    },
    {
     "url": "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A196&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
     "xpath": ".pager__items",
     "html_snippet": "<ul class=\"pager__items js-pager__items cms-evo-unstyled-list ds-u-display--flex ds-u-justify-content--center\">"
    },
    {
     "url": "https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A111&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
     "xpath": ".pager__items",
     "html_snippet": "<ul class=\"pager__items js-pager__items cms-evo-unstyled-list ds-u-display--flex ds-u-justify-content--center\">"
    },
    {
     "url": "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A111&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
     "xpath": ".pager__items",
     "html_snippet": "<ul class=\"pager__items js-pager__items cms-evo-unstyled-list ds-u-display--flex ds-u-justify-content--center\">"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N",
     "xpath": "strong:nth-child(2) > ol[type=\"I\"]",
     "html_snippet": "<ol type=\"I\">"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A46&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A196&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A111&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC"
   ],
   "affected_pages": [
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A46&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A196&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A111&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A111&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A81&f%5B2%5D=topic%3A111&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=newsroom_article_type%3A29601&f%5B2%5D=topic%3A111&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A111&f%5B2%5D=topic%3A126&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=98&ncdver=2&sortBy=chapter"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A46&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC.",
    "Locate the element: .pager__items",
    "Confirm the axe-core finding for rule list against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "Use <ul>/<ol> with only <li> children for lists; don't fake lists with <div>s.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__list.csv"
  },
  {
   "instance_id": "VS-a64dbd18",
   "pattern_id": "VS-6175596b",
   "a11y_pattern_fingerprint": "62f8eff62a923b1c3d2071b4ecb01be42b0917fee6ee1f4e372750d6d0e4cac2",
   "a11y_pattern_display_id": "A11Y-PAT-62F8EFF62A92",
   "a11y_occurrence_fingerprint": "a6cf880a06da16335d1307a1de2a954a4465a494b64039aba80c9ad109677272",
   "a11y_occurrence_display_id": "A11Y-OCC-A6CF880A06DA",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N",
   "xpath": "td[scope=\"column\"][valign=\"top\"]:nth-child(2) > li:nth-child(12)",
   "html_snippet": "<li> STS, mitral valve repair, mean (SD) %: 7.4 (5.3)\n</li>",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "listitem",
   "rule_label": "<li> elements must be contained in a <ul> or <ol>",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 40,
    "pages_affected": 2,
    "total_pages_scanned": 2629
   },
   "likely_source": "content",
   "summary": "<li> elements must be contained in a <ul> or <ol> (WCAG 1.3.1)",
   "description": "<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 2 of 2629 scanned pages (40 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N",
     "xpath": "td[scope=\"column\"][valign=\"top\"]:nth-child(2) > li:nth-child(12)",
     "html_snippet": "<li> STS, mitral valve repair, mean (SD) %: 7.4 (5.3)\n</li>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N",
     "xpath": "td[scope=\"column\"][valign=\"top\"]:nth-child(2) > li:nth-child(13)",
     "html_snippet": "<li>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N",
     "xpath": "td[valign=\"top\"]:nth-child(2) > li:nth-child(11)",
     "html_snippet": "<li>STS, mitral valve repair, mean (SD) %: 7.7 (5.3) \n</li>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N",
     "xpath": "div > li",
     "html_snippet": "<li>A clinical diagnosis of mild cognitive impairment (MCI) due to AD or mild AD dementia, both with confirmed presence of amyloid beta pathology consistent with AD.</li>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N.",
    "Locate the element: td[scope=\"column\"][valign=\"top\"]:nth-child(2) > li:nth-child(12)",
    "Confirm the axe-core finding for rule listitem against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "<li> must be inside a <ul> or <ol>.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__listitem.csv"
  },
  {
   "instance_id": "VS-1d5bb111",
   "pattern_id": "VS-d6097011",
   "a11y_pattern_fingerprint": "9e734d84e67192f55861be03430b52358f3d1234339341fad49368eed675d1fd",
   "a11y_pattern_display_id": "A11Y-PAT-9E734D84E671",
   "a11y_occurrence_fingerprint": "a9e998665563930acd0f16a9a7c152391429f6e1c903c1fab2dc8480530ea3b4",
   "a11y_occurrence_display_id": "A11Y-OCC-A9E998665563",
   "url": "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
   "xpath": "<ul class=\"nav nav-pills flex-column\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "frequency": {
    "instances": 10,
    "pages_affected": 10,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 10 of 2629 scanned pages (10 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
     "xpath": "<ul class=\"nav nav-pills flex-column\">",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=7&sortBy=status&status=all",
     "xpath": "<ul class=\"nav nav-pills flex-column\">",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=26&sortBy=status&status=all",
     "xpath": "<ul class=\"nav nav-pills flex-column\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicaid-chip/medicare-coordination/avoidable-hospitalizations",
     "xpath": "<thead>",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=3&sortBy=status&status=all",
     "xpath": "<ul class=\"nav nav-pills flex-column\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=7&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=26&sortBy=status&status=all"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=7&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=26&sortBy=status&status=all",
    "https://www.cms.gov/medicaid-chip/medicare-coordination/avoidable-hospitalizations",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=3&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=102&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=82&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=85&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/reports/national-coverage-ncacal-status-report.aspx?ncacaldoctype=all&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=30&sortBy=status&status=all"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239.",
    "Locate the element: <ul class=\"nav nav-pills flex-column\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r68.csv"
  },
  {
   "instance_id": "VS-f9bad6ea",
   "pattern_id": "VS-3c632d31",
   "a11y_pattern_fingerprint": "fd43f9066b55fe488b573f7661d22622ce1c31584e1d586cddc6855a03471662",
   "a11y_pattern_display_id": "A11Y-PAT-FD43F9066B55",
   "a11y_occurrence_fingerprint": "8ad88762c0a40e291865064a50b57631c1b36d13398119ac2e1edd6bffbc704c",
   "a11y_occurrence_display_id": "A11Y-OCC-8AD88762C0A4",
   "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
   "xpath": "<h1>",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r64",
   "rule_label": "Element has required owned roles",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r64",
   "severity": "Moderate",
   "frequency": {
    "instances": 6,
    "pages_affected": 6,
    "total_pages_scanned": 2629
   },
   "likely_source": "unknown",
   "summary": "Element has required owned roles (WCAG 1.3.1)",
   "description": "Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 6 of 2629 scanned pages (6 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": "<h1>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/quality/nursing-home-improvement/resident-assessment-instrument-manual",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/quality/nursing-home-improvement/announcements",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
     "xpath": "<h1>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html",
     "xpath": "<h1>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/medicare/quality/nursing-home-improvement/resident-assessment-instrument-manual",
    "https://www.cms.gov/medicare/quality/nursing-home-improvement/announcements"
   ],
   "affected_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/medicare/quality/nursing-home-improvement/resident-assessment-instrument-manual",
    "https://www.cms.gov/medicare/quality/nursing-home-improvement/announcements",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/medicare/appeals-grievances/fee-for-service/second-level-appeal"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html.",
    "Locate the element: <h1>",
    "Confirm the Siteimprove Alfa finding for rule sia-r64 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r64",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r64.csv"
  },
  {
   "instance_id": "VS-e9582237",
   "pattern_id": "VS-0ddc2ac6",
   "a11y_pattern_fingerprint": "cbf4006849765f87b5a8c5168262750a3603a6dc63d111836da912b06166228b",
   "a11y_pattern_display_id": "A11Y-PAT-CBF400684976",
   "a11y_occurrence_fingerprint": "88fa94082aab45f1578997a3180a3f2fb3d23dbeb3665bc92eba275b8dac0d06",
   "a11y_occurrence_display_id": "A11Y-OCC-88FA94082AAB",
   "url": "https://www.cms.gov/",
   "xpath": "<button type=\"button\" id=\"trigger-tabs-1714902645\" aria-expanded=\"false\" class=\"responsive-tabs__tab-button--mobile ds-u-display--flex\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r42",
   "rule_label": "Element in required WAI-ARIA context role",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r42",
   "severity": "Moderate",
   "frequency": {
    "instances": 5,
    "pages_affected": 1,
    "total_pages_scanned": 2629
   },
   "likely_source": "content",
   "summary": "Element in required WAI-ARIA context role (WCAG 1.3.1)",
   "description": "Element in required WAI-ARIA context role. Detected by Siteimprove Alfa rule sia-r42 on 1 of 2629 scanned pages (5 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/",
     "xpath": "<button type=\"button\" id=\"trigger-tabs-1714902645\" aria-expanded=\"false\" class=\"responsive-tabs__tab-button--mobile ds-u-display--flex\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/",
     "xpath": "<button type=\"button\" id=\"trigger-tabs-678103395\" aria-expanded=\"false\" class=\"responsive-tabs__tab-button--mobile ds-u-display--flex\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/",
     "xpath": "<button type=\"button\" id=\"trigger-tabs-324211709\" aria-expanded=\"false\" class=\"responsive-tabs__tab-button--mobile ds-u-display--flex\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/"
   ],
   "affected_pages": [
    "https://www.cms.gov/"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/.",
    "Locate the element: <button type=\"button\" id=\"trigger-tabs-1714902645\" aria-expanded=\"false\" class=\"responsive-tabs__tab-button--mobile ds-u-display--flex\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r42 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r42",
   "possible_duplicate_of": "VS-a64dbd18",
   "possible_duplicate_pattern": "VS-6175596b",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r42.csv"
  },
  {
   "instance_id": "VS-a7955214",
   "pattern_id": "VS-3f067795",
   "a11y_pattern_fingerprint": "81f747badb881b493f8e2cef95d34d39eac0fb08588e651098babfb0e6e3db6d",
   "a11y_pattern_display_id": "A11Y-PAT-81F747BADB88",
   "a11y_occurrence_fingerprint": "fdfe1ff38956f4c5a1a2453a7c7da9433d876689d2aaf2550ba85576dcb1ec09",
   "a11y_occurrence_display_id": "A11Y-OCC-FDFE1FF38956",
   "url": "https://www.cms.gov/medicare/coverage/determination-process/basics/icd-10",
   "xpath": "<td>",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r77",
   "rule_label": "Table cell has header",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r77",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 2629
   },
   "likely_source": "content",
   "summary": "Table cell has header (WCAG 1.3.1)",
   "description": "Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 1 of 2629 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare/coverage/determination-process/basics/icd-10",
     "xpath": "<td>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare/coverage/determination-process/basics/icd-10"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare/coverage/determination-process/basics/icd-10"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare/coverage/determination-process/basics/icd-10.",
    "Locate the element: <td>",
    "Confirm the Siteimprove Alfa finding for rule sia-r77 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r77",
   "possible_duplicate_of": "VS-a64dbd18",
   "possible_duplicate_pattern": "VS-6175596b",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r77.csv"
  },
  {
   "instance_id": "VS-10f76f16",
   "pattern_id": "VS-8ade3360",
   "a11y_pattern_fingerprint": "e316e15ece47511f15cd1bbd3ba63622aa03cb15308533b0a845d5f80661a4e4",
   "a11y_pattern_display_id": "A11Y-PAT-E316E15ECE47",
   "a11y_occurrence_fingerprint": "e41c3ae74ab8830305d7b2298fef8d09122b61c2c4b28388de4c1a8ec0cebaa9",
   "a11y_occurrence_display_id": "A11Y-OCC-E41C3AE74AB8",
   "url": "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
   "xpath": "#hplTrackingSheet",
   "html_snippet": "<a id=\"hplTrackingSheet\" href=\"/medicare-coverage-database/view/ncacal-tracking-sheet.aspx?ncaid=239\" class=\"document-view-section-text log-click system-link\" data-page-action=\"Clicked the Tracking Sh",
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "link-in-text-block",
   "rule_label": "Links must be distinguishable without relying on color",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 76,
    "pages_affected": 32,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Links must be distinguishable without relying on color (WCAG 1.4.1)",
