{
 "domain": "www.cms.gov",
 "week": "2026-W27",
 "generatedAt": "2026-07-18T16:30:43.000Z",
 "reports": [
  {
   "instance_id": "VS-59084c57",
   "pattern_id": "VS-179ad9b3",
   "a11y_pattern_fingerprint": "ea71551d6ae44d748b51cab19b7cac31800ce698217896487087267d2299716d",
   "a11y_pattern_display_id": "A11Y-PAT-EA71551D6AE4",
   "a11y_occurrence_fingerprint": "46a4bc2034b25c106f5bdb9069d2aa7532407ed0555b8c49906df9161c2d4f0d",
   "a11y_occurrence_display_id": "A11Y-OCC-46A4BC2034B2",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
   "xpath": "<a href=\"http://www.cms.gov/\" title=\"CMS Home Page\">",
   "html_snippet": null,
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "frequency": {
    "instances": 888,
    "pages_affected": 366,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "xpath": "<a href=\"http://www.cms.gov/\" title=\"CMS Home Page\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "xpath": "<a href=\"http://www.cms.gov/home/medicare.asp\" title=\"For Healthcare Professionals\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "xpath": "<a href=\"http://www.cms.gov/home/medicaid.asp\" title=\"People With Medicaid and Healthcare Professionals\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8",
     "xpath": "<a href=\"#h3HcpcsCodesHeader\" data-href=\"h3HcpcsCodesHeader\" class=\"nav-link toc-link no-link log-click\" title=\"Jump to CPT/HCPCS Codes\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12",
     "xpath": "<a href=\"#h3HcpcsCodesHeader\" data-href=\"h3HcpcsCodesHeader\" class=\"nav-link toc-link no-link log-click\" title=\"Jump to CPT/HCPCS Codes\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33831&ver=46",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60347&ver=4",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56632&articleStatus=all&bc=3&sortBy=title&ver=31",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57593&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40049&ver=3",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34209&ver=43",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56692&articleStatus=all&bc=3&sortBy=title&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40197&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56397&ver=2",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40037&ver=4",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57649&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57867&articleStatus=all&bc=3&sortBy=title&ver=33",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57788&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=41",
    "https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?bc=AAAAgAAAAAAAAA%3D%3D&NCDId=177&ncdver=5",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=3&sortBy=title&ver=22",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59295&articleStatus=all&bc=3&sortBy=title&ver=6",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56872&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59805&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18"
   ],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html.",
    "Locate the element: <a href=\"http://www.cms.gov/\" title=\"CMS Home Page\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r113.csv"
  },
  {
   "instance_id": "VS-e330168a",
   "pattern_id": "VS-f7dba940",
   "a11y_pattern_fingerprint": "714cfa2672abec642b191ae001c2d17ec37f8b0583bb71ecc7b42f9c7d1949ae",
   "a11y_pattern_display_id": "A11Y-PAT-714CFA2672AB",
   "a11y_occurrence_fingerprint": "105a98083e833cf442b0e6e22f0b448ca44c0bfbcc3bf3ed307acdaa0cfb523f",
   "a11y_occurrence_display_id": "A11Y-OCC-105A98083E83",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
   "xpath": "<a id=\"aBasketManuButton\" class=\"basket-icon log-click \" title=\"View documents in your Basket\" data-page-action=\"Clicked the Basket navbar link.\">",
   "html_snippet": null,
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "frequency": {
    "instances": 3222,
    "pages_affected": 1334,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "description": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 1334 of 8287 scanned pages (3222 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "<a id=\"aBasketManuButton\" class=\"basket-icon log-click \" title=\"View documents in your Basket\" data-page-action=\"Clicked the Basket navbar link.\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "<a href=\"#\" data-bs-toggle=\"collapse\" id=\"aCollapseNavigation\" aria-label=\"Collapse Document Navigation\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
     "xpath": "<a id=\"aBasketManuButton\" class=\"basket-icon log-click \" title=\"View documents in your Basket\" data-page-action=\"Clicked the Basket navbar link.\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
     "xpath": "<a href=\"#\" data-bs-toggle=\"collapse\" id=\"aCollapseNavigation\" aria-label=\"Collapse Document Navigation\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18",
     "xpath": "<a id=\"aBasketManuButton\" class=\"basket-icon log-click \" title=\"View documents in your Basket\" data-page-action=\"Clicked the Basket navbar link.\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55076&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8",
