{
 "schema_version": "0.1",
 "site": "www.cms.gov",
 "scan_week": "2026-W27",
 "generated_at": "2026-09-30T18:09:02.010Z",
 "source_files": [
  "docs/reports/www.cms.gov/2026-W27/",
  "data/www.cms.gov/findings.json",
  "data/www.cms.gov/2026-W27/summary.json"
 ],
 "summary": {
  "pages_known": 59115,
  "pages_scanned_this_week": 8287,
  "pages_with_known_issues": 36959,
  "findings": 60,
  "clusters": 50,
  "new_findings": 0,
  "persistent_findings": 45,
  "high_priority_findings": 30
 },
 "top_risks": [
  {
   "finding_id": "VS-8ade3360",
   "rule_id": "link-in-text-block",
   "rule_label": "Links must be distinguishable without relying on color",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 894,
   "rationale": "Serious severity; affects 894 pages; persistent across weeks",
   "top_url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40179&ver=7"
  },
  {
   "finding_id": "VS-a0bdbdf6",
   "rule_id": "list",
   "rule_label": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 617,
   "rationale": "Serious severity; affects 617 pages; persistent across weeks",
   "top_url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=3&sortBy=title&ver=16"
  },
  {
   "finding_id": "VS-fafffee0",
   "rule_id": "label",
   "rule_label": "Form elements must have labels",
   "severity": "Critical",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 90,
   "rationale": "Critical severity; persistent across weeks",
   "top_url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html"
  },
  {
   "finding_id": "VS-c126b6a6",
   "rule_id": "html-has-lang",
   "rule_label": "<html> element must have a lang attribute",
   "severity": "Serious",
   "priority": "p1",
   "trend": "improving",
   "pages_affected": 90,
   "rationale": "Serious severity",
   "top_url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html"
  },
  {
   "finding_id": "VS-be8d563e",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 50,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N"
  },
  {
   "finding_id": "VS-e9fe47ac",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 9,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=320&proposed=Y"
  },
  {
   "finding_id": "VS-6175596b",
   "rule_id": "listitem",
   "rule_label": "<li> elements must be contained in a <ul> or <ol>",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 8,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N"
  },
  {
   "finding_id": "VS-07ba3b17",
   "rule_id": "td-headers-attr",
   "rule_label": "Table cell headers attributes must refer to other <th> elements in the same tabl",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 2,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=0&sort=asc"
  },
  {
   "finding_id": "VS-dd1c019f",
   "rule_id": "valid-lang",
   "rule_label": "lang attribute must have a valid value",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 2,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings"
  },
  {
   "finding_id": "VS-fab92378",
   "rule_id": "select-name",
   "rule_label": "Select element must have an accessible name",
   "severity": "Critical",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 1,
   "rationale": "Critical severity; persistent across weeks",
   "top_url": "https://www.cms.gov/priorities/innovation/models/medicare-demonstrations"
  }
 ],
 "findings": [
  {
   "finding_id": "VS-8ade3360",
   "fingerprint": "8bf51706",
   "rule_id": "link-in-text-block",
   "rule_label": "Links must be distinguishable without relying on color",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 894 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 894,
    "affected_pages_previous": 366
   },
   "frequency": {
    "instances": 2140,
    "pages_affected": 894,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 894 of 8287 scanned pages (2140 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule link-in-text-block (WCAG 1.4.1).",
   "actual_behavior": "Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 894 of 8287 scanned pages (2140 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40179&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&ver=25",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=15"
   ],
   "html_fragments": [
    {
     "fingerprint": "5f85d395",
     "html": "<a href=\"https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40178&amp;ver=3\" target=\"_blank\" class=\"log-click system-link\" data-page-action=\"Clicked the Source Proposed LCD link\">DL401",
     "selectors": [
      "#lblProposedLcd > .system-link.log-click[target=\"_blank\"]"
     ]
    },
    {
     "fingerprint": "2f1ffec7",
     "html": "<a href=\"https://www.nccn.org/guidelines/guidelines-detail?category=1&id=1416\" target=\"_blank\" rel=\"noopener\">",
     "selectors": [
      "li:nth-child(4) > a[rel=\"noopener\"][target=\"_blank\"]"
     ]
    },
    {
     "fingerprint": "3909fbdb",
     "html": "<a href=\"https://www.nccn.org/guidelines/guidelines-detail?category=1&id=1465\" target=\"_blank\" rel=\"noopener\">",
     "selectors": [
      "li:nth-child(5) > a[rel=\"noopener\"][target=\"_blank\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 25
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-a0bdbdf6",
   "fingerprint": "ca0fa40f",
   "rule_id": "list",
   "rule_label": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 617 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 617,
    "affected_pages_previous": 210
   },
   "frequency": {
    "instances": 2352,
    "pages_affected": 617,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 617 of 8287 scanned pages (2352 instances).",
   "remediation_tip": "Use <ul>/<ol> with only <li> children for lists; don't fake lists with <div>s.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule list (WCAG 1.3.1).",
   "actual_behavior": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 617 of 8287 scanned pages (2352 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=3&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55230&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56726&ver=42"
   ],
   "html_fragments": [
    {
     "fingerprint": "34cea4c3",
     "html": "<ul>",
     "selectors": [
      "ul:nth-child(5)",
      "ul:nth-child(4)"
     ]
    },
    {
     "fingerprint": "47b08a21",
     "html": "<ul>40.1.A. Global surgery period</ul>",
     "selectors": [
      "#lblCmsNationalCoveragePolicy > ul"
     ]
    },
    {
     "fingerprint": "c15c6eb6",
     "html": "<ol style=\"list-style-type: decimal;\">",
     "selectors": [
      "ol:nth-child(11)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 14
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 6
    },
    {
     "pattern": "/newsroom/search",
     "count": 5
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-fafffee0",
   "fingerprint": "d5e15238",
   "rule_id": "label",
   "rule_label": "Form elements must have labels",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Critical severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W27",
    "weeks_observed": 2,
    "affected_pages_current": 90,
    "affected_pages_previous": 11
   },
   "frequency": {
    "instances": 90,
    "pages_affected": 90,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Form elements must have labels (WCAG 4.1.2)",
   "description": "Form elements must have labels. Detected by axe-core rule label on 90 of 8287 scanned pages (90 instances).",
   "remediation_tip": "Associate every form control with a <label> (via for/id) or an aria-label/aria-labelledby.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule label (WCAG 4.1.2).",
   "actual_behavior": "Form elements must have labels. Detected by axe-core rule label on 90 of 8287 scanned pages (90 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "b2d78865",
     "html": "<input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">",
     "selectors": [
      "#q"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-c126b6a6",
   "fingerprint": "b6dc10f1",
   "rule_id": "html-has-lang",
   "rule_label": "<html> element must have a lang attribute",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "3.1.1",
   "wcag_name": "Language of Page",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 90,
    "affected_pages_previous": 256
   },
   "frequency": {
    "instances": 90,
    "pages_affected": 90,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 90 of 8287 scanned pages (90 instances).",
   "remediation_tip": "Add a lang attribute to <html> (e.g. lang=\"en\").",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule html-has-lang (WCAG 3.1.1).",
   "actual_behavior": "<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 90 of 8287 scanned pages (90 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "3e866d4c",
     "html": "<html>",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-be8d563e",
   "fingerprint": "1820bc84",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 50,
    "affected_pages_previous": 43
   },
   "frequency": {
    "instances": 371,
    "pages_affected": 50,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 50 of 8287 scanned pages (371 instances).",
   "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.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule color-contrast (WCAG 1.4.3).",
   "actual_behavior": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 50 of 8287 scanned pages (371 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39464&lcdStatus=all&sortBy=title&ver=8",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52"
   ],
   "html_fragments": [
    {
     "fingerprint": "e611a9f0",
     "html": "<strong>3. Blood-based Biomarker Tests (effective January XX, 2021)</strong>",
     "selectors": [
      "font[color=\"FF0000\"] > p:nth-child(1) > strong"
     ]
    },
    {
     "fingerprint": "001ada8f",
     "html": "<p>Blood-based DNA testing detects molecular markers of altered DNA that are contained in the cells shed into the lumen of the large bowel by colorectal cancer and pre-malignant colorectal epithelial ",
     "selectors": [
      "font[color=\"FF0000\"] > p:nth-child(2)"
     ]
    },
    {
     "fingerprint": "164ad2bd",
     "html": "<p>",
     "selectors": [
      "font[color=\"FF0000\"] > p:nth-child(3)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 20
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-e9fe47ac",
   "fingerprint": "f85a6839",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "medium",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 9,
    "affected_pages_previous": 3
   },
   "frequency": {
    "instances": 19,
    "pages_affected": 9,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Links must have discernible text (WCAG 2.4.4)",
   "description": "Links must have discernible text. Detected by axe-core rule link-name on 9 of 8287 scanned pages (19 instances).",