   "description": "Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 32 of 2629 scanned pages (76 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
     "xpath": "#hplTrackingSheet",
     "html_snippet": "<a id=\"hplTrackingSheet\" href=\"/medicare-coverage-database/view/ncacal-tracking-sheet.aspx?ncaid=239\" class=\"document-view-section-text log-click system-link\" data-page-action=\"Clicked the Tracking Sh"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
     "xpath": "#hplProposedDecisionMemo",
     "html_snippet": "<a id=\"hplProposedDecisionMemo\" href=\"/medicare-coverage-database/view/ncacal-decision-memo.aspx?proposed=Y&amp;ncaid=239\" class=\"document-view-section-text log-click system-link\" data-page-action=\"Cl"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
     "xpath": "#hplDecisionMemo",
     "html_snippet": "<a id=\"hplDecisionMemo\" href=\"/medicare-coverage-database/view/ncacal-decision-memo.aspx?proposed=N&amp;ncaid=239\" class=\"document-view-section-text log-click system-link\" data-page-action=\"Clicked th"
    },
    {
     "url": "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=179&sortBy=status&status=all",
     "xpath": "#hplTrackingSheet",
     "html_snippet": "<a id=\"hplTrackingSheet\" href=\"/medicare-coverage-database/view/ncacal-tracking-sheet.aspx?bc=17&amp;ncacaldoctype=all&amp;ncaid=179&amp;sortBy=status&amp;status=all\" class=\"document-view-section-text"
    },
    {
     "url": "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=179&sortBy=status&status=all",
     "xpath": "#hplProposedDecisionMemo",
     "html_snippet": "<a id=\"hplProposedDecisionMemo\" href=\"/medicare-coverage-database/view/ncacal-decision-memo.aspx?proposed=Y&bc=17&ncacaldoctype=all&ncaid=179&sortBy=status&status=all\" class=\"document-view-section-tex"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=179&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=218"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=179&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=218",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=7&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=49&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/cal.aspx?bc=17&calid=88&ncacaldoctype=all&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=321&sortBy=status&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/cal.aspx?calid=140",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=136&sortBy=status&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/cal.aspx?calid=91",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=66",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=215&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=26&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=15&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=199&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=3&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=229&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=230&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=102&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=82&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=35&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/cal.aspx?bc=17&calid=225&ncacaldoctype=all&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=16&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=272&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=315&sortBy=status&status=all"
   ],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239.",
    "Locate the element: #hplTrackingSheet",
    "Confirm the axe-core finding for rule link-in-text-block against WCAG 1.4.1 Use of Color."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__link-in-text-block.csv"
  },
  {
   "instance_id": "VS-c90c3b86",
   "pattern_id": "VS-efd91fdd",
   "a11y_pattern_fingerprint": "0fe1c65940bf7a498385a1e687c25df6cf5931fe13c01ebce056ec705f9778b6",
   "a11y_pattern_display_id": "A11Y-PAT-0FE1C65940BF",
   "a11y_occurrence_fingerprint": "e05a79eb9bf3c95b5eb5eb9c26070ca38b2af133d525c3e618435af936baf33e",
   "a11y_occurrence_display_id": "A11Y-OCC-E05A79EB9BF3",
   "url": "https://www.cms.gov/newsroom/data",
   "xpath": "<a href=\"https://data.cms.gov/fact-sheet/cms-fast-facts\" data-once=\"linkMatch\">",
   "html_snippet": null,
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r62",
   "rule_label": "Link in text block is visually distinguishable without color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r62",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 2629
   },
   "likely_source": "content",
   "summary": "Link in text block is visually distinguishable without color (WCAG 1.4.1)",
   "description": "Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 1 of 2629 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/newsroom/data",
     "xpath": "<a href=\"https://data.cms.gov/fact-sheet/cms-fast-facts\" data-once=\"linkMatch\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/newsroom/data"
   ],
   "affected_pages": [
    "https://www.cms.gov/newsroom/data"
   ],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/newsroom/data.",
    "Locate the element: <a href=\"https://data.cms.gov/fact-sheet/cms-fast-facts\" data-once=\"linkMatch\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r62 against WCAG 1.4.1 Use of Color."
   ],
   "remediation_tip": "Make links visually distinguishable from surrounding text (not by color alone).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r62.csv"
  },
  {
   "instance_id": "VS-2f53e181",
   "pattern_id": "VS-e9fe47ac",
   "a11y_pattern_fingerprint": "e30062a9db31dc71cccf7f0081ec68458b7836fb649316d9bc29d15ea75c7492",
   "a11y_pattern_display_id": "A11Y-PAT-E30062A9DB31",
   "a11y_occurrence_fingerprint": "725a8ea4d06f0826893aa3ccbcbecf1886816a75bcd470e17fb23a662096e030",
   "a11y_occurrence_display_id": "A11Y-OCC-725A8EA4D06F",
   "url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital",
   "xpath": "p:nth-child(2) > a[data-entity-substitution=\"canonical\"][data-entity-type=\"node\"][data-once=\"linkMatch\"]:nth-child(1)",
   "html_snippet": "<a href=\"/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2026-ipps-proposed-rule-home-page\" data-entity-substitution=\"canonical\" data-entity-type=\"node\" data-entity-uuid=\"e2075c13",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 15,
    "pages_affected": 8,
    "total_pages_scanned": 2629
   },
   "likely_source": "unknown",
   "summary": "Links must have discernible text (WCAG 2.4.4)",
   "description": "Links must have discernible text. Detected by axe-core rule link-name on 8 of 2629 scanned pages (15 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital",
     "xpath": "p:nth-child(2) > a[data-entity-substitution=\"canonical\"][data-entity-type=\"node\"][data-once=\"linkMatch\"]:nth-child(1)",
     "html_snippet": "<a href=\"/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2026-ipps-proposed-rule-home-page\" data-entity-substitution=\"canonical\" data-entity-type=\"node\" data-entity-uuid=\"e2075c13"
    },
    {
     "url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital",
     "xpath": "a[data-entity-substitution=\"canonical\"][data-entity-type=\"node\"][data-once=\"linkMatch\"]:nth-child(3)",
     "html_snippet": "<a href=\"/medicare/payment/prospective-payment-systems/long-term-care-hospital/regulations-notices/cms-1833-p\" data-entity-substitution=\"canonical\" data-entity-type=\"node\" data-entity-uuid=\"7088550f-9"
    },
    {
     "url": "https://www.cms.gov/medicare/medicaid-coordination/about/dsnps",
     "xpath": "a[data-entity-type=\"media\"][data-entity-substitution=\"canonical\"][data-once=\"linkMatch\"]:nth-child(5)",
     "html_snippet": "<a data-entity-type=\"media\" data-entity-uuid=\"c3d790c3-6ce7-4c9e-8624-03b88a3cb6ff\" data-entity-substitution=\"canonical\" href=\"/files/document/dsnpcoveragedecisionlettermemocy2024.pdf\" data-once=\"link"
    },
    {
     "url": "http://cms.gov/medicare/enrollment-renewal/providers-suppliers/hospitals-center",
     "xpath": "p:nth-child(2) > a[data-entity-type=\"node\"][data-entity-substitution=\"canonical\"][data-once=\"linkMatch\"]:nth-child(1)",
     "html_snippet": "<a href=\"/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2026-ipps-proposed-rule-home-page\" data-entity-substitution=\"canonical\" data-entity-type=\"node\" data-entity-uuid=\"e2075c13"
    },
    {
     "url": "http://cms.gov/medicare/enrollment-renewal/providers-suppliers/hospitals-center",
     "xpath": "p:nth-child(2) > a[data-entity-type=\"node\"][data-entity-substitution=\"canonical\"][data-once=\"linkMatch\"]:nth-child(3)",
     "html_snippet": "<a href=\"/medicare/payment/prospective-payment-systems/long-term-care-hospital/regulations-notices/cms-1833-p\" data-entity-substitution=\"canonical\" data-entity-type=\"node\" data-entity-uuid=\"7088550f-9"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital",
    "https://www.cms.gov/medicare/medicaid-coordination/about/dsnps",
    "http://cms.gov/medicare/enrollment-renewal/providers-suppliers/hospitals-center"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital",
    "https://www.cms.gov/medicare/medicaid-coordination/about/dsnps",
    "http://cms.gov/medicare/enrollment-renewal/providers-suppliers/hospitals-center",
    "https://www.cms.gov/medicare/appeals-grievances/fee-for-service/fourth-level-appeal",
    "https://www.cms.gov/priorities/burden-reduction/overview/customer-engagement/accountable-care-organization-aco-engagement",
    "https://www.cms.gov/medicare/medicaid-coordination/about/resources-integrated-care",
    "https://www.cms.gov/medicare/quality/hospice/cahpsr-hospice-survey",
    "https://www.cms.gov/medicare/enrollment-renewal/providers-suppliers/hospitals-center"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital.",
    "Locate the element: p:nth-child(2) > a[data-entity-substitution=\"canonical\"][data-entity-type=\"node\"][data-once=\"linkMatch\"]:nth-child(1)",
    "Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context)."
   ],
   "remediation_tip": "Give the link discernible text. Avoid empty links and icon-only links without an aria-label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__link-name.csv"
  },
  {
   "instance_id": "VS-79af47ed",
   "pattern_id": "VS-28ebd979",
   "a11y_pattern_fingerprint": "1924a384518f5972ad7e31fc3a366db757c846c77d0fc2c3c36afd459b8c765f",
   "a11y_pattern_display_id": "A11Y-PAT-1924A384518F",
   "a11y_occurrence_fingerprint": "485df5913d67c28499bfd0a1ce0de4c2407f06251a1925534d808ca5d454e7bb",
   "a11y_occurrence_display_id": "A11Y-OCC-485DF5913D67",
   "url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital",
   "xpath": "<a href=\"/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2026-ipps-proposed-rule-home-page\" data-entity-substitution=\"canonical\" data-entity-type=\"node\" data-entity-uuid=\"e2075c13",
   "html_snippet": null,
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r11",
   "rule_label": "Link has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r11",
   "severity": "Moderate",
   "frequency": {
    "instances": 11,
    "pages_affected": 7,
    "total_pages_scanned": 2629
   },
   "likely_source": "unknown",
   "summary": "Link has accessible name (WCAG 2.4.4)",
   "description": "Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 7 of 2629 scanned pages (11 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital",
     "xpath": "<a href=\"/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2026-ipps-proposed-rule-home-page\" data-entity-substitution=\"canonical\" data-entity-type=\"node\" data-entity-uuid=\"e2075c13",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital",
     "xpath": "<a href=\"/medicare/payment/prospective-payment-systems/long-term-care-hospital/regulations-notices/cms-1833-p\" data-entity-substitution=\"canonical\" data-entity-type=\"node\" data-entity-uuid=\"7088550f-9",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/medicaid-coordination/about/dsnps",
     "xpath": "<a data-entity-type=\"media\" data-entity-uuid=\"c3d790c3-6ce7-4c9e-8624-03b88a3cb6ff\" data-entity-substitution=\"canonical\" href=\"/files/document/dsnpcoveragedecisionlettermemocy2024.pdf\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare/enrollment-renewal/providers-suppliers/hospitals-center",
     "xpath": "<a href=\"/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2026-ipps-proposed-rule-home-page\" data-entity-substitution=\"canonical\" data-entity-type=\"node\" data-entity-uuid=\"e2075c13",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare/enrollment-renewal/providers-suppliers/hospitals-center",
     "xpath": "<a href=\"/medicare/payment/prospective-payment-systems/long-term-care-hospital/regulations-notices/cms-1833-p\" data-entity-substitution=\"canonical\" data-entity-type=\"node\" data-entity-uuid=\"7088550f-9",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital",
    "https://www.cms.gov/medicare/medicaid-coordination/about/dsnps",
    "http://cms.gov/medicare/enrollment-renewal/providers-suppliers/hospitals-center"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital",
    "https://www.cms.gov/medicare/medicaid-coordination/about/dsnps",
    "http://cms.gov/medicare/enrollment-renewal/providers-suppliers/hospitals-center",
    "https://www.cms.gov/medicare/appeals-grievances/fee-for-service/fourth-level-appeal",
    "https://www.cms.gov/medicare/medicaid-coordination/about/resources-integrated-care",
    "https://www.cms.gov/medicare/quality/hospice/cahpsr-hospice-survey",
    "https://www.cms.gov/medicare/enrollment-renewal/providers-suppliers/hospitals-center"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare/payment/prospective-payment-systems/long-term-care-hospital.",
    "Locate the element: <a href=\"/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2026-ipps-proposed-rule-home-page\" data-entity-substitution=\"canonical\" data-entity-type=\"node\" data-entity-uuid=\"e2075c13",
    "Confirm the Siteimprove Alfa finding for rule sia-r11 against WCAG 2.4.4 Link Purpose (In Context)."