    "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://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58955&articleStatus=all&bc=3&sortBy=title&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38647&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37502&lcdStatus=all&sortBy=title&ver=21",
    "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/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57020&ver=3",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34426&lcdStatus=all&sortBy=title&ver=55",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&ver=30",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33831&ver=46",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57830&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60347&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=37",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56632&articleStatus=all&bc=3&sortBy=title&ver=31",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39636&lcdStatus=all&sortBy=title&ver=4",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35073&lcdStatus=all&sortBy=title&ver=51",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53605&ver=21"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.",
    "Locate the element: <a id=\"aBasketManuButton\" class=\"basket-icon log-click \" title=\"View documents in your Basket\" data-page-action=\"Clicked the Basket navbar link.\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r14.csv"
  },
  {
   "instance_id": "VS-0eab3ca0",
   "pattern_id": "VS-f7280372",
   "a11y_pattern_fingerprint": "00f5b51b0d08cf26be2d44cab15edb1e082bc789e13d286f585611fd2efc6a77",
   "a11y_pattern_display_id": "A11Y-PAT-00F5B51B0D08",
   "a11y_occurrence_fingerprint": "f305932bb0053ec7c7a8336af46365b7877d8a6b53f5b494ef1794ac126a0e7f",
   "a11y_occurrence_display_id": "A11Y-OCC-F305932BB005",
   "url": "https://cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&proposedStatus=all",
   "xpath": "#spnCountSpinner",
   "html_snippet": "<span class=\"ds-c-spinner ds-c-spinner--small\" id=\"spnCountSpinner\" aria-valuetext=\"Loading\" role=\"progressbar\"></span>",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-progressbar-name",
   "rule_label": "ARIA progressbar nodes must have an accessible name",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-progressbar-name?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&proposedStatus=all",
     "xpath": "#spnCountSpinner",
     "html_snippet": "<span class=\"ds-c-spinner ds-c-spinner--small\" id=\"spnCountSpinner\" aria-valuetext=\"Loading\" role=\"progressbar\"></span>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&proposedStatus=all",
     "xpath": "td > .ds-c-spinner[aria-valuetext=\"Loading\"][role=\"progressbar\"]",
     "html_snippet": "<span class=\"ds-c-spinner\" aria-valuetext=\"Loading\" role=\"progressbar\"></span>"
    }
   ],
   "example_pages": [
    "https://cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&proposedStatus=all"
   ],
   "affected_pages": [
    "https://cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&proposedStatus=all"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&proposedStatus=all.",
    "Locate the element: #spnCountSpinner",
    "Confirm the axe-core finding for rule aria-progressbar-name against WCAG 1.1.1 Non-text Content."
   ],
   "remediation_tip": "Give the progressbar an accessible name.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-progressbar-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W27",
   "last_seen": "2026-W27",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__aria-progressbar-name.csv"
  },
  {
   "instance_id": "VS-b3ffc848",
   "pattern_id": "VS-a0bdbdf6",
   "a11y_pattern_fingerprint": "48f283db173037f56f8edbd452466c49cd95560222e4c4e47f4d0f93fb4c3f3c",
   "a11y_pattern_display_id": "A11Y-PAT-48F283DB1730",
   "a11y_occurrence_fingerprint": "91b154a71d53aeaf4e6004834a8abd7cf3052f419460a22940c8dfe977bc373b",
   "a11y_occurrence_display_id": "A11Y-OCC-91B154A71D53",
   "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=3&sortBy=title&ver=16",
   "xpath": "ul:nth-child(5)",
   "html_snippet": "<ul>",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "list",
   "rule_label": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 2352,
    "pages_affected": 617,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=3&sortBy=title&ver=16",
     "xpath": "ul:nth-child(5)",
     "html_snippet": "<ul>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55230&ver=16",
     "xpath": "ul:nth-child(4)",
     "html_snippet": "<ul>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56726&ver=42",
     "xpath": "#lblCmsNationalCoveragePolicy > ul",
     "html_snippet": "<ul>40.1.A. Global surgery period</ul>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=15",
     "xpath": "ol:nth-child(11)",
     "html_snippet": "<ol style=\"list-style-type: decimal;\">"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=15",
     "xpath": "ol:nth-child(11) > ul",
     "html_snippet": "<ul style=\"list-style-type: disc;\">"
    }
   ],
   "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/article.aspx?articleid=55230&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56726&ver=42"
   ],