   "remediation_tip": "Give the link discernible text. Avoid empty links and icon-only links without an aria-label.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule link-name (WCAG 2.4.4).",
   "actual_behavior": "Links must have discernible text. Detected by axe-core rule link-name on 9 of 8287 scanned pages (19 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=320&proposed=Y",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
    "http://www.cms.gov/data-research/cms-data/learn-more-about-cms-data"
   ],
   "html_fragments": [
    {
     "fingerprint": "3c623133",
     "html": "<a href=\"#5A\">\n</a>",
     "selectors": [
      "ol[type=\"A\"] > a[href$=\"#5A\"]"
     ]
    },
    {
     "fingerprint": "d7229402",
     "html": "<a href=\"#5A\"></a>",
     "selectors": [
      "li:nth-child(3) > a[href$=\"#5A\"]"
     ]
    },
    {
     "fingerprint": "9f681c2f",
     "html": "<a href=\"#5B\">\n</a>",
     "selectors": [
      "ol[type=\"I\"] > a[href$=\"#5B\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 3
    },
    {
     "pattern": "/data-research/cms-data/learn-more-about-cms-data",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/medicare-coverage-document.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-6175596b",
   "fingerprint": "7ac6b8df",
   "rule_id": "listitem",
   "rule_label": "<li> elements must be contained in a <ul> or <ol>",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "medium",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 8,
    "affected_pages_previous": 11
   },
   "frequency": {
    "instances": 266,
    "pages_affected": 8,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 8 of 8287 scanned pages (266 instances).",
   "remediation_tip": "<li> must be inside a <ul> or <ol>.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule listitem (WCAG 1.3.1).",
   "actual_behavior": "<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 8 of 8287 scanned pages (266 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?bc=20&sortBy=title&taid=26&year=0",
    "https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=35&sortBy=title&status=all"
   ],
   "html_fragments": [
    {
     "fingerprint": "6e13c33c",
     "html": "<li> pVO<sub>2</sub>\n  </li>",
     "selectors": [
      "tr:nth-child(2) > td[valign=\"top\"]:nth-child(4) > li:nth-child(1)"
     ]
    },
    {
     "fingerprint": "ae2a3b6c",
     "html": "<li>  MLWHFQ\n</li>",
     "selectors": [
      "tr:nth-child(2) > td[valign=\"top\"]:nth-child(4) > li:nth-child(2)"
     ]
    },
    {
     "fingerprint": "f9a39987",
     "html": "<li> 6MWT\n  </li>",
     "selectors": [
      "tr:nth-child(2) > td[valign=\"top\"]:nth-child(4) > li:nth-child(3)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/medicare-coverage-document.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/technology-assessments.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-07ba3b17",
   "fingerprint": "993f6ba8",
   "rule_id": "td-headers-attr",
   "rule_label": "Table cell headers attributes must refer to other <th> elements in the same tabl",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W27",
    "weeks_observed": 3,
    "affected_pages_current": 2,
    "affected_pages_previous": 3
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Table cell headers attributes must refer to other <th> elements in the same tabl (WCAG 1.3.1)",
   "description": "Table cell headers attributes must refer to other <th> elements in the same tabl. Detected by axe-core rule td-headers-attr on 2 of 8287 scanned pages (2 instances).",
   "remediation_tip": "Associate data cells with their headers correctly using headers/id or scope.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule td-headers-attr (WCAG 1.3.1).",
   "actual_behavior": "Table cell headers attributes must refer to other <th> elements in the same tabl. Detected by axe-core rule td-headers-attr on 2 of 8287 scanned pages (2 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=0&sort=asc",
    "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_revision_date&page=6&sort=asc"
   ],
   "html_fragments": [
    {
     "fingerprint": "7e037dac",
     "html": "<table class=\"MsoTableGrid\">",
     "selectors": [
      ".MsoTableGrid"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-dd1c019f",
   "fingerprint": "dec2d038",
   "rule_id": "valid-lang",
   "rule_label": "lang attribute must have a valid value",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "3.1.2",
   "wcag_name": "Language of Parts",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 2,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 10,
    "pages_affected": 2,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 2 of 8287 scanned pages (10 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule valid-lang (WCAG 3.1.2).",
   "actual_behavior": "lang attribute must have a valid value. Detected by axe-core rule valid-lang on 2 of 8287 scanned pages (10 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33609&lcdStatus=all&sortBy=title&ver=14"
   ],
   "html_fragments": [
    {
     "fingerprint": "f05b811b",
     "html": "<span lang=\"X-NONE\">[1]</span>",
     "selectors": [
      "a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]"
     ]
    },
    {
     "fingerprint": "17fbe134",
     "html": "<span lang=\"X-NONE\">",
     "selectors": [
      "li:nth-child(1) > span[lang=\"X-NONE\"]",
      "li:nth-child(2) > span[lang=\"X-NONE\"]:nth-child(2)"
     ]
    },
    {
     "fingerprint": "cdedfd52",
     "html": "<span lang=\"X-NONE\">Vasomotor adrenergic innervation&nbsp;</span>",
     "selectors": [
      "li:nth-child(2) > span[lang=\"X-NONE\"]:nth-child(1)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-fab92378",
   "fingerprint": "56ca23c2",
   "rule_id": "select-name",
   "rule_label": "Select element must have an accessible name",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Critical severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W27",
    "weeks_observed": 2,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Select element must have an accessible name (WCAG 4.1.2)",
   "description": "Select element must have an accessible name. Detected by axe-core rule select-name on 1 of 8287 scanned pages (2 instances).",
   "remediation_tip": "Give the <select> an accessible name via a <label> or aria-label.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule select-name (WCAG 4.1.2).",
   "actual_behavior": "Select element must have an accessible name. Detected by axe-core rule select-name on 1 of 8287 scanned pages (2 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/priorities/innovation/models/medicare-demonstrations"
   ],
   "html_fragments": [
    {
     "fingerprint": "13cd6ef1",
     "html": "<select name=\"per-page-1\" class=\"ds-c-field per-page-select-1\"><option value=\"5\">5</option><option value=\"10\" selected=\"\">10</option><option value=\"20\">20</option></select>",
     "selectors": [
      ".per-page-select-1"
     ]
    },
    {
     "fingerprint": "20dd93f8",
     "html": "<select name=\"per-page-2\" class=\"ds-c-field per-page-select-2\"><option value=\"5\">5</option><option value=\"10\" selected=\"\">10</option><option value=\"20\">20</option></select>",
     "selectors": [
      ".per-page-select-2"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/priorities/innovation/models/medicare-demonstrations",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-f7280372",
   "fingerprint": "2ab3f72e",
   "rule_id": "aria-progressbar-name",
   "rule_label": "ARIA progressbar nodes must have an accessible name",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-progressbar-name?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W27",
    "last_observed": "2026-W27",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "ARIA progressbar nodes must have an accessible name (WCAG 1.1.1)",
   "description": "ARIA progressbar nodes must have an accessible name. Detected by axe-core rule aria-progressbar-name on 1 of 8287 scanned pages (2 instances).",
   "remediation_tip": "Give the progressbar an accessible name.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-progressbar-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-progressbar-name (WCAG 1.1.1).",
   "actual_behavior": "ARIA progressbar nodes must have an accessible name. Detected by axe-core rule aria-progressbar-name on 1 of 8287 scanned pages (2 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&proposedStatus=all"
   ],
   "html_fragments": [
    {
     "fingerprint": "d0f77c85",
     "html": "<span class=\"ds-c-spinner ds-c-spinner--small\" id=\"spnCountSpinner\" aria-valuetext=\"Loading\" role=\"progressbar\"></span>",
     "selectors": [
      "#spnCountSpinner"
     ]
    },
    {
     "fingerprint": "b8319265",
     "html": "<span class=\"ds-c-spinner\" aria-valuetext=\"Loading\" role=\"progressbar\"></span>",
     "selectors": [
      "td > .ds-c-spinner[aria-valuetext=\"Loading\"][role=\"progressbar\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-0841abc2",
   "fingerprint": "a3512e8b",
   "rule_id": "aria-input-field-name",
   "rule_label": "ARIA input fields must have an accessible name",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W27",
    "last_observed": "2026-W27",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "ARIA input fields must have an accessible name (WCAG 4.1.2)",
   "description": "ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 1 of 8287 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-input-field-name (WCAG 4.1.2).",
   "actual_behavior": "ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 1 of 8287 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/files/linked-video-files/long-term-care-indian-country-oneida-nation-wisconsin"
   ],
   "html_fragments": [
    {
     "fingerprint": "a26140d4",
     "html": "<yt-formatted-string id=\"simplebox-placeholder\" role=\"textbox\" tabindex=\"0\" class=\"style-scope ytd-comment-simplebox-renderer\">Add a comment...</yt-formatted-string>",
     "selectors": [
      "#simplebox-placeholder"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/files/linked-video-files/long-term-care-indian-country-oneida-nation-wisconsin",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-cb53cc4d",
   "fingerprint": "1738fa81",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 3338 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 3338,
    "affected_pages_previous": 377
   },
   "frequency": {
    "instances": 121903,
    "pages_affected": 3338,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 3338 of 8287 scanned pages (121903 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r111 (WCAG 2.5.5).",
   "actual_behavior": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 3338 of 8287 scanned pages (121903 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?page=9",