   ],
   "remediation_tip": "Give the link an accessible name via text content or aria-label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r11",
   "possible_duplicate_of": "VS-2f53e181",
   "possible_duplicate_pattern": "VS-e9fe47ac",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r11.csv"
  },
  {
   "instance_id": "VS-25d8f547",
   "pattern_id": "VS-c126b6a6",
   "a11y_pattern_fingerprint": "b7442ecec422c9ea5529350523f7782c182cdaa20f17a6b784c1a6cc960ebc51",
   "a11y_pattern_display_id": "A11Y-PAT-B7442ECEC422",
   "a11y_occurrence_fingerprint": "570ae82998da734499b4472d7b92f08110e597dcffa3ffff1068cb25fe772c6e",
   "a11y_occurrence_display_id": "A11Y-OCC-570AE82998DA",
   "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
   "xpath": "html",
   "html_snippet": "<html>",
   "wcag_sc": "3.1.1",
   "wcag_name": "Language of Page",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "html-has-lang",
   "rule_label": "<html> element must have a lang attribute",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 11,
    "pages_affected": 11,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "<html> element must have a lang attribute (WCAG 3.1.1)",
   "description": "<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 11 of 2629 scanned pages (11 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0006.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0097.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0174.html",
     "xpath": "html",
     "html_snippet": "<html>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0006.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0006.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0097.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0174.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0023.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0026.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule html-has-lang against WCAG 3.1.1 Language of Page."
   ],
   "remediation_tip": "Add a lang attribute to <html> (e.g. lang=\"en\").",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__html-has-lang.csv"
  },
  {
   "instance_id": "VS-edb179fb",
   "pattern_id": "VS-7a0e5645",
   "a11y_pattern_fingerprint": "54500cbd05eb59c8569f8bd8ecb39fd022278602bbe3fafb15344d45cc2f686d",
   "a11y_pattern_display_id": "A11Y-PAT-54500CBD05EB",
   "a11y_occurrence_fingerprint": "7014f1fe02eb3bd46f56feaecef5a23c0cdd0f54a7f32f2c91795401c4868dca",
   "a11y_occurrence_display_id": "A11Y-OCC-7014F1FE02EB",
   "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
   "xpath": "<html>",
   "html_snippet": null,
   "wcag_sc": "3.1.1",
   "wcag_name": "Language of Page",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r4",
   "rule_label": "Document has a valid lang attribute",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r4",
   "severity": "Moderate",
   "frequency": {
    "instances": 3,
    "pages_affected": 3,
    "total_pages_scanned": 2629
   },
   "likely_source": "unknown",
   "summary": "Document has a valid lang attribute (WCAG 3.1.1)",
   "description": "Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 3 of 2629 scanned pages (3 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": "<html>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
     "xpath": "<html>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html",
     "xpath": "<html>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html.",
    "Locate the element: <html>",
    "Confirm the Siteimprove Alfa finding for rule sia-r4 against WCAG 3.1.1 Language of Page."
   ],
   "remediation_tip": "Add a valid lang attribute to <html>.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r4",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r4.csv"
  },
  {
   "instance_id": "VS-960f6639",
   "pattern_id": "VS-f6cf30ff",
   "a11y_pattern_fingerprint": "41e9144c83198ca0481636850e0b40b7a188206eb20d106cc4b61c77b563493a",
   "a11y_pattern_display_id": "A11Y-PAT-41E9144C8319",
   "a11y_occurrence_fingerprint": "a9472cd570f23bc9a39373da1bda07df08cf023d9b8a6a06f26b094427405cab",
   "a11y_occurrence_display_id": "A11Y-OCC-A9472CD570F2",
   "url": "http://cms.gov/priorities/innovation/models",
   "xpath": "<div id=\"tooltip-trigger--2\" tabindex=\"-1\" class=\"ds-c-tooltip\" data-placement=\"top\">",
   "html_snippet": null,
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r17",
   "rule_label": "aria-hidden element does not contain focusable elements",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r17",
   "severity": "Moderate",
   "frequency": {
    "instances": 3,
    "pages_affected": 1,
    "total_pages_scanned": 2629
   },
   "likely_source": "content",
   "summary": "aria-hidden element does not contain focusable elements (WCAG 4.1.2)",
   "description": "aria-hidden element does not contain focusable elements. Detected by Siteimprove Alfa rule sia-r17 on 1 of 2629 scanned pages (3 instances).",
   "examples": [
    {
     "url": "http://cms.gov/priorities/innovation/models",
     "xpath": "<div id=\"tooltip-trigger--2\" tabindex=\"-1\" class=\"ds-c-tooltip\" data-placement=\"top\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/priorities/innovation/models",
     "xpath": "<div id=\"tooltip-trigger--4\" tabindex=\"-1\" class=\"ds-c-tooltip\" data-placement=\"top\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/priorities/innovation/models",
     "xpath": "<div id=\"tooltip-trigger--6\" tabindex=\"-1\" class=\"ds-c-tooltip\" data-placement=\"top\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://cms.gov/priorities/innovation/models"
   ],
   "affected_pages": [
    "http://cms.gov/priorities/innovation/models"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://cms.gov/priorities/innovation/models.",
    "Locate the element: <div id=\"tooltip-trigger--2\" tabindex=\"-1\" class=\"ds-c-tooltip\" data-placement=\"top\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r17 against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r17",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r17.csv"
  },
  {
   "instance_id": "VS-5ce6d2b9",
   "pattern_id": "VS-be8d563e",
   "a11y_pattern_fingerprint": "8fc5dcc9ed91c7afcbbc967ca6f7fbef47ecf1c69637ba0740bbe1fe358e4475",
   "a11y_pattern_display_id": "A11Y-PAT-8FC5DCC9ED91",
   "a11y_occurrence_fingerprint": "5de1515a4153e0e26efd5d60561d49730499ed91ea3c50c296b0e292caec8890",
   "a11y_occurrence_display_id": "A11Y-OCC-5DE1515A4153",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N",
   "xpath": "p:nth-child(328) > font",
   "html_snippet": "<font color=\"FF0000\">[XXX.X]</font>",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 37,
    "pages_affected": 1,
    "total_pages_scanned": 2629
   },
   "likely_source": "content",
   "summary": "Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)",
   "description": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 1 of 2629 scanned pages (37 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N",
     "xpath": "p:nth-child(328) > font",
     "html_snippet": "<font color=\"FF0000\">[XXX.X]</font>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N",
     "xpath": "font > p:nth-child(1) > strong",
     "html_snippet": "<strong>Nationally Covered Indication</strong>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N",
     "xpath": "font > div > p:nth-child(1)",
     "html_snippet": "<p>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N"
   ],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N.",
    "Locate the element: p:nth-child(328) > font",
    "Confirm the axe-core finding for rule color-contrast against WCAG 1.4.3 Contrast (Minimum)."
   ],
   "remediation_tip": "Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__color-contrast.csv"
  },
  {
   "instance_id": "VS-65e58df6",
   "pattern_id": "VS-f7e99f4b",
   "a11y_pattern_fingerprint": "87c15267a8059db26ca3a459c735be742df86265a7dba2d5e68ba615d1c7b738",
   "a11y_pattern_display_id": "A11Y-PAT-87C15267A805",
   "a11y_occurrence_fingerprint": "12ea415a0b5b6218b7b242edb5aea7515a7f2d6a04bb95df07f8c7efcf69ca00",
   "a11y_occurrence_display_id": "A11Y-OCC-12EA415A0B5B",
   "url": "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/events",
   "xpath": "text: \"FEB\"",
   "html_snippet": null,
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r69",
   "rule_label": "Text has sufficient color contrast (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r69",
   "severity": "Moderate",
   "frequency": {
    "instances": 28,
    "pages_affected": 1,
    "total_pages_scanned": 2629
   },
   "likely_source": "content",
   "summary": "Text has sufficient color contrast (Enhanced) (WCAG 1.4.3)",
   "description": "Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 1 of 2629 scanned pages (28 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/events",
     "xpath": "text: \"FEB\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/events",
     "xpath": "text: \"19\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/events",
     "xpath": "text: \"MAY\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/events"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/events"
   ],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/events.",
    "Locate the element: text: \"FEB\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r69 against WCAG 1.4.3 Contrast (Minimum)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69",
   "possible_duplicate_of": "VS-5ce6d2b9",
   "possible_duplicate_pattern": "VS-be8d563e",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r69.csv"
  },
  {
   "instance_id": "VS-13cd516f",
   "pattern_id": "VS-6c86a43a",
   "a11y_pattern_fingerprint": "1134218e7739afe86448268dd1ca03a9b2dbe6f290a0b22d3355d72c6ab97939",
   "a11y_pattern_display_id": "A11Y-PAT-1134218E7739",
   "a11y_occurrence_fingerprint": "d3f6d4338d6a2b7469350850e81063b26bba6318160fcd798a4d1ef9146dbc8f",
   "a11y_occurrence_display_id": "A11Y-OCC-D3F6D4338D6A",
   "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html",
   "xpath": "meta[name=\"viewport\"]",
   "html_snippet": "<meta name=\"viewport\" content=\"width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui\">",
   "wcag_sc": "1.4.4",
   "wcag_name": "Resize Text",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "meta-viewport",
   "rule_label": "Zooming and scaling must not be disabled",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/meta-viewport?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 2629
   },
   "likely_source": "content",
   "summary": "Zooming and scaling must not be disabled (WCAG 1.4.4)",
   "description": "Zooming and scaling must not be disabled. Detected by axe-core rule meta-viewport on 1 of 2629 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html",
     "xpath": "meta[name=\"viewport\"]",
     "html_snippet": "<meta name=\"viewport\" content=\"width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui\">"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html.",
    "Locate the element: meta[name=\"viewport\"]",
    "Confirm the axe-core finding for rule meta-viewport against WCAG 1.4.4 Resize Text."