   "affected_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/article.aspx?articleid=55230&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56726&ver=42",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=15",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A21&f%5B2%5D=topic%3A71&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57715&articleStatus=all&bc=3&sortBy=title&ver=55",
    "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/newsroom/search?f%5B0%5D=topic%3A21&f%5B1%5D=topic%3A176&items_per_page=10&page=0&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://cms.gov/newsroom/search?f%5B0%5D=topic%3A161&f%5B1%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37502&lcdStatus=all&sortBy=title&ver=21",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33906&ver=51",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57830&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36920&lcdStatus=all&sortBy=title&ver=90",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=37",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53033&bc=12&contractorName=all&dateOption=current&sortBy=code&ver=139",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A21&f%5B1%5D=topic%3A71&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34021&lcdStatus=all&sortBy=title&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39314&lcdStatus=all&sortBy=title&ver=11",
    "https://cms.gov/newsroom/search?f%5B0%5D=topic%3A46&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34228&lcdStatus=all&sortBy=title&ver=51",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36377&lcdStatus=all&sortBy=title&ver=7",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33438&lcdStatus=all&sortBy=title&ver=47"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=3&sortBy=title&ver=16.",
    "Locate the element: ul:nth-child(5)",
    "Confirm the axe-core finding for rule list against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "Use <ul>/<ol> with only <li> children for lists; don't fake lists with <div>s.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__list.csv"
  },
  {
   "instance_id": "VS-88b35be5",
   "pattern_id": "VS-6175596b",
   "a11y_pattern_fingerprint": "477c5a00f789604d9caa61e8d3b4a0d249218f41d6535e68d83946787f6130ef",
   "a11y_pattern_display_id": "A11Y-PAT-477C5A00F789",
   "a11y_occurrence_fingerprint": "dd624b52629dc3a2f20cfb2396b822ebc93c23ffc05ba6d8657186f0ff196b7a",
   "a11y_occurrence_display_id": "A11Y-OCC-DD624B52629D",
   "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
   "xpath": "tr:nth-child(2) > td[valign=\"top\"]:nth-child(4) > li:nth-child(1)",
   "html_snippet": "<li> pVO<sub>2</sub>\n  </li>",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "listitem",
   "rule_label": "<li> elements must be contained in a <ul> or <ol>",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 266,
    "pages_affected": 8,
    "total_pages_scanned": 8287
   },
   "likely_source": "unknown",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
     "xpath": "tr:nth-child(2) > td[valign=\"top\"]:nth-child(4) > li:nth-child(1)",
     "html_snippet": "<li> pVO<sub>2</sub>\n  </li>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
     "xpath": "tr:nth-child(2) > td[valign=\"top\"]:nth-child(4) > li:nth-child(2)",
     "html_snippet": "<li>  MLWHFQ\n</li>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
     "xpath": "tr:nth-child(2) > td[valign=\"top\"]:nth-child(4) > li:nth-child(3)",
     "html_snippet": "<li> 6MWT\n  </li>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?bc=20&sortBy=title&taid=26&year=0",
     "xpath": "table:nth-child(64) > tbody > tr:nth-child(3) > td[valign=\"top\"]:nth-child(8) > li",
     "html_snippet": "<li> VAS pain score, 0–100 scale<p></p> </li>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?bc=20&sortBy=title&taid=26&year=0",
     "xpath": "table:nth-child(64) > tbody > tr:nth-child(4) > td[valign=\"top\"]:nth-child(5) > li",
     "html_snippet": "<li> Refractory to medical therapy<p></p> </li>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=289&NcaName=Magnetic+Resonance+Imaging+%28MRI%29+%282nd+Recon%29&proposed=Y&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=33&sortBy=title&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=315&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=20&doctype=all&mcdid=35&sortBy=updated&timeframe=30",
    "https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=ACAAAAAAQAAA&NCAId=292&type=Closed"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N.",
    "Locate the element: tr:nth-child(2) > td[valign=\"top\"]:nth-child(4) > li:nth-child(1)",
    "Confirm the axe-core finding for rule listitem against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "<li> must be inside a <ul> or <ol>.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__listitem.csv"
  },
  {
   "instance_id": "VS-79907f9c",
   "pattern_id": "VS-07ba3b17",
   "a11y_pattern_fingerprint": "78f59582c1f82c5203ddb8b3ce067fb8e29de0f36b7bcb4b37491b2e71c7fe11",
   "a11y_pattern_display_id": "A11Y-PAT-78F59582C1F8",
   "a11y_occurrence_fingerprint": "d5f766cba57bc196c8c7ba270149d1c13c308300606b3acd1170798b6300e063",
   "a11y_occurrence_display_id": "A11Y-OCC-D5F766CBA57B",
   "url": "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=0&sort=asc",
   "xpath": ".MsoTableGrid",