    "https://www.cms.gov/marketplace/in-person-assisters/technical-resources"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/newsroom/search",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-2208081b",
   "fingerprint": "40bbca09",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 3327 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 3327,
    "affected_pages_previous": 367
   },
   "frequency": {
    "instances": 39969,
    "pages_affected": 3327,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 3327 of 8287 scanned pages (39969 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r73 (WCAG 1.4.8).",
   "actual_behavior": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 3327 of 8287 scanned pages (39969 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?page=9",
    "https://www.cms.gov/marketplace/in-person-assisters/technical-resources"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/newsroom/search",
     "count": 5
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-7118fead",
   "fingerprint": "0d932ac9",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 3288 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 3288,
    "affected_pages_previous": 346
   },
   "frequency": {
    "instances": 3288,
    "pages_affected": 3288,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 3288 of 8287 scanned pages (3288 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r61.",
   "actual_behavior": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 3288 of 8287 scanned pages (3288 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?page=9",
    "https://www.cms.gov/marketplace/in-person-assisters/technical-resources"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/newsroom/search",
     "count": 5
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-646b1e0b",
   "fingerprint": "afad441e",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1336 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 1336,
    "affected_pages_previous": 182
   },
   "frequency": {
    "instances": 6746,
    "pages_affected": 1336,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 1336 of 8287 scanned pages (6746 instances).",
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r66 (WCAG 1.4.6).",
   "actual_behavior": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 1336 of 8287 scanned pages (6746 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 14
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 10
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 2.92,
     "pages_with_both": 11
    },
    {
     "technology": "Bootstrap",
     "lift": 2.54,
     "pages_with_both": 109
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 2.54,
     "pages_with_both": 109
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f7dba940",
   "fingerprint": "477d8088",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1334 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 1334,
    "affected_pages_previous": 182
   },
   "frequency": {
    "instances": 3222,
    "pages_affected": 1334,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 1334 of 8287 scanned pages (3222 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r14 (WCAG 2.5.3).",
   "actual_behavior": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 1334 of 8287 scanned pages (3222 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 14
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 10
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 2.9,
     "pages_with_both": 11
    },
    {
     "technology": "Bootstrap",
     "lift": 2.52,
     "pages_with_both": 109
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 2.52,
     "pages_with_both": 109
    }
   ],
   "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%)."
   }
  },
  {
   "finding_id": "VS-fbf54eba",
   "fingerprint": "773d6316",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1332 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 1332,
    "affected_pages_previous": 181
   },
   "frequency": {
    "instances": 104753,
    "pages_affected": 1332,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 1332 of 8287 scanned pages (104753 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r74 (WCAG 1.4.8).",
   "actual_behavior": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 1332 of 8287 scanned pages (104753 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 14
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 10
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 2.92,
     "pages_with_both": 11
    },
    {
     "technology": "Bootstrap",
     "lift": 2.54,
     "pages_with_both": 109
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 2.54,
     "pages_with_both": 109
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f054f4a4",
   "fingerprint": "5fa3b5a6",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1294 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 1294,
    "affected_pages_previous": 167
   },
   "frequency": {
    "instances": 1298,
    "pages_affected": 1294,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 1294 of 8287 scanned pages (1298 instances).",
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r53.",
   "actual_behavior": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 1294 of 8287 scanned pages (1298 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
    "https://cms.gov/training-education/medicare-learning-networkr-mln/resources-training/mln-matters-articles"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 13
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 7
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 2.68,
     "pages_with_both": 11
    },
    {
     "technology": "Bootstrap",
     "lift": 2.12,
     "pages_with_both": 99
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 2.12,
     "pages_with_both": 99
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-c18be945",
   "fingerprint": "8634e2fd",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1266 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 1266,
    "affected_pages_previous": 109
   },
   "frequency": {
    "instances": 1269,
    "pages_affected": 1266,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 1266 of 8287 scanned pages (1269 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r57.",
   "actual_behavior": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 1266 of 8287 scanned pages (1269 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
    "https://cms.gov/priorities/innovation-center/value-based-care-spotlight/external-resources",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A81&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A446&f%5B3%5D=topic%3A456&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/newsroom/search",
     "count": 6
    },
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 5
    },
    {
     "pattern": "/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "Drupal",
     "lift": 1.69,
     "pages_with_both": 119
    },
    {
     "technology": "Acquia Cloud Platform",
     "lift": 1.69,
     "pages_with_both": 119
    },
    {
     "technology": "Amazon Web Services",
     "lift": 1.69,
     "pages_with_both": 119
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d25f622d",
   "fingerprint": "98ff321a",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 455 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 455,
    "affected_pages_previous": 265
   },
   "frequency": {
    "instances": 477,
    "pages_affected": 455,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 455 of 8287 scanned pages (477 instances).",
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule heading-order.",
   "actual_behavior": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 455 of 8287 scanned pages (477 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
    "https://cms.gov/training-education/medicare-learning-networkr-mln/resources-training/mln-matters-articles",
    "https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2Fascpayment%2Fdownloads%2Fascpuf2004.zip"
   ],
   "html_fragments": [
    {
     "fingerprint": "bc3085eb",
     "html": "<h4 id=\"dmHeader0\">I. Decision</h4>",
     "selectors": [
      "#dmHeader0"
     ]
    },
    {
     "fingerprint": "d7a04baa",
     "html": "<h3 class=\"field field--name-field-cms-card-title field--type-string field--label-hidden ds-u-margin-bottom--3\" data-once=\"trademark-symbol\">3 Steps to Find Articles</h3>",
     "selectors": [
      ".field--name-field-cms-card-title"
     ]
    },
    {
     "fingerprint": "26af152d",
     "html": "<h3>End User Point and Click Agreement:</h3>",
     "selectors": [
      ".content > h3:nth-child(2)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/apps/ama/license.asp",
     "count": 4
    },
    {
     "pattern": "/newsroom/search",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-2cd767ca",
   "fingerprint": "3123e4f3",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 387 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 387,
    "affected_pages_previous": 101
   },
   "frequency": {
    "instances": 590,
    "pages_affected": 387,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 387 of 8287 scanned pages (590 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r78.",
   "actual_behavior": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 387 of 8287 scanned pages (590 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57020&ver=3"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 19
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx",
     "count": 2
    },
    {
     "pattern": "/priorities/innovation/key-concepts/bundled-payments",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 7.96,
     "pages_with_both": 11
    },
    {
     "technology": "Bootstrap",
     "lift": 2.42,
     "pages_with_both": 38
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 2.42,
     "pages_with_both": 38
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-179ad9b3",
   "fingerprint": "0e001fcc",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 366 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 366,
    "affected_pages_previous": 79
   },
   "frequency": {
    "instances": 888,
    "pages_affected": 366,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 366 of 8287 scanned pages (888 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r113 (WCAG 2.5.8).",
   "actual_behavior": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 366 of 8287 scanned pages (888 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 15
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 5
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "reCAPTCHA",
     "lift": 2.37,
     "pages_with_both": 32
    },
    {
     "technology": "Bootstrap",
     "lift": 2.14,
     "pages_with_both": 32
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 2.14,
     "pages_with_both": 32
    }
   ],
   "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%)."