   ],
   "remediation_tip": "Don't disable zoom (user-scalable=no / maximum-scale=1); low-vision users need to zoom.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/meta-viewport?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__meta-viewport.csv"
  },
  {
   "instance_id": "VS-8f470a84",
   "pattern_id": "VS-dd1c019f",
   "a11y_pattern_fingerprint": "36981749f76afd2aa8eb88b4f42546daec5ce98b2510f5ffde3e3d64a81412a9",
   "a11y_pattern_display_id": "A11Y-PAT-36981749F76A",
   "a11y_occurrence_fingerprint": "b23bca43cc2d2907c2ad33344e9a49342de1720c0dac9102c58d4ca363554d8a",
   "a11y_occurrence_display_id": "A11Y-OCC-B23BCA43CC2D",
   "url": "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
   "xpath": "a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]",
   "html_snippet": "<span lang=\"X-NONE\">[1]</span>",
   "wcag_sc": "3.1.2",
   "wcag_name": "Language of Parts",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "valid-lang",
   "rule_label": "lang attribute must have a valid value",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 2629
   },
   "likely_source": "content",
   "summary": "lang attribute must have a valid value (WCAG 3.1.2)",
   "description": "lang attribute must have a valid value. Detected by axe-core rule valid-lang on 1 of 2629 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
     "xpath": "a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]",
     "html_snippet": "<span lang=\"X-NONE\">[1]</span>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings"
   ],
   "affected_pages": [
    "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings.",
    "Locate the element: a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]",
    "Confirm the axe-core finding for rule valid-lang against WCAG 3.1.2 Language of Parts."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__valid-lang.csv"
  },
  {
   "instance_id": "VS-96a12e61",
   "pattern_id": "VS-646b1e0b",
   "a11y_pattern_fingerprint": "5929371356b55a1fba56b949ddad597773c25422956e52c78cd24c553029d68b",
   "a11y_pattern_display_id": "A11Y-PAT-5929371356B5",
   "a11y_occurrence_fingerprint": "13e35fb14124a132e5ceb16101f91b0fe52dfb7883f2d37752351298edfe18f3",
   "a11y_occurrence_display_id": "A11Y-OCC-13E35FB14124",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter",
   "xpath": "text: \"Here's how you know\"",
   "html_snippet": null,
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "frequency": {
    "instances": 87,
    "pages_affected": 19,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 19 of 2629 scanned pages (87 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter",
     "xpath": "text: \"Here's how you know\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter",
     "xpath": "text: \"Centers for Medicare & Medicaid Services\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/events",
     "xpath": "text: \"FEB\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/events",
     "xpath": "text: \"19\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/events",
     "xpath": "text: \"MAY\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter",
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/events",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter",
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/events",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=7&sortBy=status&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/cal.aspx?calid=140",
    "http://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=31",
    "https://www.cms.gov/medicare-coverage-database/view/cal.aspx?calid=91",
    "https://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=13",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=26&sortBy=status&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=46&ncdver=1&sortBy=chapter",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=104",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=3&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=102&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=82&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/reports/reports.aspx",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=85&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/reports/national-coverage-ncacal-status-report.aspx?ncacaldoctype=all&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=30&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/cal.aspx?bc=17&calid=146&ncacaldoctype=all&sortBy=status&status=all"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter.",
    "Locate the element: text: \"Here's how you know\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r66.csv"
  },
  {
   "instance_id": "VS-b8722a6e",
   "pattern_id": "VS-2208081b",
   "a11y_pattern_fingerprint": "c4e42ec5cae7b113932037749f48183030838206af72062c9b757d8053dd7f19",
   "a11y_pattern_display_id": "A11Y-PAT-C4E42EC5CAE7",
   "a11y_occurrence_fingerprint": "98f39ca6cbb6654eb35ed2c629cd691a2f38ad4b852748d38a1eff2455808e42",
   "a11y_occurrence_display_id": "A11Y-OCC-98F39CA6CBB6",
   "url": "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
   "xpath": "<p class=\"ds-c-usa-banner__header-text\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "frequency": {
    "instances": 18945,
    "pages_affected": 1178,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 1178 of 2629 scanned pages (18945 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
     "xpath": "<p class=\"ds-c-usa-banner__header-text\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
     "xpath": "<p class=\"ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
     "xpath": "<p class=\"share-text ds-u-font-size--lg\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/priorities/innovation/models",
     "xpath": "<p class=\"ds-c-usa-banner__header-text\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/priorities/innovation/models",
     "xpath": "<p class=\"ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
    "http://cms.gov/priorities/innovation/models",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index"
   ],
   "affected_pages": [
    "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
    "http://cms.gov/priorities/innovation/models",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index",
    "https://www.cms.gov/medicare/payment/opioid-treatment-program/enrollment",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-addenda",
    "https://www.cms.gov/medicare/coordination-benefits-recovery/mandatory-insurer-reporting-group-health-plans/training-manual",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/swing-bed-providers",
    "https://www.cms.gov/medicare/payment/medicare-part-b-drug-average-sales-price/asp-events",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-regulations-and-notices",
    "https://www.cms.gov/medicare/payment/fee-for-service-providers/hospital-aquired-conditions-hac",
    "http://cms.gov/acronyms?page=7",
    "https://www.cms.gov/regulations-and-guidance/administrative-simplification/versions5010andd0/5010-national-calls-items/cms1254312",
    "https://www.cms.gov/medicare/coding-billing/integrated-outpatient-code-editor/integrated-outpatient-code-editor-i-oce-software",
    "https://www.cms.gov/medicare/quality/end-stage-renal-disease-esrd-quality-incentive-program",
    "http://cms.gov/medicare/physician-fee-schedule/search/overview",
    "https://www.cms.gov/medicare/enrollment-renewal/part-d-plans/low-income-subsidy",
    "https://www.cms.gov/medicare/appeals-grievances/ombudsman-center",
    "https://www.cms.gov/medicare/coverage/prescription-drug-coverage-contracting/hpms-guidance-history",
    "https://www.cms.gov/medicare/coverage/end-stage-renal-disease-center",
    "https://www.cms.gov/medicare/coding-billing/medicare-administrative-contractors-macs/macra-section-509",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/ipps-regulations-and-notices",
    "https://www.cms.gov/medicare/payment/fee-schedules/durable-medical-equipment-prosthetic-devices-prosthetics-orthotics-supplies/dmepos-payment-determinations-new-items-services",
    "https://www.cms.gov/medicare/coverage/evidence/home-oxygen-copd",
    "https://www.cms.gov/medicare/quality/hospice-quality-reporting-program/how-update-hospice-demographic-data",
    "https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2013-transmittals-items/r2261cp"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19.",
    "Locate the element: <p class=\"ds-c-usa-banner__header-text\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r73.csv"
  },
  {
   "instance_id": "VS-3dc6d2b2",
   "pattern_id": "VS-fbf54eba",
   "a11y_pattern_fingerprint": "06187d5871c4d5b866696cee5c220c752cae063cb09d2b9c3b165c92b96f8d30",
   "a11y_pattern_display_id": "A11Y-PAT-06187D5871C4",
   "a11y_occurrence_fingerprint": "945c5d5de9ccedbd4e469fb4ac61f657d3ec167e670388139ad2b81e7445fbb7",
   "a11y_occurrence_display_id": "A11Y-OCC-945C5D5DE9CC",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter",
   "xpath": "<p class=\"mb-2\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "frequency": {
    "instances": 548,
    "pages_affected": 20,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Link is distinguishable without relying on color (WCAG 1.4.8)",
   "description": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 20 of 2629 scanned pages (548 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter",
     "xpath": "<p class=\"mb-2\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
     "xpath": "<p class=\"mb-2\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
     "xpath": "<p>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=7&sortBy=status&status=all"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=239",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=7&sortBy=status&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/cal.aspx?calid=140",
    "http://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=31",
    "https://www.cms.gov/medicare-coverage-database/view/cal.aspx?calid=91",
    "https://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=13",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=26&sortBy=status&status=all",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=46&ncdver=1&sortBy=chapter",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=104",
    "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=3&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=102&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=82&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/reports/reports.aspx",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=85&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/reports/national-coverage-ncacal-status-report.aspx?ncacaldoctype=all&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=30&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/cal.aspx?bc=17&calid=146&ncacaldoctype=all&sortBy=status&status=all"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=190&labOnly=labonlyncd&ncdid=103&ncdver=1&sortBy=chapter.",
    "Locate the element: <p class=\"mb-2\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r74.csv"
  },
  {
   "instance_id": "VS-fa3b5900",
   "pattern_id": "VS-cb53cc4d",
   "a11y_pattern_fingerprint": "a435874d5bfac4e401b42e33ca22cd5c87717574c15531eaa7239ebce17a743e",
   "a11y_pattern_display_id": "A11Y-PAT-A435874D5BFA",
   "a11y_occurrence_fingerprint": "de88880983cea240df8835d6d06a68bc1b6815f80046174ff4e69a7405ef4c4b",
   "a11y_occurrence_display_id": "A11Y-OCC-DE88880983CE",
   "url": "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
   "xpath": "<a href=\"/about-cms\" class=\"menu-item-link\" data-drupal-link-system-path=\"node/132926\" data-once=\"navigationLinkMatch\">",
   "html_snippet": null,
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "frequency": {
    "instances": 61216,
    "pages_affected": 1178,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 1178 of 2629 scanned pages (61216 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
     "xpath": "<a href=\"/about-cms\" class=\"menu-item-link\" data-drupal-link-system-path=\"node/132926\" data-once=\"navigationLinkMatch\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
     "xpath": "<a href=\"/about-cms/contact/newsroom\" class=\"menu-item-link\" data-drupal-link-system-path=\"node/43871\" data-once=\"navigationLinkMatch\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
     "xpath": "<a href=\"/data-research\" class=\"menu-item-link\" data-drupal-link-system-path=\"node/132891\" data-once=\"navigationLinkMatch\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/priorities/innovation/models",
     "xpath": "<a href=\"/about-cms\" class=\"menu-item-link\" data-drupal-link-system-path=\"node/132926\" data-once=\"navigationLinkMatch\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/priorities/innovation/models",
     "xpath": "<a href=\"/about-cms/contact/newsroom\" class=\"menu-item-link\" data-drupal-link-system-path=\"node/43871\" data-once=\"navigationLinkMatch\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
    "http://cms.gov/priorities/innovation/models",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index"
   ],
   "affected_pages": [
    "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
    "http://cms.gov/priorities/innovation/models",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index",
    "https://www.cms.gov/medicare/payment/opioid-treatment-program/enrollment",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-addenda",