   "html_snippet": "<table class=\"MsoTableGrid\">",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "td-headers-attr",
   "rule_label": "Table cell headers attributes must refer to other <th> elements in the same tabl",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=0&sort=asc",
     "xpath": ".MsoTableGrid",
     "html_snippet": "<table class=\"MsoTableGrid\">"
    },
    {
     "url": "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_revision_date&page=6&sort=asc",
     "xpath": ".MsoTableGrid",
     "html_snippet": "<table class=\"MsoTableGrid\">"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=0&sort=asc.",
    "Locate the element: .MsoTableGrid",
    "Confirm the axe-core finding for rule td-headers-attr against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "Associate data cells with their headers correctly using headers/id or scope.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W27",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/axe-core__td-headers-attr.csv"
  },
  {
   "instance_id": "VS-78b7e6cd",
   "pattern_id": "VS-d6097011",
   "a11y_pattern_fingerprint": "7cefd8f1d607472b06ee37974c2dddc648eab02664154744ce33e16c69a3e39d",
   "a11y_pattern_display_id": "A11Y-PAT-7CEFD8F1D607",
   "a11y_occurrence_fingerprint": "b7062a9b0eb3fe7aeabb5c479df220471607a67c448d53c33969fd58855af49b",
   "a11y_occurrence_display_id": "A11Y-OCC-B7062A9B0EB3",
   "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7",
   "xpath": "<ol style=\"list-style-type: decimal;\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "frequency": {
    "instances": 973,
    "pages_affected": 222,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 222 of 8287 scanned pages (973 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7",
     "xpath": "<ol style=\"list-style-type: decimal;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7",
     "xpath": "<ul style=\"list-style-type: disc;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7",
     "xpath": "<ol style=\"list-style-type: decimal;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22",
     "xpath": "<ul>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22",
     "xpath": "<ul>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=37",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38805&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40189&proposedStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34074&lcdStatus=all&sortBy=title&ver=39",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34061&lcdStatus=all&sortBy=title&ver=25",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33794&lcdStatus=all&sortBy=title&ver=164",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=23",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33954&lcdStatus=all&sortBy=title&ver=26",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=32",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34194&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=39367&lcdStatus=all&sortBy=title",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34353&lcdStatus=all&sortBy=title&ver=35",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36975&lcdStatus=all&sortBy=title&ver=24",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39832&lcdStatus=all&sortBy=title&ver=13",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36524&lcdStatus=all&sortBy=title&ver=36",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37921&lcdStatus=all&sortBy=title",
    "https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdStatus=all",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38506&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=39944&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38566&lcdStatus=all&sortBy=title"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7.",
    "Locate the element: <ol style=\"list-style-type: decimal;\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r68.csv"
  },
  {
   "instance_id": "VS-2e71bf2f",
   "pattern_id": "VS-4408605e",
   "a11y_pattern_fingerprint": "7ffa87e4deb23583b3dbd939e3827738682c8ae8fcd1df96b4508a5a69724e29",
   "a11y_pattern_display_id": "A11Y-PAT-7FFA87E4DEB2",
   "a11y_occurrence_fingerprint": "092821c58a49d4f28683d61eaf67e570517038e6dd804514e027594d2a239b82",
   "a11y_occurrence_display_id": "A11Y-OCC-092821C58A49",
   "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12",
   "xpath": "<th scope=\"col\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r46",
   "rule_label": "Element has required aria-owns",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r46",
   "severity": "Moderate",
   "frequency": {
    "instances": 192,
    "pages_affected": 109,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12",
     "xpath": "<th scope=\"col\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12",
     "xpath": "<th scope=\"col\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12",
     "xpath": "<th scope=\"col\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12",
     "xpath": "<th scope=\"col\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57593&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17",
     "xpath": "<th scope=\"col\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56692&articleStatus=all&bc=3&sortBy=title&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59101&ver=23",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57649&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57788&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=41",