   }
  },
  {
   "finding_id": "VS-d6097011",
   "fingerprint": "b46c5395",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 222 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 222,
    "affected_pages_previous": 45
   },
   "frequency": {
    "instances": 973,
    "pages_affected": 222,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 222 of 8287 scanned pages (973 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r68 (WCAG 1.3.1).",
   "actual_behavior": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 222 of 8287 scanned pages (973 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57830&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 14
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx",
     "count": 5
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 14.48,
     "pages_with_both": 11
    },
    {
     "technology": "Bootstrap",
     "lift": 2.54,
     "pages_with_both": 22
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 2.54,
     "pages_with_both": 22
    }
   ],
   "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%)."
   }
  },
  {
   "finding_id": "VS-fa44f293",
   "fingerprint": "a01b2a6c",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 131 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 131,
    "affected_pages_previous": 17
   },
   "frequency": {
    "instances": 131,
    "pages_affected": 131,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 131 of 8287 scanned pages (131 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule page-has-heading-one.",
   "actual_behavior": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 131 of 8287 scanned pages (131 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
    "https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-addenda",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "3e866d4c",
     "html": "<html>",
     "selectors": [
      "html"
     ]
    },
    {
     "fingerprint": "75add23f",
     "html": "<html lang=\"en\" dir=\"ltr\" class=\" js\" style=\"--vw: 12.8px; --vh: 8px;\">",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "count": 1
    },
    {
     "pattern": "/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-addenda",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-388b5438",
   "fingerprint": "e21585c3",
   "rule_id": "sia-r80",
   "rule_label": "Scrollable element is keyboard accessible",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r80",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 118 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W27",
    "weeks_observed": 3,
    "affected_pages_current": 118,
    "affected_pages_previous": 8
   },
   "frequency": {
    "instances": 1717,
    "pages_affected": 118,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Scrollable element is keyboard accessible (WCAG 1.4.8)",
   "description": "Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 118 of 8287 scanned pages (1717 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r80",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r80 (WCAG 1.4.8).",
   "actual_behavior": "Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 118 of 8287 scanned pages (1717 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37502&lcdStatus=all&sortBy=title&ver=21"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 21
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 4
    }
   ],
   "associated_technologies": [
    {
     "technology": "reCAPTCHA",
     "lift": 2.81,
     "pages_with_both": 8
    },
    {
     "technology": "Bootstrap",
     "lift": 2.54,
     "pages_with_both": 8
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 2.54,
     "pages_with_both": 8
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-4408605e",
   "fingerprint": "265d5c76",
   "rule_id": "sia-r46",
   "rule_label": "Element has required aria-owns",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r46",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 109 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W25",
    "last_observed": "2026-W27",
    "weeks_observed": 3,
    "affected_pages_current": 109,
    "affected_pages_previous": 20
   },
   "frequency": {
    "instances": 192,
    "pages_affected": 109,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Element has required aria-owns (WCAG 1.3.1)",
   "description": "Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 109 of 8287 scanned pages (192 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r46",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r46 (WCAG 1.3.1).",
   "actual_behavior": "Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 109 of 8287 scanned pages (192 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57593&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 24
    },
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "reCAPTCHA",
     "lift": 2.81,
     "pages_with_both": 9
    },
    {
     "technology": "Bootstrap",
     "lift": 2.54,
     "pages_with_both": 9
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 2.54,
     "pages_with_both": 9
    }
   ],
   "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%)."
   }
  },
  {
   "finding_id": "VS-f18df681",
   "fingerprint": "09987718",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "Moderate severity on 92 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 92,
    "affected_pages_previous": 256
   },
   "frequency": {
    "instances": 2099,
    "pages_affected": 92,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 92 of 8287 scanned pages (2099 instances).",
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule region.",
   "actual_behavior": "All page content should be contained by landmarks. Detected by axe-core rule region on 92 of 8287 scanned pages (2099 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "2c59e913",
     "html": "<table class=\"hhshead\" cellpadding=\"0\" cellspacing=\"0\" summary=\"HHS Header. Table for formatting only.\">",
     "selectors": [
      ".hhshead[cellpadding=\"0\"][cellspacing=\"0\"]:nth-child(1)"
     ]
    },
    {
     "fingerprint": "2f3c91a7",
     "html": "<a href=\"http://www.cms.gov/\" title=\"Centers for Medicare &amp; Medicaid Services\"> \n        <img class=\"hhsimg\" src=\"banner-text.jpg\" width=\"650\" height=\"60\" alt=\"Centers for Medicare &amp; Medicaid ",
     "selectors": [
      ".masthead > a[href$=\"cms.gov/\"]"
     ]
    },
    {
     "fingerprint": "d76e8320",
     "html": "<label for=\"q\" title=\"Search CMS.gov\">\n       <input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">&nbsp;</label>",
     "selectors": [
      "label"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d5d82446",
   "fingerprint": "3627341e",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "Moderate severity on 90 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 90,
    "affected_pages_previous": 256
   },
   "frequency": {
    "instances": 90,
    "pages_affected": 90,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 90 of 8287 scanned pages (90 instances).",
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-one-main.",
   "actual_behavior": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 90 of 8287 scanned pages (90 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "3e866d4c",
     "html": "<html>",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-48291402",
   "fingerprint": "50880f5a",
   "rule_id": "sia-r71",
   "rule_label": "iframe element is not empty",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r71",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W27",
    "weeks_observed": 3,
    "affected_pages_current": 68,
    "affected_pages_previous": 8
   },
   "frequency": {
    "instances": 472,
    "pages_affected": 68,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "iframe element is not empty (WCAG 1.4.8)",
   "description": "iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 68 of 8287 scanned pages (472 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r71",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r71 (WCAG 1.4.8).",
   "actual_behavior": "iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 68 of 8287 scanned pages (472 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 20
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-7a0e5645",
   "fingerprint": "15da996e",
   "rule_id": "sia-r4",
   "rule_label": "Document has a valid lang attribute",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "3.1.1",
   "wcag_name": "Language of Page",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r4",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "Moderate severity on 47 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 47,
    "affected_pages_previous": 32
   },
   "frequency": {
    "instances": 47,
    "pages_affected": 47,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 47 of 8287 scanned pages (47 instances).",
   "remediation_tip": "Add a valid lang attribute to <html>.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r4",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r4 (WCAG 3.1.1).",
   "actual_behavior": "Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 47 of 8287 scanned pages (47 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-7fbb8b20",
   "fingerprint": "79bb1ee9",
   "rule_id": "sia-r59",
   "rule_label": "Element with orientation is not locked",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r59",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W27",
    "weeks_observed": 2,
    "affected_pages_current": 47,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 47,
    "pages_affected": 47,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Element with orientation is not locked (WCAG criterion undetermined)",
   "description": "Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 47 of 8287 scanned pages (47 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r59",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r59.",
   "actual_behavior": "Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 47 of 8287 scanned pages (47 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-e43903a1",
   "fingerprint": "49842005",
   "rule_id": "sia-r75",
   "rule_label": "Form field error is identified and described",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r75",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W27",
    "weeks_observed": 2,
    "affected_pages_current": 47,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 94,
    "pages_affected": 47,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Form field error is identified and described (WCAG criterion undetermined)",
   "description": "Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 47 of 8287 scanned pages (94 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r75",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r75.",
   "actual_behavior": "Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 47 of 8287 scanned pages (94 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-04a9d28c",
   "fingerprint": "02cfba82",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine": "deprecated-html",
   "tool": "deprecated-html",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": null,