    "https://www.cms.gov/medicare/coordination-benefits-recovery/mandatory-insurer-reporting-group-health-plans/training-manual",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/swing-bed-providers",
    "https://www.cms.gov/medicare/payment/medicare-part-b-drug-average-sales-price/asp-events",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-regulations-and-notices",
    "https://www.cms.gov/medicare/payment/fee-for-service-providers/hospital-aquired-conditions-hac",
    "http://cms.gov/acronyms?page=7",
    "https://www.cms.gov/regulations-and-guidance/administrative-simplification/versions5010andd0/5010-national-calls-items/cms1254312",
    "https://www.cms.gov/medicare/coding-billing/integrated-outpatient-code-editor/integrated-outpatient-code-editor-i-oce-software",
    "https://www.cms.gov/medicare/quality/end-stage-renal-disease-esrd-quality-incentive-program",
    "http://cms.gov/medicare/physician-fee-schedule/search/overview",
    "https://www.cms.gov/medicare/enrollment-renewal/part-d-plans/low-income-subsidy",
    "https://www.cms.gov/medicare/appeals-grievances/ombudsman-center",
    "https://www.cms.gov/medicare/coverage/prescription-drug-coverage-contracting/hpms-guidance-history",
    "https://www.cms.gov/medicare/coverage/end-stage-renal-disease-center",
    "https://www.cms.gov/medicare/coding-billing/medicare-administrative-contractors-macs/macra-section-509",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/ipps-regulations-and-notices",
    "https://www.cms.gov/medicare/payment/fee-schedules/durable-medical-equipment-prosthetic-devices-prosthetics-orthotics-supplies/dmepos-payment-determinations-new-items-services",
    "https://www.cms.gov/medicare/coverage/evidence/home-oxygen-copd",
    "https://www.cms.gov/medicare/quality/hospice-quality-reporting-program/how-update-hospice-demographic-data",
    "https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2013-transmittals-items/r2261cp"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19.",
    "Locate the element: <a href=\"/about-cms\" class=\"menu-item-link\" data-drupal-link-system-path=\"node/132926\" data-once=\"navigationLinkMatch\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r111.csv"
  },
  {
   "instance_id": "VS-1d5dece4",
   "pattern_id": "VS-d25f622d",
   "a11y_pattern_fingerprint": "9af0600e886e6ec44f3feeac6df390d02f3db0bbbb5b0ff4978a21757bb85247",
   "a11y_pattern_display_id": "A11Y-PAT-9AF0600E886E",
   "a11y_occurrence_fingerprint": "a94d9f1b97dd20ff7bdb47d2dec91e23dedc13c245fed282973aa1a4a59d9300",
   "a11y_occurrence_display_id": "A11Y-OCC-A94D9F1B97DD",
   "url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index",
   "xpath": ".rxbodyfield > h3",
   "html_snippet": "<h3><strong>FY 2027 Geographic Reclassification Deadlines</strong></h3>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 259,
    "pages_affected": 223,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 223 of 2629 scanned pages (259 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index",
     "xpath": ".rxbodyfield > h3",
     "html_snippet": "<h3><strong>FY 2027 Geographic Reclassification Deadlines</strong></h3>"
    },
    {
     "url": "https://www.cms.gov/About-CMS/Agency-information/History/index",
     "xpath": ".rxbodyfield > h3",
     "html_snippet": "<h3>CMS’ program history</h3>"
    },
    {
     "url": "http://cms.gov/medicare/physician-fee-schedule/search/overview",
     "xpath": "#accordion-60675200__button > .field--name-field-title-title-description.field--type-string-long.field--label-hidden",
     "html_snippet": "<h3 class=\"field field--name-field-title-title-description field--type-string-long field--label-hidden field__item\">\n    What is the PFS Look-Up Tool?\n  </h3>"
    },
    {
     "url": "https://www.cms.gov/about-cms/grants-cooperative-agreements/currentnts-funding-opportunities",
     "xpath": "h4:nth-child(3)",
     "html_snippet": "<h4><strong>Current Grant Funding Opportunities:</strong></h4>"
    },
    {
     "url": "https://www.cms.gov/medicare/payment/fee-schedules/durable-medical-equipment-prosthetic-devices-prosthetics-orthotics-supplies/dmepos-payment-determinations-new-items-services",
     "xpath": "#accordion-370848040__button > .field--name-field-title-title-description.field--type-string-long.field--label-hidden",
     "html_snippet": "<h3 class=\"field field--name-field-title-title-description field--type-string-long field--label-hidden field__item\">\n    Continuity of Pricing\n  </h3>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index",
    "https://www.cms.gov/About-CMS/Agency-information/History/index",
    "http://cms.gov/medicare/physician-fee-schedule/search/overview"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index",
    "https://www.cms.gov/About-CMS/Agency-information/History/index",
    "http://cms.gov/medicare/physician-fee-schedule/search/overview",
    "https://www.cms.gov/about-cms/grants-cooperative-agreements/currentnts-funding-opportunities",
    "https://www.cms.gov/medicare/payment/fee-schedules/durable-medical-equipment-prosthetic-devices-prosthetics-orthotics-supplies/dmepos-payment-determinations-new-items-services",
    "https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Part-B-Drugs%2FMcrPartBDrugAvgSalesPrice%2Fdownloads%2FJuly_2009_ASP_Pricing_File.zip",
    "https://www.cms.gov/medicare/coverage/summary-notice",
    "https://www.cms.gov/medicare/medicaid-coordination/about/quality",
    "https://www.cms.gov/medicare/payment/fee-for-service-providers/shared-savings-program-ssp-acos/guidance-regulations",
    "https://www.cms.gov/apps/aha/license.asp?file=%2Ffiles%2Fzip%2FIOCE-MF-Software-Package-V231R0.zip",
    "https://www.cms.gov/medicare/payment/part-b-drugs/asp-reporting",
    "https://www.cms.gov/medicare-coverage-database/reports/national-coverage-annual-report.aspx?docType=all&year=2026",
    "https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Part-B-Drugs%2FMcrPartBDrugAvgSalesPrice%2Fdownloads%2FJuly-2012-NOC-Pricing-File.zip",
    "https://www.cms.gov/medicare/payment/fee-for-service-providers/shared-savings-program-ssp-acos/application-types-timeline",
    "https://www.cms.gov/medicare/medicaid-coordination/plans/mmp-audit-programs",
    "https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Part-B-Drugs%2FMcrPartBDrugAvgSalesPrice%2Fdownloads%2F2015-October-ASP-Pricing-File.zip",
    "https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2FASCPayment%2FDownloads%2F2019-Apr-ASC-Addenda.zip",
    "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/comprehensive-error-rate-testing-cert/background",
    "https://www.cms.gov/medicare/medicaid-coordination/reduce-avoidable-hospitalizations/enhanced-care-coordination-provider-information",
    "https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Part-B-Drugs%2FMcrPartBDrugAvgSalesPrice%2Fdownloads%2FJAN_2009_NDC_HCPCS_Crosswalk_Files.zip",
    "https://www.cms.gov/apps/ama/license.asp?file=%2Ffiles%2Fzip%2Flist-codes-effective-january-1-2020-published-december-2-2019",
    "https://www.cms.gov/medicaid-chip/medicare-coordination/financial-alignment/approved",
    "https://www.cms.gov/medicare/medicaid-coordination/about",
    "https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2FASCPayment%2FDownloads%2F2019-Oct-ASC-Addenda-Corrections.zip",
    "https://www.cms.gov/derechos-facturas-medicas/conozca-sus-derechos/usando-seguro"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index.",
    "Locate the element: .rxbodyfield > h3",
    "Confirm the axe-core finding for rule heading-order."
   ],
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__heading-order.csv"
  },
  {
   "instance_id": "VS-d1c93dbe",
   "pattern_id": "VS-fa44f293",
   "a11y_pattern_fingerprint": "153387593f99913345b282b0ea387f236c6a129942c41d961f0ed36776eb998d",
   "a11y_pattern_display_id": "A11Y-PAT-153387593F99",
   "a11y_occurrence_fingerprint": "6a87f056da6f13d328a52c9006bc6317c2393e7045386a9bfe848745f26d1a0f",
   "a11y_occurrence_display_id": "A11Y-OCC-6A87F056DA6F",
   "url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-addenda",
   "xpath": "html",
   "html_snippet": "<html lang=\"en\" dir=\"ltr\" class=\" js\" style=\"--vw: 12.8px; --vh: 8px;\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 25,
    "pages_affected": 25,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Page should contain a level-one heading (WCAG criterion undetermined)",
   "description": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 25 of 2629 scanned pages (25 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-addenda",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" dir=\"ltr\" class=\" js\" style=\"--vw: 12.8px; --vh: 8px;\">"
    },
    {
     "url": "https://www.cms.gov/priorities/crushing-fraud-waste-abuse/overview/cms-idea-challenge-strategies-securing-member-ids",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" dir=\"ltr\" class=\" js\" style=\"--vw: 12.8px; --vh: 8px;\">"
    },
    {
     "url": "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/about/security-privacy",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" dir=\"ltr\" class=\" js\" style=\"--vw: 12.8px; --vh: 8px;\">"
    },
    {
     "url": "https://www.cms.gov/medicare/quality/cms-national-quality-strategy/meaningful-measures-2-0",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" dir=\"ltr\" class=\" js\" style=\"--vw: 12.8px; --vh: 8px;\">"
    },
    {
     "url": "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/events",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" dir=\"ltr\" class=\" js\" style=\"--vw: 12.8px; --vh: 8px;\">"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-addenda",
    "https://www.cms.gov/priorities/crushing-fraud-waste-abuse/overview/cms-idea-challenge-strategies-securing-member-ids",
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/about/security-privacy"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-addenda",
    "https://www.cms.gov/priorities/crushing-fraud-waste-abuse/overview/cms-idea-challenge-strategies-securing-member-ids",
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/about/security-privacy",
    "https://www.cms.gov/medicare/quality/cms-national-quality-strategy/meaningful-measures-2-0",
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/events",
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/about/current-partners",
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/about/contact-information",
    "https://www.cms.gov/medicare/payment/opioid-treatment-programs-otp/billing-payment/otp-payment-rates",
    "https://www.cms.gov/derechos-facturas-medicas/ayuda",
    "https://www.cms.gov/medicare/medicaid-coordination/states/beneficiaries",
    "https://www.cms.gov/derechos-facturas-medicas/ayuda/dispute-una-factura",
    "https://www.cms.gov/medicare/medicaid-coordination/states/medicaid-integrity-program",
    "https://www.cms.gov/medicare/quality/quality-improvement-organizations/family-centered-care",
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/about",
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/become-partner/benefits-membership",
    "https://www.cms.gov/medicare/medicaid-coordination/states/education",
    "https://www.cms.gov/medical-bill-rights",
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership",
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/about/organizational-structure",
    "https://www.cms.gov/medicare/medicaid-coordination/states/best-practices-for-state-medicaid-agencies-smas",
    "https://www.cms.gov/medicare/medicaid-coordination/states/toolkits-for-providers",
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/white-papers",
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/become-partner",
    "https://www.cms.gov/medicare/medicaid-coordination/states/benficiary-card-sharing-risks",
    "https://www.cms.gov/medicare/medicaid-coordination/states"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-addenda.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule page-has-heading-one."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__page-has-heading-one.csv"
  },
  {
   "instance_id": "VS-84a32cf6",
   "pattern_id": "VS-d5d82446",
   "a11y_pattern_fingerprint": "52a7c3a9a1882fc2863a3420d1896e0b93df91a4d98a8dd156f924d061887f61",
   "a11y_pattern_display_id": "A11Y-PAT-52A7C3A9A188",
   "a11y_occurrence_fingerprint": "24c89d20f2c56a252b3e0cb8cc215dac09ca8546cfde3f27907024f719c4b739",
   "a11y_occurrence_display_id": "A11Y-OCC-24C89D20F2C5",
   "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
   "xpath": "html",
   "html_snippet": "<html>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 11,
    "pages_affected": 11,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Document should have one main landmark (WCAG criterion undetermined)",
   "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 11 of 2629 scanned pages (11 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0006.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0097.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0174.html",
     "xpath": "html",
     "html_snippet": "<html>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0006.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0006.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0097.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0174.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0023.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0026.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule landmark-one-main."