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 44,
    "affected_pages_previous": 40
   },
   "frequency": {
    "instances": 1000,
    "pages_affected": 44,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)",
   "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 44 of 8287 scanned pages (1000 instances).",
   "remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "expected_behavior": "Element passes deprecated-html rule presentational-attr.",
   "actual_behavior": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 44 of 8287 scanned pages (1000 instances).",
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaid=289"
   ],
   "html_fragments": [
    {
     "fingerprint": "8791a2a7",
     "html": "<table style=\"height: 15px;\" border=\"black\" width=\"415\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\">\n<p><strong>Proliferation Group</strong></p>\n</td>\n<td style=\"text-align: center;\">\n<p><strong>Hor",
     "selectors": [
      "table"
     ]
    },
    {
     "fingerprint": "2cabda9f",
     "html": "<table style=\"width: 712px; height: 153px;\" border=\"black\">\n<tbody>\n<tr style=\"height: 88.94px;\">\n<td style=\"width: 344.38px; height: 88.94px;\">Intended Use</td>\n<td style=\"width: 351.62px; height: 88",
     "selectors": [
      "table"
     ]
    },
    {
     "fingerprint": "a1523bbd",
     "html": "<table style=\"width: 619px; height: 217px;\" border=\"black\">\n<tbody>\n<tr>\n<td style=\"width: 267px; text-align: center;\"><strong>Description</strong></td>\n<td style=\"width: 250px; text-align: center;\" c",
     "selectors": [
      "table"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 8
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f7e99f4b",
   "fingerprint": "863d1000",
   "rule_id": "sia-r69",
   "rule_label": "Text has sufficient color contrast (Enhanced)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r69",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 24,
    "affected_pages_previous": 5
   },
   "frequency": {
    "instances": 172,
    "pages_affected": 24,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 24 of 8287 scanned pages (172 instances).",
   "remediation_tip": "Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r69 (WCAG 1.4.3).",
   "actual_behavior": "Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 24 of 8287 scanned pages (172 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52",
    "http://www.cms.gov/about-cms/components/cpi/victimizedproviderproject",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34425&lcdStatus=all&sortBy=title&ver=43"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 18
    },
    {
     "pattern": "/about-cms/components/cpi/victimizedproviderproject",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-0ba8ce9d",
   "fingerprint": "1b1ae391",
   "rule_id": "scope-attr-valid",
   "rule_label": "scope attribute should be used correctly",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 21,
    "affected_pages_previous": 38
   },
   "frequency": {
    "instances": 593,
    "pages_affected": 21,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 21 of 8287 scanned pages (593 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule scope-attr-valid.",
   "actual_behavior": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 21 of 8287 scanned pages (593 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=228&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=246&NcaName=Magnetic+Resonance+Imaging+%28MRI%29+%282nd+Recon%29&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33"
   ],
   "html_fragments": [
    {
     "fingerprint": "8138122f",
     "html": "<td width=\"25%\" scope=\"row\">January 20, 2009</td>",
     "selectors": [
      "td[width=\"25%\"]"
     ]
    },
    {
     "fingerprint": "fcc483f5",
     "html": "<td scope=\"row\">February 19, 2009</td>",
     "selectors": [
      "tr[valign=\"top\"]:nth-child(2) > td[scope=\"row\"]"
     ]
    },
    {
     "fingerprint": "181507df",
     "html": "<td scope=\"row\">March 16, 2009</td>",
     "selectors": [
      "tbody:nth-child(2) > tr[valign=\"top\"]:nth-child(3) > td[scope=\"row\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 6
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/details/nca-proposed-decision-memo.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-3c632d31",
   "fingerprint": "7d010b8c",
   "rule_id": "sia-r64",
   "rule_label": "Element has required owned roles",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r64",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "Moderate severity on 11 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 11,
    "affected_pages_previous": 30
   },
   "frequency": {
    "instances": 11,
    "pages_affected": 11,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Element has required owned roles (WCAG 1.3.1)",
   "description": "Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 11 of 8287 scanned pages (11 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r64",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r64 (WCAG 1.3.1).",
   "actual_behavior": "Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 11 of 8287 scanned pages (11 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=3&sortBy=title&ver=22",
    "http://www.cms.gov/training-education/partner-outreach-resources/privacy",
    "http://www.cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 2
    },
    {
     "pattern": "/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/quality-improvement-interventions",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-3f067795",
   "fingerprint": "f9bf7824",
   "rule_id": "sia-r77",
   "rule_label": "Table cell has header",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r77",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 9,
    "affected_pages_previous": 5
   },
   "frequency": {
    "instances": 385,
    "pages_affected": 9,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Table cell has header (WCAG 1.3.1)",
   "description": "Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 9 of 8287 scanned pages (385 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r77",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r77 (WCAG 1.3.1).",
   "actual_behavior": "Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 9 of 8287 scanned pages (385 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/reports/national-coverage-medicare-coverage-documents-report.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-efd91fdd",
   "fingerprint": "12434796",
   "rule_id": "sia-r62",
   "rule_label": "Link in text block is visually distinguishable without color",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r62",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 8,
    "affected_pages_previous": 6
   },
   "frequency": {
    "instances": 8,
    "pages_affected": 8,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 8 of 8287 scanned pages (8 instances).",
   "remediation_tip": "Make links visually distinguishable from surrounding text (not by color alone).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r62 (WCAG 1.4.1).",
   "actual_behavior": "Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 8 of 8287 scanned pages (8 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34196&lcdStatus=all&sortBy=title&ver=30",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57797&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53084&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=28"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/overview-and-quick-search.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-8806389c",
   "fingerprint": "ffb2ae06",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W27",
    "weeks_observed": 3,
    "affected_pages_current": 8,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 8,
    "pages_affected": 8,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)",
   "description": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 8 of 8287 scanned pages (8 instances).",
   "remediation_tip": "When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. \"Primary\" and \"Footer\" navigation) so screen-reader users can tell them apart.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-unique.",
   "actual_behavior": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 8 of 8287 scanned pages (8 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html",
    "https://www.cms.gov/apps/media?page=1",
    "https://www.cms.gov/priorities/innovation/models/medicare-demonstrations"
   ],
   "html_fragments": [
    {
     "fingerprint": "dec3342e",
     "html": "<main>",
     "selectors": [
      "main"
     ]
    },
    {
     "fingerprint": "cb3b9f03",
     "html": "<span class=\"views-field views-field-field-topic\" role=\"region\" aria-label=\"Related search topics\">\n<a href=\"/newsroom/search?sort_by=search_api_relevance&amp;sort_order=DESC&amp;items_per_page=10&amp",
     "selectors": [
      ".views-field-field-topic[aria-label=\"Related search topics\"][role=\"region\"]:nth-child(1)"
     ]
    },
    {
     "fingerprint": "3f5c6bbd",
     "html": "<nav class=\"ds-c-pagination\" aria-labelledby=\"pagination-heading--1\">",
     "selectors": [
      "nav[aria-labelledby=\"pagination-heading--1\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/apps/media",
     "count": 2
    },
    {
     "pattern": "/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html",
     "count": 1
    },
    {
     "pattern": "/priorities/innovation/models/medicare-demonstrations",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f2542d87",
   "fingerprint": "9cf75a1e",
   "rule_id": "sia-r79",
   "rule_label": "Duplicate role landmark is labeled",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r79",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 8,
    "affected_pages_previous": 5
   },
   "frequency": {
    "instances": 8,
    "pages_affected": 8,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Duplicate role landmark is labeled (WCAG criterion undetermined)",
   "description": "Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 8 of 8287 scanned pages (8 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r79",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r79.",
   "actual_behavior": "Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 8 of 8287 scanned pages (8 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=228&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=224&proposed=Y"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/medicare-coverage-document.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/details/nca-decision-memo.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-4c341c77",
   "fingerprint": "aada626a",
   "rule_id": "sia-r85",
   "rule_label": "Keyboard trap does not exist",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r85",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W27",
    "weeks_observed": 3,
    "affected_pages_current": 8,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 24,
    "pages_affected": 8,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Keyboard trap does not exist (WCAG criterion undetermined)",
   "description": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 8 of 8287 scanned pages (24 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r85.",
   "actual_behavior": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 8 of 8287 scanned pages (24 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaid=289",
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-public-comments.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-3d033717",
   "fingerprint": "1718042b",
   "rule_id": "sia-r70",
   "rule_label": "No obsolete or deprecated elements are used",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r70",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W27",
    "weeks_observed": 3,
    "affected_pages_current": 6,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 6,
    "pages_affected": 6,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "No obsolete or deprecated elements are used (WCAG criterion undetermined)",
   "description": "No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 6 of 8287 scanned pages (6 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r70",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r70.",
   "actual_behavior": "No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 6 of 8287 scanned pages (6 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=60",
    "https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=90"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/details/nca-decision-memo.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-28ebd979",
   "fingerprint": "032345cc",
   "rule_id": "sia-r11",
   "rule_label": "Link has accessible name",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r11",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 5,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 8,
    "pages_affected": 5,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Link has accessible name (WCAG 2.4.4)",
   "description": "Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 5 of 8287 scanned pages (8 instances).",
   "remediation_tip": "Give the link an accessible name via text content or aria-label.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r11",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r11 (WCAG 2.4.4).",
   "actual_behavior": "Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 5 of 8287 scanned pages (8 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=35&sortBy=title&status=all",
    "https://www.cms.gov/data-research/cms-data/learn-more-about-cms-data"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/medicare-coverage-document.aspx",
     "count": 1
    },
    {
     "pattern": "/data-research/cms-data/learn-more-about-cms-data",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-30db094d",
   "fingerprint": "c8a85210",
   "rule_id": "landmark-banner-is-top-level",
   "rule_label": "Banner landmark should not be contained in another landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 3,
    "affected_pages_current": 4,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 4,
    "pages_affected": 4,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 4 of 8287 scanned pages (4 instances).",
   "remediation_tip": "Put the banner landmark (<header>) at the top level, not nested inside another landmark.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-banner-is-top-level.",
   "actual_behavior": "Banner landmark should not be contained in another landmark. Detected by axe-core rule landmark-banner-is-top-level on 4 of 8287 scanned pages (4 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://www.cms.gov/data-research/statistics-trends-and-reports/mcbs-public-use-file",
    "https://www.cms.gov/Research-Statistics-Data-and-Systems/Downloadable-Public-Use-Files/MCBS-Public-Use-File/index",
    "https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Outpatient.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "469795af",
     "html": "<header class=\"Header\" style=\"position: sticky;\">",
     "selectors": [
      ".Header"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/data-research/statistics-trends-and-reports/mcbs-public-use-file",
     "count": 1
    },
    {
     "pattern": "/Research-Statistics-Data-and-Systems/Downloadable-Public-Use-Files/MCBS-Public-Use-File/index",
     "count": 1
    },
    {
     "pattern": "/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Outpatient.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-400f3a18",
   "fingerprint": "191f610a",
   "rule_id": "sia-r7",
   "rule_label": "Element with lang attribute has correct language",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "3.1.2",
   "wcag_name": "Language of Parts",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r7",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W27",
    "weeks_observed": 2,
    "affected_pages_current": 2,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 10,
    "pages_affected": 2,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Element with lang attribute has correct language (WCAG 3.1.2)",
   "description": "Element with lang attribute has correct language. Detected by Siteimprove Alfa rule sia-r7 on 2 of 8287 scanned pages (10 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r7",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r7 (WCAG 3.1.2).",
   "actual_behavior": "Element with lang attribute has correct language. Detected by Siteimprove Alfa rule sia-r7 on 2 of 8287 scanned pages (10 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33609&lcdStatus=all&sortBy=title&ver=14"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-aa242c2d",
   "fingerprint": "9bf7674d",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W27",
    "weeks_observed": 3,
    "affected_pages_current": 2,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "First focusable element is link to main content (WCAG criterion undetermined)",
   "description": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 2 of 8287 scanned pages (2 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r87.",
   "actual_behavior": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 2 of 8287 scanned pages (2 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
    "http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
     "count": 1
    },
    {
     "pattern": "/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-0ddc2ac6",
   "fingerprint": "04fff361",
   "rule_id": "sia-r42",
   "rule_label": "Element in required WAI-ARIA context role",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r42",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 3,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 5,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 8287 scanned pages (5 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r42",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r42 (WCAG 1.3.1).",
   "actual_behavior": "Element in required WAI-ARIA context role. Detected by Siteimprove Alfa rule sia-r42 on 1 of 8287 scanned pages (5 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-33b49e3b",
   "fingerprint": "04ce6362",
   "rule_id": "sia-r76",
   "rule_label": "Info and Relationships",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r76",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W27",
    "weeks_observed": 2,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 5,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Info and Relationships (WCAG 1.3.1)",
   "description": "Info and Relationships. Detected by Siteimprove Alfa rule sia-r76 on 1 of 8287 scanned pages (5 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r76",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r76 (WCAG 1.3.1).",
   "actual_behavior": "Info and Relationships. Detected by Siteimprove Alfa rule sia-r76 on 1 of 8287 scanned pages (5 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-a48e6078",
   "fingerprint": "2ccef0fa",
   "rule_id": "sia-r8",
   "rule_label": "Form field has accessible name",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r8",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W27",
    "weeks_observed": 3,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Form field has accessible name (WCAG 4.1.2)",
   "description": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 1 of 8287 scanned pages (1 instances).",
   "remediation_tip": "Associate the form field with a label.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r8 (WCAG 4.1.2).",
   "actual_behavior": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 1 of 8287 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/priorities/nursing-home-careers/get-up-40000-student-loan-repayment"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/priorities/nursing-home-careers/get-up-40000-student-loan-repayment",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-6c86a43a",
   "fingerprint": "e18a49c1",
   "rule_id": "meta-viewport",
   "rule_label": "Zooming and scaling must not be disabled",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.4.4",
   "wcag_name": "Resize Text",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/meta-viewport?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 8287 scanned pages (1 instances).",
   "remediation_tip": "Don't disable zoom (user-scalable=no / maximum-scale=1); low-vision users need to zoom.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/meta-viewport?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule meta-viewport (WCAG 1.4.4).",
   "actual_behavior": "Zooming and scaling must not be disabled. Detected by axe-core rule meta-viewport on 1 of 8287 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "e5bc0123",
     "html": "<meta name=\"viewport\" content=\"width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui\">",
     "selectors": [
      "meta[name=\"viewport\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-3a9437f7",
   "fingerprint": "8b80619a",
   "rule_id": "sia-r47",
   "rule_label": "Text is not too small to read",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.4",
   "wcag_name": "Resize Text",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r47",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W27",
    "weeks_observed": 2,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Text is not too small to read (WCAG 1.4.4)",
   "description": "Text is not too small to read. Detected by Siteimprove Alfa rule sia-r47 on 1 of 8287 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r47",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r47 (WCAG 1.4.4).",
   "actual_behavior": "Text is not too small to read. Detected by Siteimprove Alfa rule sia-r47 on 1 of 8287 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-ff3ceb19",
   "fingerprint": "e04cf6f7",
   "rule_id": "landmark-main-is-top-level",
   "rule_label": "Main landmark should not be contained in another landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W27",
    "weeks_observed": 2,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Main landmark should not be contained in another landmark (WCAG criterion undetermined)",