   ],
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__landmark-one-main.csv"
  },
  {
   "instance_id": "VS-754161a7",
   "pattern_id": "VS-f18df681",
   "a11y_pattern_fingerprint": "9cdd7037be60c66d5bff567f6650333bf0f7045fa83503e4e441425dbf4f4568",
   "a11y_pattern_display_id": "A11Y-PAT-9CDD7037BE60",
   "a11y_occurrence_fingerprint": "6de68342a8b61ad8b2bfd24cf8415964f8c87cb4e545dcf7de0932bf1a3db11f",
   "a11y_occurrence_display_id": "A11Y-OCC-6DE68342A8B6",
   "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
   "xpath": ".arrows > tbody > tr:nth-child(1)",
   "html_snippet": "<tr>\n\t\t<td><img src=\"cms-site-logo.png\"></td>\n\t\t<td style=\"text-align:center;\"><h1>ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual</h1><h1></h1></td>\n\t\t<td></td>\n\t\t<td></td>\n\t\t<td></td>\n\t</tr>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 288,
    "pages_affected": 11,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 11 of 2629 scanned pages (288 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": ".arrows > tbody > tr:nth-child(1)",
     "html_snippet": "<tr>\n\t\t<td><img src=\"cms-site-logo.png\"></td>\n\t\t<td style=\"text-align:center;\"><h1>ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual</h1><h1></h1></td>\n\t\t<td></td>\n\t\t<td></td>\n\t\t<td></td>\n\t</tr>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": "td[width=\"31\"]:nth-child(3)",
     "html_snippet": "<td width=\"31\"><a accesskey=\"p\" id=\"prev_page\" href=\"P0182.html\"><img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a></td>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": "td[width=\"31\"]:nth-child(4)",
     "html_snippet": "<td width=\"31\"><a accesskey=\"u\" id=\"up_level\" href=\"P0010.html\"><img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a></td>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
     "xpath": ".arrows > tbody > tr:nth-child(1)",
     "html_snippet": "<tr>\n\t\t<td><img src=\"cms-site-logo.png\"></td>\n\t\t<td style=\"text-align:center;\"><h1>ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual</h1><h1></h1></td>\n\t\t<td></td>\n\t\t<td></td>\n\t\t<td></td>\n\t</tr>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
     "xpath": "td[width=\"31\"]:nth-child(3)",
     "html_snippet": "<td width=\"31\"><a accesskey=\"p\" id=\"prev_page\" href=\"P0009.html\"><img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a></td>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0006.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0006.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0097.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0174.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0023.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0026.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html.",
    "Locate the element: .arrows > tbody > tr:nth-child(1)",
    "Confirm the axe-core finding for rule region."
   ],
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__region.csv"
  },
  {
   "instance_id": "VS-62d7a933",
   "pattern_id": "VS-0ba8ce9d",
   "a11y_pattern_fingerprint": "ae7e3157aa46eca1e3267c6ac0b7380d07df204cca965bbd00196610e3ea3371",
   "a11y_pattern_display_id": "A11Y-PAT-AE7E3157AA46",
   "a11y_occurrence_fingerprint": "905c2b52d20cbb95e5dff5e68fd9c48d0e5e67d6e21937edbaced6df4a0217de",
   "a11y_occurrence_display_id": "A11Y-OCC-905C2B52D20C",
   "url": "http://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?taid=15",
   "xpath": "tr:nth-child(2) > td[scope=\"row\"]",
   "html_snippet": "<td valign=\"top\" scope=\"row\"> <p>Koller et al, 2001</p> </td>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "scope-attr-valid",
   "rule_label": "scope attribute should be used correctly",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 72,
    "pages_affected": 6,
    "total_pages_scanned": 2629
   },
   "likely_source": "unknown",
   "summary": "scope attribute should be used correctly (WCAG criterion undetermined)",
   "description": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 6 of 2629 scanned pages (72 instances).",
   "examples": [
    {
     "url": "http://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?taid=15",
     "xpath": "tr:nth-child(2) > td[scope=\"row\"]",
     "html_snippet": "<td valign=\"top\" scope=\"row\"> <p>Koller et al, 2001</p> </td>"
    },
    {
     "url": "http://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?taid=15",
     "xpath": "tr:nth-child(3) > td[scope=\"row\"]",
     "html_snippet": "<td valign=\"top\" scope=\"row\"> <p>Krauss et al, 2001</p> </td>"
    },
    {
     "url": "http://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?taid=15",
     "xpath": "tr:nth-child(4) > td[scope=\"row\"]",
     "html_snippet": "<td valign=\"top\" scope=\"row\"> <p>Lyons et al, 2001</p> </td>"
    },
    {
     "url": "http://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=31",
     "xpath": "table:nth-child(21) > tbody > tr:nth-child(1) > td[align=\"left\"][scope=\"row\"]",
     "html_snippet": "<td valign=\"top\" align=\"left\" scope=\"row\"><strong>Strong (for proposed off-label use)</strong></td>"
    },
    {
     "url": "http://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=31",
     "xpath": "table:nth-child(21) > tbody > tr:nth-child(2) > td[align=\"left\"][scope=\"row\"]",
     "html_snippet": "<td valign=\"top\" align=\"left\" scope=\"row\"> <strong>Equivocal (for proposed off-label use)</strong><p></p> </td>"
    }
   ],
   "example_pages": [
    "http://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?taid=15",
    "http://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=31",
    "http://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=331&ncdver=4"
   ],
   "affected_pages": [
    "http://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?taid=15",
    "http://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=31",
    "http://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=331&ncdver=4",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=104",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=134"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?taid=15.",
    "Locate the element: tr:nth-child(2) > td[scope=\"row\"]",
    "Confirm the axe-core finding for rule scope-attr-valid."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__scope-attr-valid.csv"
  },
  {
   "instance_id": "VS-484d58ec",
   "pattern_id": "VS-30db094d",
   "a11y_pattern_fingerprint": "208b1cbfe7cece445b721bf4864c978824ef0123bc2ffe8e7121c5d13ab27e12",
   "a11y_pattern_display_id": "A11Y-PAT-208B1CBFE7CE",
   "a11y_occurrence_fingerprint": "33de8150e0bec5f390c001dc1b1e8e93931a018a5a799dee4687b0335370377a",
   "a11y_occurrence_display_id": "A11Y-OCC-33DE8150E0BE",
   "url": "https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Outpatient.html",
   "xpath": ".Header",
   "html_snippet": "<header class=\"Header\" style=\"position: sticky;\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-banner-is-top-level",
   "rule_label": "Banner landmark should not be contained in another landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 2629
   },
   "likely_source": "content",
   "summary": "Banner landmark should not be contained in another landmark (WCAG criterion undetermined)",
   "description": "Banner landmark should not be contained in another landmark. Detected by axe-core rule landmark-banner-is-top-level on 1 of 2629 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Outpatient.html",
     "xpath": ".Header",
     "html_snippet": "<header class=\"Header\" style=\"position: sticky;\">"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Outpatient.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Outpatient.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Outpatient.html.",
    "Locate the element: .Header",
    "Confirm the axe-core finding for rule landmark-banner-is-top-level."
   ],
   "remediation_tip": "Put the banner landmark (<header>) at the top level, not nested inside another landmark.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__landmark-banner-is-top-level.csv"
  },
  {
   "instance_id": "VS-72302780",
   "pattern_id": "VS-0066c67d",
   "a11y_pattern_fingerprint": "9f609d48d7978e0dfca1cb28e48c77bff0a9f30ec81609f6d78da35fe80816ff",
   "a11y_pattern_display_id": "A11Y-PAT-9F609D48D797",
   "a11y_occurrence_fingerprint": "0dc9468133d145e1a8dbb05aa0d436dcdc0fa7d5aae43c70888a2aa312d9c183",
   "a11y_occurrence_display_id": "A11Y-OCC-0DC9468133D1",
   "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
   "xpath": "h1:nth-child(2)",
   "html_snippet": "<h1></h1>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "empty-heading",
   "rule_label": "Headings should not be empty",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 18,
    "pages_affected": 18,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Headings should not be empty (WCAG criterion undetermined)",
   "description": "Headings should not be empty. Detected by axe-core rule empty-heading on 18 of 2629 scanned pages (18 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": "h1:nth-child(2)",
     "html_snippet": "<h1></h1>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
     "xpath": "h1:nth-child(2)",
     "html_snippet": "<h1></h1>"
    },
    {
     "url": "https://www.cms.gov/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/quality-improvement-interventions",
     "xpath": ".ds-u-lg-padding--0.ds-u-margin-y--2.ds-u-lg-margin-y--4:nth-child(30) > .ds-u-lg-padding-x--2.ds-u-padding-top--1.ds-u-lg-padding-top--0 > .ds-u-color--primary.ds-u-margin-bottom--1",
     "html_snippet": "<h3 class=\"ds-u-color--primary ds-u-margin-bottom--1\">&nbsp;</h3>"
    },
    {
     "url": "https://www.cms.gov/medicare/quality/nursing-home-improvement/resident-assessment-instrument-manual",
     "xpath": ".field--name-body > h3",
     "html_snippet": "<h3>&nbsp;</h3>"
    },
    {
     "url": "https://www.cms.gov/training-education/partner-outreach-resources/privacy",
     "xpath": ".field--name-field-left-column-brief > .field__item > .node--type-briefs.node--view-mode-default > div:nth-child(1) > .node__title.ds-u-font-size--xl",
     "html_snippet": "<h3 class=\"node__title ds-u-font-size--xl\">\n        <span class=\"field field--name-title field--type-string field--label-hidden\" data-once=\"trademark-symbol\">  </span>\n\n      </h3>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
    "https://www.cms.gov/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/quality-improvement-interventions"
   ],
   "affected_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
    "https://www.cms.gov/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/quality-improvement-interventions",
    "https://www.cms.gov/medicare/quality/nursing-home-improvement/resident-assessment-instrument-manual",
    "https://www.cms.gov/training-education/partner-outreach-resources/privacy",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0006.html",
    "https://www.cms.gov/medicare/quality/nursing-home-improvement/announcements",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0097.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0174.html",
    "https://www.cms.gov/marketplace/about/oversight/other-insurance-protections/prescription-drug-data-collection-rxdc",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0023.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0026.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html",
    "https://www.cms.gov/medicare/appeals-grievances/fee-for-service/second-level-appeal"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html.",
    "Locate the element: h1:nth-child(2)",
    "Confirm the axe-core finding for rule empty-heading."