   "description": "Main landmark should not be contained in another landmark. Detected by axe-core rule landmark-main-is-top-level on 1 of 8287 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-main-is-top-level.",
   "actual_behavior": "Main landmark should not be contained in another landmark. Detected by axe-core rule landmark-main-is-top-level on 1 of 8287 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "e5ae8e3c",
     "html": "<div id=\"NAV_MAIN\" role=\"main\">",
     "selectors": [
      "#NAV_MAIN"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-cd69be3a",
   "fingerprint": "dd1abed5",
   "rule_id": "landmark-no-duplicate-main",
   "rule_label": "Document should not have more than one main landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W27",
    "weeks_observed": 2,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Document should not have more than one main landmark (WCAG criterion undetermined)",
   "description": "Document should not have more than one main landmark. Detected by axe-core rule landmark-no-duplicate-main on 1 of 8287 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-no-duplicate-main.",
   "actual_behavior": "Document should not have more than one main landmark. Detected by axe-core rule landmark-no-duplicate-main on 1 of 8287 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "dec3342e",
     "html": "<main>",
     "selectors": [
      "main"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-3d3b2245",
   "fingerprint": "69d9719a",
   "rule_id": "sia-r40",
   "rule_label": "Tables are used for tabular data, not layout",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r40",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W27",
    "last_observed": "2026-W27",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Tables are used for tabular data, not layout (WCAG criterion undetermined)",
   "description": "Tables are used for tabular data, not layout. Detected by Siteimprove Alfa rule sia-r40 on 1 of 8287 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r40",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r40.",
   "actual_behavior": "Tables are used for tabular data, not layout. Detected by Siteimprove Alfa rule sia-r40 on 1 of 8287 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/priorities/health-equity/minority-health/resource-center/language/navajo-dine-bizaad"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/priorities/health-equity/minority-health/resource-center/language/navajo-dine-bizaad",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-7f897be7",
   "fingerprint": "faab1dc3",
   "rule_id": "sia-r20",
   "rule_label": "aria attribute is defined in WAI-ARIA",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r20",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W27",
    "weeks_observed": 2,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "aria attribute is defined in WAI-ARIA (WCAG criterion undetermined)",
   "description": "aria attribute is defined in WAI-ARIA. Detected by Siteimprove Alfa rule sia-r20 on 1 of 8287 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r20",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r20.",
   "actual_behavior": "aria attribute is defined in WAI-ARIA. Detected by Siteimprove Alfa rule sia-r20 on 1 of 8287 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-e05344b9",
   "fingerprint": "9d7a222a",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W27",
    "weeks_observed": 3,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 6,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)",
   "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 1 of 8287 scanned pages (6 instances).",
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r18.",
   "actual_behavior": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 1 of 8287 scanned pages (6 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-0066c67d",
   "fingerprint": "67db3700",
   "rule_id": "empty-heading",
   "rule_label": "Headings should not be empty",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "severity": "Minor",
   "priority": "p4",
   "confidence": "high",
   "rationale": "Minor severity on 20 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 20,
    "affected_pages_previous": 247
   },
   "frequency": {
    "instances": 20,
    "pages_affected": 20,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "summary": "Headings should not be empty (WCAG criterion undetermined)",
   "description": "Headings should not be empty. Detected by axe-core rule empty-heading on 20 of 8287 scanned pages (20 instances).",
   "remediation_tip": "Remove empty headings or give them text. Don't use heading tags for spacing.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule empty-heading.",
   "actual_behavior": "Headings should not be empty. Detected by axe-core rule empty-heading on 20 of 8287 scanned pages (20 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare/quality/nursing-home-improvement/announcements",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=3&sortBy=title&ver=22",
    "http://www.cms.gov/training-education/partner-outreach-resources/privacy"
   ],
   "html_fragments": [
    {
     "fingerprint": "120e25ba",
     "html": "<h3>&nbsp;</h3>",
     "selectors": [
      "h3:nth-child(56)"
     ]
    },
    {
     "fingerprint": "2d19593a",
     "html": "<h4>&nbsp;</h4>",
     "selectors": [
      "h4:nth-child(11)"
     ]
    },
    {
     "fingerprint": "5dbfb04b",
     "html": "<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>",
     "selectors": [
      ".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"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 2
    },
    {
     "pattern": "/marketplace/about/health-insurance-marketplace-quality-initiatives",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d69fc059",
   "fingerprint": "c827d812",
   "rule_id": "empty-table-header",
   "rule_label": "Table header text should not be empty",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "severity": "Minor",
   "priority": "p4",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 8,
    "affected_pages_previous": 28
   },
   "frequency": {
    "instances": 19,
    "pages_affected": 8,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 8 of 8287 scanned pages (19 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule empty-table-header.",
   "actual_behavior": "Table header text should not be empty. Detected by axe-core rule empty-table-header on 8 of 8287 scanned pages (19 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N"
   ],
   "html_fragments": [
    {
     "fingerprint": "88c485c9",
     "html": "<th valign=\"top\"> <p>&nbsp;</p>  </th>",
     "selectors": [
      "tr:nth-child(2) > th:nth-child(1)"
     ]
    },
    {
     "fingerprint": "43aeeac2",
     "html": "<th scope=\"col\">&nbsp;</th>",
     "selectors": [
      "table:nth-child(7) > tbody > tr:nth-child(1) > th[scope=\"col\"]:nth-child(1)",
      "table:nth-child(19) > tbody > tr:nth-child(1) > th[scope=\"col\"]:nth-child(1)"
     ]
    },
    {
     "fingerprint": "89bd6f3c",
     "html": "<th valign=\"top\" style=\"width:39.9pt;border:none;padding:0in 5.4pt 0in 5.4pt\"><p class=\"MsoNormal\" style=\"margin-bottom:8.0pt;line-height:107%\"><o:p>&nbsp;</o:p></p>  </th>",
     "selectors": [
      ".TableGrid1:nth-child(84) > tbody > tr:nth-child(1) > th:nth-child(1)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/details/nca-decision-memo.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-4fac2f41",
   "fingerprint": "550210da",
   "rule_id": "aria-allowed-role",
   "rule_label": "ARIA role should be appropriate for the element",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "severity": "Minor",
   "priority": "p4",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W27",
    "weeks_observed": 4,
    "affected_pages_current": 2,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 3,
    "pages_affected": 2,
    "total_pages_scanned": 8287
   },
   "on_key_page": false,
   "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 2 of 8287 scanned pages (3 instances).",
   "remediation_tip": "Remove or change the ARIA role — it isn't allowed on this element type.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-allowed-role.",
   "actual_behavior": "ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 2 of 8287 scanned pages (3 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
    "http://www.cms.gov/home/medicaid.asp"
   ],
   "html_fragments": [
    {
     "fingerprint": "3407e2e5",
     "html": "<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",
     "selectors": [
      "body"
     ]
    },
    {
     "fingerprint": "afcd1397",
     "html": "<article id=\"carousel-31-panel-0\" class=\"medicaid-carousel__panel is-active\" data-carousel-panel=\"\" data-carousel-index=\"0\" role=\"tabpanel\" aria-labelledby=\"carousel-31-tab-0\">",
     "selectors": [
      "#carousel-31-panel-0"
     ]
    },
    {
     "fingerprint": "571f8a9c",
     "html": "<aside class=\"grid-container\" role=\"complementary\">",
     "selectors": [
      ".landing-page-blue-ribbon > aside"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
     "count": 1
    },
    {
     "pattern": "/home/medicaid.asp",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  }
 ],
 "clusters": {
  "by_wcag_criterion": [
   {
    "cluster_id": "140fec0b",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.8",
    "wcag_name": "Visual Presentation",
    "wcag_level": "AAA",
    "findings": [
     "VS-2208081b",
     "VS-fbf54eba",
     "VS-388b5438",
     "VS-48291402"
    ],
    "total_pages_affected": 4845,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b393058c",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.5",
    "wcag_name": "Target Size (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-cb53cc4d"
    ],
    "total_pages_affected": 3338,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "75cf28e4",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-7118fead"
    ],
    "total_pages_affected": 3288,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "71f257a8",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.6",
    "wcag_name": "Contrast (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-646b1e0b"
    ],
    "total_pages_affected": 1336,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "fd9ed1c5",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.3",
    "wcag_name": "Label in Name",
    "wcag_level": "A",
    "findings": [
     "VS-f7dba940"
    ],
    "total_pages_affected": 1334,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b05da4e9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f054f4a4"
    ],
    "total_pages_affected": 1294,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "36ac08de",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-c18be945"
    ],
    "total_pages_affected": 1266,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "423bd52e",
    "type": "wcag_criterion",
    "wcag_sc": "1.3.1",
    "wcag_name": "Info and Relationships",
    "wcag_level": "A",
    "findings": [
     "VS-a0bdbdf6",
     "VS-6175596b",
     "VS-07ba3b17",
     "VS-d6097011",
     "VS-4408605e",
     "VS-3c632d31",
     "VS-3f067795",
     "VS-0ddc2ac6",
     "VS-33b49e3b"