   ],
   "remediation_tip": "Remove empty headings or give them text. Don't use heading tags for spacing.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__empty-heading.csv"
  },
  {
   "instance_id": "VS-0630997b",
   "pattern_id": "VS-d69fc059",
   "a11y_pattern_fingerprint": "d3e0df0d06a8468c42164c06dbf20ef6d15df04a84add0cff74df8df1dc990cf",
   "a11y_pattern_display_id": "A11Y-PAT-D3E0DF0D06A8",
   "a11y_occurrence_fingerprint": "5162b24ddf62591afd4be6bdb2717ec9ea287f0b6d41123733de77a6aeb6c464",
   "a11y_occurrence_display_id": "A11Y-OCC-5162B24DDF62",
   "url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/sharedsavingsprogram/application-information",
   "xpath": "th:nth-child(1)",
   "html_snippet": "<th><img src=\"/medicare/medicare-fee-for-service-payment/sharedsavingsprogram/other-content-types/for-acos-types-and-timeline.png\" alt=\"\" data-entity-type=\"media\" data-entity-uuid=\"9dd5a361-1bdf-40f4-",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "empty-table-header",
   "rule_label": "Table header text should not be empty",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 2629
   },
   "likely_source": "content",
   "summary": "Table header text should not be empty (WCAG criterion undetermined)",
   "description": "Table header text should not be empty. Detected by axe-core rule empty-table-header on 1 of 2629 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/sharedsavingsprogram/application-information",
     "xpath": "th:nth-child(1)",
     "html_snippet": "<th><img src=\"/medicare/medicare-fee-for-service-payment/sharedsavingsprogram/other-content-types/for-acos-types-and-timeline.png\" alt=\"\" data-entity-type=\"media\" data-entity-uuid=\"9dd5a361-1bdf-40f4-"
    },
    {
     "url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/sharedsavingsprogram/application-information",
     "xpath": "th:nth-child(2)",
     "html_snippet": "<th><img src=\"/medicare/medicare-fee-for-service-payment/sharedsavingsprogram/other-content-types/for-acos-toolkit.png\" alt=\"\" data-entity-type=\"media\" data-entity-uuid=\"1cd6374f-e738-4daf-b48e-e9fec4"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare/medicare-fee-for-service-payment/sharedsavingsprogram/application-information"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare/medicare-fee-for-service-payment/sharedsavingsprogram/application-information"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare/medicare-fee-for-service-payment/sharedsavingsprogram/application-information.",
    "Locate the element: th:nth-child(1)",
    "Confirm the axe-core finding for rule empty-table-header."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__empty-table-header.csv"
  },
  {
   "instance_id": "VS-1b5b8644",
   "pattern_id": "VS-4fac2f41",
   "a11y_pattern_fingerprint": "4eb5dbc8d473a6b9deea0eb425bd263694fdc19ca839b199880630a38425fefa",
   "a11y_pattern_display_id": "A11Y-PAT-4EB5DBC8D473",
   "a11y_occurrence_fingerprint": "49b065c4d5bc8bdd4c8d2727511c51d79847147bd355179c1ece6c9be1ae4091",
   "a11y_occurrence_display_id": "A11Y-OCC-49B065C4D5BC",
   "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html",
   "xpath": "body",
   "html_snippet": "<body style=\"background: #072137\" class=\"cs-HTML theme-unified view-desktop is-landscape ff-on ff-drop-in-base ff-multiple-quiz-tracking ff-player-size-option sidebar-left zoom-mode timeline-playing n",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-role",
   "rule_label": "ARIA role should be appropriate for the element",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 2629
   },
   "likely_source": "content",
   "summary": "ARIA role should be appropriate for the element (WCAG criterion undetermined)",
   "description": "ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 1 of 2629 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html",
     "xpath": "body",
     "html_snippet": "<body style=\"background: #072137\" class=\"cs-HTML theme-unified view-desktop is-landscape ff-on ff-drop-in-base ff-multiple-quiz-tracking ff-player-size-option sidebar-left zoom-mode timeline-playing n"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html.",
    "Locate the element: body",
    "Confirm the axe-core finding for rule aria-allowed-role."
   ],
   "remediation_tip": "Remove or change the ARIA role — it isn't allowed on this element type.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__aria-allowed-role.csv"
  },
  {
   "instance_id": "VS-a8c3336e",
   "pattern_id": "VS-7118fead",
   "a11y_pattern_fingerprint": "4146fc8bd9bfddcfe5276de4597709da9dd61e9e69f451ddb610e46163d649aa",
   "a11y_pattern_display_id": "A11Y-PAT-4146FC8BD9BF",
   "a11y_occurrence_fingerprint": "a638bbad0c18ab756553369da6b8a8ff5eb1f445abc13ce45153ca00ee6f0889",
   "a11y_occurrence_display_id": "A11Y-OCC-A638BBAD0C18",
   "url": "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "frequency": {
    "instances": 1175,
    "pages_affected": 1175,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 1175 of 2629 scanned pages (1175 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/priorities/innovation/models",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/payment/opioid-treatment-program/enrollment",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-addenda",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
    "http://cms.gov/priorities/innovation/models",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index"
   ],
   "affected_pages": [
    "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
    "http://cms.gov/priorities/innovation/models",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index",
    "https://www.cms.gov/medicare/payment/opioid-treatment-program/enrollment",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-addenda",
    "https://www.cms.gov/medicare/coordination-benefits-recovery/mandatory-insurer-reporting-group-health-plans/training-manual",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/swing-bed-providers",
    "https://www.cms.gov/medicare/payment/medicare-part-b-drug-average-sales-price/asp-events",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-regulations-and-notices",
    "https://www.cms.gov/medicare/payment/fee-for-service-providers/hospital-aquired-conditions-hac",
    "http://cms.gov/acronyms?page=7",
    "https://www.cms.gov/regulations-and-guidance/administrative-simplification/versions5010andd0/5010-national-calls-items/cms1254312",
    "https://www.cms.gov/medicare/coding-billing/integrated-outpatient-code-editor/integrated-outpatient-code-editor-i-oce-software",
    "https://www.cms.gov/medicare/quality/end-stage-renal-disease-esrd-quality-incentive-program",
    "http://cms.gov/medicare/physician-fee-schedule/search/overview",
    "https://www.cms.gov/medicare/enrollment-renewal/part-d-plans/low-income-subsidy",
    "https://www.cms.gov/medicare/appeals-grievances/ombudsman-center",
    "https://www.cms.gov/medicare/coverage/prescription-drug-coverage-contracting/hpms-guidance-history",
    "https://www.cms.gov/medicare/coverage/end-stage-renal-disease-center",
    "https://www.cms.gov/medicare/coding-billing/medicare-administrative-contractors-macs/macra-section-509",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/ipps-regulations-and-notices",
    "https://www.cms.gov/medicare/payment/fee-schedules/durable-medical-equipment-prosthetic-devices-prosthetics-orthotics-supplies/dmepos-payment-determinations-new-items-services",
    "https://www.cms.gov/medicare/coverage/evidence/home-oxygen-copd",
    "https://www.cms.gov/medicare/quality/hospice-quality-reporting-program/how-update-hospice-demographic-data",
    "https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2013-transmittals-items/r2261cp"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r61."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r61.csv"
  },
  {
   "instance_id": "VS-5cec57e6",
   "pattern_id": "VS-c18be945",
   "a11y_pattern_fingerprint": "6f4836c6a670501b2b2ec4ef8720babc528ae6143bb2b672472287e13b3e9b0e",
   "a11y_pattern_display_id": "A11Y-PAT-6F4836C6A670",
   "a11y_occurrence_fingerprint": "553af3925fa68d086a8abf4023880d06231cf48109cb06ea8e9aa55cadef80a7",
   "a11y_occurrence_display_id": "A11Y-OCC-553AF3925FA6",
   "url": "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
   "xpath": "text: \"Feedback\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "frequency": {
    "instances": 731,
    "pages_affected": 731,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 731 of 2629 scanned pages (731 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/priorities/innovation/models",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/payment/opioid-treatment-program/enrollment",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/coordination-benefits-recovery/mandatory-insurer-reporting-group-health-plans/training-manual",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
    "http://cms.gov/priorities/innovation/models",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index"
   ],
   "affected_pages": [
    "https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19",
    "http://cms.gov/priorities/innovation/models",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index",
    "https://www.cms.gov/medicare/payment/opioid-treatment-program/enrollment",
    "https://www.cms.gov/medicare/coordination-benefits-recovery/mandatory-insurer-reporting-group-health-plans/training-manual",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/swing-bed-providers",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-regulations-and-notices",
    "https://www.cms.gov/regulations-and-guidance/administrative-simplification/versions5010andd0/5010-national-calls-items/cms1254312",
    "https://www.cms.gov/medicare/coding-billing/integrated-outpatient-code-editor/integrated-outpatient-code-editor-i-oce-software",
    "https://www.cms.gov/medicare/quality/end-stage-renal-disease-esrd-quality-incentive-program",
    "http://cms.gov/medicare/physician-fee-schedule/search/overview",
    "https://www.cms.gov/medicare/enrollment-renewal/part-d-plans/low-income-subsidy",
    "https://www.cms.gov/medicare/appeals-grievances/ombudsman-center",
    "https://www.cms.gov/medicare/coverage/prescription-drug-coverage-contracting/hpms-guidance-history",
    "https://www.cms.gov/medicare/coverage/end-stage-renal-disease-center",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/ipps-regulations-and-notices",
    "https://www.cms.gov/medicare/payment/fee-schedules/durable-medical-equipment-prosthetic-devices-prosthetics-orthotics-supplies/dmepos-payment-determinations-new-items-services",
    "https://www.cms.gov/medicare/quality/hospice-quality-reporting-program/how-update-hospice-demographic-data",
    "https://www.cms.gov/medicare/regulations-guidance/legislation/freedom-information-act-foia-service-center/how-we-process-your-request",
    "https://www.cms.gov/medicare/forms-notices/cms-forms-list",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/end-stage-renal-disease-esrd/esrd-pps-outlier-services",
    "https://www.cms.gov/medicare/regulations-guidance/legislation",
    "https://www.cms.gov/about-cms/what-we-do/emergency-response/how-can-we-help",
    "https://www.cms.gov/medicare/regulations-guidance/physician-self-referral/physician-owned-hospitals",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12423cp"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/newsroom/press-releases/cms-releases-new-tools-streamline-certification-labs-testing-covid-19.",
    "Locate the element: text: \"Feedback\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r57."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r57.csv"
  },
  {
   "instance_id": "VS-9b5b0cf7",
   "pattern_id": "VS-f054f4a4",
   "a11y_pattern_fingerprint": "6b73e446d9905b2ec21b03c830a444641a4cbdd09816ed21d792fd95f0e6198a",
   "a11y_pattern_display_id": "A11Y-PAT-6B73E446D990",
   "a11y_occurrence_fingerprint": "4ccce52257997a9b611514a3cefae177995f66d39e6ebde56733e4802f8c3075",
   "a11y_occurrence_display_id": "A11Y-OCC-4CCCE5225799",
   "url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index",
   "xpath": "<h3>",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "frequency": {
    "instances": 162,
    "pages_affected": 128,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 128 of 2629 scanned pages (162 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/coverage/summary-notice",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/medicaid-coordination/about/quality",
     "xpath": "<h6>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/payment/fee-for-service-providers/shared-savings-program-ssp-acos/guidance-regulations",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/payment/fee-for-service-providers/shared-savings-program-ssp-acos/guidance-regulations",
     "xpath": "<h3>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index",
    "https://www.cms.gov/medicare/coverage/summary-notice",
    "https://www.cms.gov/medicare/medicaid-coordination/about/quality"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index",
    "https://www.cms.gov/medicare/coverage/summary-notice",
    "https://www.cms.gov/medicare/medicaid-coordination/about/quality",
    "https://www.cms.gov/medicare/payment/fee-for-service-providers/shared-savings-program-ssp-acos/guidance-regulations",
    "https://www.cms.gov/medicare/payment/part-b-drugs/asp-reporting",
    "https://www.cms.gov/medicare/payment/fee-for-service-providers/shared-savings-program-ssp-acos/application-types-timeline",
    "https://www.cms.gov/medicare/medicaid-coordination/plans/mmp-audit-programs",
    "https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Part-B-Drugs%2FMcrPartBDrugAvgSalesPrice%2Fdownloads%2F2015-October-ASP-Pricing-File.zip",
    "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/comprehensive-error-rate-testing-cert/background",
    "https://www.cms.gov/medicare/medicaid-coordination/reduce-avoidable-hospitalizations/enhanced-care-coordination-provider-information",
    "https://www.cms.gov/apps/ama/license.asp?file=%2Ffiles%2Fzip%2Flist-codes-effective-january-1-2020-published-december-2-2019",
    "https://www.cms.gov/medicaid-chip/medicare-coordination/financial-alignment/approved",
    "https://www.cms.gov/medicare/medicaid-coordination/about",
    "https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2FASCPayment%2FDownloads%2F2019-Oct-ASC-Addenda-Corrections.zip",
    "https://www.cms.gov/medicaid-chip/medicare-coordination/financial-alignment/va",
    "https://www.cms.gov/medicare/quality/quality-improvement-programs/end-stage-renal-disease-esrd-network-programs",
    "https://www.cms.gov/medicare/coverage/prescription-drug-coverage/medicare-glp-1-bridge/information-providers",
    "https://www.cms.gov/medicaid-chip/medicare-coordination/financial-alignment/state-proposals",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/end-stage-renal-disease-esrd/esrd-pps-drug-designation-process",
    "https://www.cms.gov/medicare/medicaid-coordination/plans/mmp-enrollment",
    "https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FFraud-and-Abuse%2FPhysicianSelfReferral%2FDownloads%2F2015-DHS-Addendum.zip",
    "https://www.cms.gov/medicaid-chip/medicare-coordination/financial-alignment/mn",
    "https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits/medicare-ncci-procedure-procedure-ptp-edits",
    "https://www.cms.gov/medicare/payment/covid-19-vaccine-toolkit/medicare-covid-19-vaccine-shot-payment",
    "https://www.cms.gov/medicare/coverage/prescription-drug-coverage/medicare-glp-1-bridge/information-part-d-plans"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/wage-index.",
    "Locate the element: <h3>",
    "Confirm the Siteimprove Alfa finding for rule sia-r53."
   ],
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r53.csv"
  },
  {
   "instance_id": "VS-84bb4a0b",
   "pattern_id": "VS-2cd767ca",
   "a11y_pattern_fingerprint": "06e5b7ad71ebe9131a8a899a0f6e61f876cb89b0b439779429e15ada89493ab3",
   "a11y_pattern_display_id": "A11Y-PAT-06E5B7AD71EB",
   "a11y_occurrence_fingerprint": "732dd91898193a0d0a0fd63a9b96374c081fe7cbae621593ee8b759a687d1403",
   "a11y_occurrence_display_id": "A11Y-OCC-732DD9189819",
   "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
   "xpath": "<h1>",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "frequency": {
    "instances": 41,
    "pages_affected": 34,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 34 of 2629 scanned pages (41 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": "<h1>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/quality/cms-national-quality-strategy/meaningful-measures-2-0",
     "xpath": "<h2>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/",
     "xpath": "<h2 class=\"responsive-tabs__accordion-heading ds-u-font-size--xl ds-u-margin--0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/",
     "xpath": "<h2 class=\"responsive-tabs__accordion-heading ds-u-font-size--xl ds-u-margin--0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/",
     "xpath": "<h2 class=\"responsive-tabs__accordion-heading ds-u-font-size--xl ds-u-margin--0\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/medicare/quality/cms-national-quality-strategy/meaningful-measures-2-0",
    "https://www.cms.gov/"
   ],
   "affected_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "https://www.cms.gov/medicare/quality/cms-national-quality-strategy/meaningful-measures-2-0",
    "https://www.cms.gov/",
    "https://www.cms.gov/medicare-medicaid-coordination/fraud-prevention/fraudabuseforprofs/stateprogramintegrityreviews",
    "https://www.cms.gov/medicare/quality/nursing-home-improvement/resident-assessment-instrument-manual",
    "https://www.cms.gov/medicare/medicaid-coordination/about/dsnps",
    "https://www.cms.gov/roster-billing",
    "https://www.cms.gov/medicare/quality/value-based-programs",
    "https://www.cms.gov/medicare/quality/nursing-home-improvement/announcements",
    "http://cms.gov/roster-billing",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/provider-specific-data-public-use-sas-format",
    "https://www.cms.gov/medicare/enrollment-renewal/providers-suppliers/hospice-center",
    "https://www.cms.gov/medicare/enrollment-renewal/providers-suppliers/clinical-labs-center",
    "https://www.cms.gov/medicare/coding-billing/place-of-service-codes/code-sets",
    "https://www.cms.gov/medicare/coding-billing/skilled-nursing-facility-snf-consolidated-billing/2025-part-mac-update",
    "https://www.cms.gov/medicare/quality/initiatives/hospital-quality-initiative/person-family-engagement",
    "https://www.cms.gov/medicaid-chip/medicare-coordination/financial-alignment/ma",
    "https://www.cms.gov/medicaid-chip/medicare-coordination/avoidable-hospitalizations",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/medicare/regulations-guidance/physician-self-referral/fraud-and-abuse-waivers",
    "https://www.cms.gov/medicaid-chip/medicare-coordination/financial-alignment/il",
    "https://www.cms.gov/medicare/medicaid-coordination/plans/mmp-marketing-information-resources",
    "https://www.cms.gov/training-education/learn/find-tools-to-help-you-help-others/guidelines-for-effective-writing",
    "https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/current-prior-years-level-ii-coding-decisions",
    "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html.",
    "Locate the element: <h1>",
    "Confirm the Siteimprove Alfa finding for rule sia-r78."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r78.csv"
  },
  {
   "instance_id": "VS-ed09c28b",
   "pattern_id": "VS-04a9d28c",
   "a11y_pattern_fingerprint": "39370acc9d085fffa297dcb4926304bb08694b3c2ff86b8409dd859bb5404791",
   "a11y_pattern_display_id": "A11Y-PAT-39370ACC9D08",
   "a11y_occurrence_fingerprint": "8bb0d6636c9e4d9e6e6fe1eddc834d92beaf4f29dbad6db435f71ac699041f1b",
   "a11y_occurrence_display_id": "A11Y-OCC-8BB0D6636C9E",
   "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
   "xpath": "img",
   "html_snippet": "<img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine_key": "deprecated-html",
   "tool": "deprecated-html",
   "rule_url": null,
   "severity": "Moderate",
   "frequency": {
    "instances": 1171,
    "pages_affected": 19,
    "total_pages_scanned": 2629
   },
   "likely_source": "template",
   "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)",
   "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 19 of 2629 scanned pages (1171 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": "img",
     "html_snippet": "<img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": "img",
     "html_snippet": "<img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
     "xpath": "img",
     "html_snippet": "<img src=\"fwdpg.png\" alt=\"Next Page [Alt-n]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">"
    },
    {
     "url": "http://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?taid=15",
     "xpath": "table",
     "html_snippet": "<table border=\"1\"> \n<tbody><tr><th scope=\"col\">Study/Year</th> \n<th scope=\"col\">Study design</th> \n<th scope=\"col\">Patients/Treatment</th> \n<th scope=\"col\">Diagnosis</th> \n<th scope=\"col\">Results</th>"
    },
    {
     "url": "http://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?taid=15",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" scope=\"row\"> <p>Koller et al, 2001</p> </td>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "http://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?taid=15",
    "https://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=10"
   ],
   "affected_pages": [
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html",
    "http://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?taid=15",
    "https://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=10",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0010.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0006.html",
    "http://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=31",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0097.html",
    "http://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=331&ncdver=4",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0174.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0023.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=104",
    "https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0026.html",
    "https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=134"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0183.html.",
    "Locate the element: img",
    "Confirm the deprecated-html finding for rule presentational-attr."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/deprecated-html__presentational-attr.csv"
  },
  {
   "instance_id": "VS-ebc87fd6",
   "pattern_id": "VS-f2542d87",
   "a11y_pattern_fingerprint": "03e69dee9333d7e11cc03a3ed8ce4fd222caccb83cb87fed3b43425fb04123c7",
   "a11y_pattern_display_id": "A11Y-PAT-03E69DEE9333",
   "a11y_occurrence_fingerprint": "802ee385e29a75d5b940ddc97e36298a96d0f3c06eecd912f06d5e8e785f0213",
   "a11y_occurrence_display_id": "A11Y-OCC-802EE385E29A",
   "url": "http://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=31",
   "xpath": "<pre>",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r79",
   "rule_label": "Duplicate role landmark is labeled",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r79",
   "severity": "Moderate",
   "frequency": {
    "instances": 3,
    "pages_affected": 3,
    "total_pages_scanned": 2629
   },
   "likely_source": "unknown",
   "summary": "Duplicate role landmark is labeled (WCAG criterion undetermined)",
   "description": "Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 3 of 2629 scanned pages (3 instances).",
   "examples": [
    {
     "url": "http://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=31",
     "xpath": "<pre>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=13",
     "xpath": "<pre>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=104",
     "xpath": "<pre>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=31",
    "https://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=13",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=104"
   ],
   "affected_pages": [
    "http://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=31",
    "https://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=13",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=104"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://www.cms.gov/medicare-coverage-database/details/medicare-coverage-document-details.aspx?MCDId=31.",
    "Locate the element: <pre>",
    "Confirm the Siteimprove Alfa finding for rule sia-r79."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r79",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r79.csv"
  },
  {
   "instance_id": "VS-ffc9ec0e",
   "pattern_id": "VS-91d2294a",
   "a11y_pattern_fingerprint": "694557a2e6d5bc90eafe7b3a3c5b7b43bcc69e8bc86d88693bd71c134ecf0f0d",
   "a11y_pattern_display_id": "A11Y-PAT-694557A2E6D5",
   "a11y_occurrence_fingerprint": "2f80abdb0908a64243aa26c189017742296f19138459b3775855ccbd0e7db705",
   "a11y_occurrence_display_id": "A11Y-OCC-2F80ABDB0908",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N",
   "xpath": "font",
   "html_snippet": "<font color=\"FF0000\">[XXX.X]</font>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "font-element",
   "rule_label": "Obsolete <font> element (use CSS)",
   "engine_key": "deprecated-html",
   "tool": "deprecated-html",
   "rule_url": null,
   "severity": "Moderate",
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 2629
   },
   "likely_source": "content",
   "summary": "Obsolete <font> element (use CSS) (WCAG criterion undetermined)",
   "description": "Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 1 of 2629 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N",
     "xpath": "font",
     "html_snippet": "<font color=\"FF0000\">[XXX.X]</font>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N",
     "xpath": "font",
     "html_snippet": "<font color=\"FF0000\">\n\n<p><strong>Nationally Covered Indication</strong></p>\n<div style=\"margin-left: 1cm;\">\n\n<p>The Centers for Medicare &amp; Medicaid Services (CMS) covers Food and Drug Administrat"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N.",
    "Locate the element: font",
    "Confirm the deprecated-html finding for rule font-element."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/deprecated-html__font-element.csv"
  }
 ],
 "policy": {
  "suppression": {
   "patterns": 0,
   "pages": 0,
   "occurrences": 0,
   "entries": []
  }
 }
}