    ],
    "total_pages_affected": 980,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "77bde739",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.1",
    "wcag_name": "Use of Color",
    "wcag_level": "A",
    "findings": [
     "VS-8ade3360",
     "VS-efd91fdd"
    ],
    "total_pages_affected": 902,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "e08c8d69",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d25f622d"
    ],
    "total_pages_affected": 455,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "4b43ba23",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-2cd767ca"
    ],
    "total_pages_affected": 387,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "24c4a455",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.8",
    "wcag_name": "Target Size (Minimum)",
    "wcag_level": "AA",
    "findings": [
     "VS-179ad9b3"
    ],
    "total_pages_affected": 366,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "8af1f05d",
    "type": "wcag_criterion",
    "wcag_sc": "3.1.1",
    "wcag_name": "Language of Page",
    "wcag_level": "A",
    "findings": [
     "VS-c126b6a6",
     "VS-7a0e5645"
    ],
    "total_pages_affected": 137,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "b8f97020",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-fa44f293"
    ],
    "total_pages_affected": 131,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "a849192e",
    "type": "wcag_criterion",
    "wcag_sc": "4.1.2",
    "wcag_name": "Name, Role, Value",
    "wcag_level": "A",
    "findings": [
     "VS-fafffee0",
     "VS-fab92378",
     "VS-0841abc2",
     "VS-a48e6078"
    ],
    "total_pages_affected": 93,
    "max_severity": "Critical"
   },
   {
    "cluster_id": "0649d9b9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f18df681"
    ],
    "total_pages_affected": 92,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "91fd3b4c",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d5d82446"
    ],
    "total_pages_affected": 90,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "d68f5631",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.3",
    "wcag_name": "Contrast (Minimum)",
    "wcag_level": "AA",
    "findings": [
     "VS-be8d563e",
     "VS-f7e99f4b"
    ],
    "total_pages_affected": 74,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "81bace3d",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-7fbb8b20"
    ],
    "total_pages_affected": 47,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "fa71b48c",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-e43903a1"
    ],
    "total_pages_affected": 47,
    "max_severity": "Moderate"
   }
  ],
  "by_url_pattern": [
   {
    "cluster_id": "7d8c5ddc",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/lcd.aspx",
    "findings": [
     "VS-be8d563e",
     "VS-dd1c019f",
     "VS-48291402",
     "VS-f7e99f4b",
     "VS-efd91fdd",
     "VS-400f3a18"
    ],
    "total_pages": 62
   },
   {
    "cluster_id": "64453d83",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/article.aspx",
    "findings": [
     "VS-4408605e",
     "VS-efd91fdd"
    ],
    "total_pages": 27
   },
   {
    "cluster_id": "034daebc",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
    "findings": [
     "VS-e9fe47ac",
     "VS-6175596b",
     "VS-0ba8ce9d",
     "VS-3f067795",
     "VS-f2542d87",
     "VS-4c341c77",
     "VS-28ebd979",
     "VS-33b49e3b",
     "VS-d69fc059"
    ],
    "total_pages": 26
   },
   {
    "cluster_id": "081c0dd5",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
    "findings": [
     "VS-3f067795",
     "VS-4c341c77",
     "VS-3d033717",
     "VS-d69fc059"
    ],
    "total_pages": 9
   },
   {
    "cluster_id": "e12764b7",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/medicare-coverage-document.aspx",
    "findings": [
     "VS-e9fe47ac",
     "VS-6175596b",
     "VS-f2542d87",
     "VS-28ebd979"
    ],
    "total_pages": 8
   },
   {
    "cluster_id": "86a526d0",
    "type": "url_pattern",
    "pattern": "/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
    "findings": [
     "VS-aa242c2d",
     "VS-6c86a43a",
     "VS-3a9437f7",
     "VS-7f897be7",
     "VS-4fac2f41"
    ],
    "total_pages": 5
   },
   {
    "cluster_id": "ac0064c3",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/details/nca-decision-memo.aspx",
    "findings": [
     "VS-f2542d87",
     "VS-3d033717"
    ],
    "total_pages": 4
   },
   {
    "cluster_id": "b016f25c",
    "type": "url_pattern",
    "pattern": "/data-research/cms-data/learn-more-about-cms-data",
    "findings": [
     "VS-e9fe47ac",
     "VS-28ebd979"
    ],
    "total_pages": 3
   },
   {
    "cluster_id": "13f19d0b",
    "type": "url_pattern",
    "pattern": "/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
    "findings": [
     "VS-dd1c019f",
     "VS-400f3a18"
    ],
    "total_pages": 2
   },
   {
    "cluster_id": "8c161bd8",
    "type": "url_pattern",
    "pattern": "/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files",
    "findings": [
     "VS-aa242c2d",
     "VS-e05344b9"
    ],
    "total_pages": 2
   }
  ]
 },
 "technology_findings": [
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r68",
   "lift": 14.48,
   "pages_with_both": 11,
   "technology_pages": 21,
   "interpretation": "Pages using jQuery UI are 14.48× more likely to have finding alfa:sia-r68."
  },
  {
   "technology": "jQuery UI",
   "finding": "axe:heading-order",
   "lift": 11.05,
   "pages_with_both": 21,
   "technology_pages": 21,
   "interpretation": "Pages using jQuery UI are 11.05× more likely to have finding axe:heading-order."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r78",
   "lift": 7.96,
   "pages_with_both": 11,
   "technology_pages": 21,
   "interpretation": "Pages using jQuery UI are 7.96× more likely to have finding alfa:sia-r78."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r66",
   "lift": 2.92,
   "pages_with_both": 11,
   "technology_pages": 21,
   "interpretation": "Pages using jQuery UI are 2.92× more likely to have finding alfa:sia-r66."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r74",
   "lift": 2.92,
   "pages_with_both": 11,
   "technology_pages": 21,
   "interpretation": "Pages using jQuery UI are 2.92× more likely to have finding alfa:sia-r74."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r14",
   "lift": 2.9,
   "pages_with_both": 11,
   "technology_pages": 21,
   "interpretation": "Pages using jQuery UI are 2.9× more likely to have finding alfa:sia-r14."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "axe:link-in-text-block",
   "lift": 2.81,
   "pages_with_both": 72,
   "technology_pages": 216,
   "interpretation": "Pages using reCAPTCHA are 2.81× more likely to have finding axe:link-in-text-block."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "alfa:sia-r46",
   "lift": 2.81,
   "pages_with_both": 9,
   "technology_pages": 216,
   "interpretation": "Pages using reCAPTCHA are 2.81× more likely to have finding alfa:sia-r46."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "alfa:sia-r80",
   "lift": 2.81,
   "pages_with_both": 8,
   "technology_pages": 216,
   "interpretation": "Pages using reCAPTCHA are 2.81× more likely to have finding alfa:sia-r80."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "axe:color-contrast",
   "lift": 2.81,
   "pages_with_both": 5,
   "technology_pages": 216,
   "interpretation": "Pages using reCAPTCHA are 2.81× more likely to have finding axe:color-contrast."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r53",
   "lift": 2.68,
   "pages_with_both": 11,
   "technology_pages": 21,
   "interpretation": "Pages using jQuery UI are 2.68× more likely to have finding alfa:sia-r53."
  },
  {
   "technology": "Bootstrap",
   "finding": "alfa:sia-r66",
   "lift": 2.54,
   "pages_with_both": 109,
   "technology_pages": 239,
   "interpretation": "Pages using Bootstrap are 2.54× more likely to have finding alfa:sia-r66."
  },
  {
   "technology": "Bootstrap",
   "finding": "alfa:sia-r74",
   "lift": 2.54,
   "pages_with_both": 109,
   "technology_pages": 239,
   "interpretation": "Pages using Bootstrap are 2.54× more likely to have finding alfa:sia-r74."
  },
  {
   "technology": "Microsoft ASP.NET",
   "finding": "alfa:sia-r66",
   "lift": 2.54,
   "pages_with_both": 109,
   "technology_pages": 239,
   "interpretation": "Pages using Microsoft ASP.NET are 2.54× more likely to have finding alfa:sia-r66."
  },
  {
   "technology": "Microsoft ASP.NET",
   "finding": "alfa:sia-r74",
   "lift": 2.54,
   "pages_with_both": 109,
   "technology_pages": 239,
   "interpretation": "Pages using Microsoft ASP.NET are 2.54× more likely to have finding alfa:sia-r74."
  }
 ],
 "third_party_findings": [
  {
   "origin": "gstatic.com",
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   "finding_co_occurrence_rate": 0.77,
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   "example_pages": [
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=3&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40179&ver=7",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55076&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6"
   ]
  },
  {
   "origin": "google.com",
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   "pages_with_findings": 475,
   "finding_co_occurrence_rate": 0.77,
   "median_bytes": 41893,
   "example_pages": [
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=3&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40179&ver=7",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55076&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6"
   ]
  },
  {
   "origin": "tiqcdn.com",
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   "pages_with_findings": 516,
   "finding_co_occurrence_rate": 0.56,
   "median_bytes": 21410,
   "example_pages": [
    "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_release_date&page=14&sort=asc",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12274otn"
   ]
  },
  {
   "origin": "adoberesources.net",
   "pages_served": 918,
   "pages_with_findings": 516,
   "finding_co_occurrence_rate": 0.56,
   "median_bytes": 20183,
   "example_pages": [
    "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_release_date&page=14&sort=asc",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12274otn"
   ]
  },
  {
   "origin": "youtube.com",
   "pages_served": 917,
   "pages_with_findings": 515,
   "finding_co_occurrence_rate": 0.56,
   "median_bytes": 9835,
   "example_pages": [
    "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_release_date&page=14&sort=asc",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12274otn"
   ]
  }
 ],
 "metadata": {
  "generator": "vital-core",
  "schema_version": "0.1",
  "total_pages_scanned": 8287,
  "notes": [
   "Healthy pages (no known issues) are intentionally excluded.",
   "Representative examples are used instead of complete occurrence lists.",
   "Fingerprints are stable hashes for tracking recurring patterns over time.",
   "Fragment fingerprints normalize volatile attributes (id, style, data-*) before hashing.",
   "Technology lift values indicate association, not causation.",
   "Confidence reflects sample size: high=10+ affected pages, medium=3-9, low=1-2."
  ]
 }
}