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57071&articleStatus=all&bc=3&sortBy=title&ver=36",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57791&articleStatus=all&bc=3&sortBy=title&ver=12",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58229&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57224&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=68",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56462&articleStatus=all&bc=3&sortBy=title&ver=32",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57327&articleStatus=all&bc=3&sortBy=title&ver=36",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53252&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=237",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58243&ver=3",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57791&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56850&articleStatus=all&bc=3&sortBy=title&ver=32",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57065&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=32",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52992&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=30",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57614&ver=15",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56666&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=19",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57113&ver=44",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57305&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56493&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12.",
    "Locate the element: <th scope=\"col\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r46 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r46",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W27",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/alfa__sia-r46.csv"
  },
  {
   "instance_id": "VS-ca93e8b4",
   "pattern_id": "VS-3c632d31",
   "a11y_pattern_fingerprint": "8c3a99f8d381dce2fac066e856cc43651ce7721fc0359ff99725354cac86eb2b",
   "a11y_pattern_display_id": "A11Y-PAT-8C3A99F8D381",
   "a11y_occurrence_fingerprint": "ca97b6292038560e03ba845f6a172d3a99aa5e329271a3c56698b176589dbc2f",
   "a11y_occurrence_display_id": "A11Y-OCC-CA97B6292038",
   "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=3&sortBy=title&ver=22",
   "xpath": "<h4>",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r64",
   "rule_label": "Element has required owned roles",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r64",
   "severity": "Moderate",
   "frequency": {
    "instances": 11,
    "pages_affected": 11,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=3&sortBy=title&ver=22",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/training-education/partner-outreach-resources/privacy",
     "xpath": "<h3 class=\"node__title ds-u-font-size--xl\">",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/quality/health-insurance-marketplace-initiatives",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/quality-improvement-interventions",
     "xpath": "<h3 class=\"ds-u-color--primary ds-u-margin-bottom--1\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare/quality/health-insurance-marketplace-initiatives",
    "http://www.cms.gov/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/quality-improvement-interventions",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37244&lcdStatus=all&sortBy=title&ver=39",
    "https://www.cms.gov/marketplace/about/oversight/other-insurance-protections/prescription-drug-data-collection-rxdc",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59487&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14",
    "https://www.cms.gov/priorities/health-equity/minority-health/officina-salud-minorias/observancias-salud",
    "https://cms.gov/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/quality-improvement-interventions",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37578&lcdStatus=all&sortBy=title&ver=30"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=3&sortBy=title&ver=22.",
    "Locate the element: <h4>",
    "Confirm the Siteimprove Alfa finding for rule sia-r64 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r64",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r64.csv"
  },
  {
   "instance_id": "VS-ca6fa621",
   "pattern_id": "VS-3f067795",
   "a11y_pattern_fingerprint": "78859f9bb677fb82bc73ff8fe3a5292938d2155aeacfed11f1dbb4c6a666b0b7",
   "a11y_pattern_display_id": "A11Y-PAT-78859F9BB677",
   "a11y_occurrence_fingerprint": "a6aca3e9dee6e36cfb74481fa201ba64d5103e7abdcafc0b10b89bac6e1f3090",
   "a11y_occurrence_display_id": "A11Y-OCC-A6ACA3E9DEE6",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
   "xpath": "<td colspan=\"6\" valign=\"top\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r77",
   "rule_label": "Table cell has header",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r77",
   "severity": "Moderate",
   "frequency": {
    "instances": 385,
    "pages_affected": 9,
    "total_pages_scanned": 8287
   },
   "likely_source": "unknown",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "<td colspan=\"6\" valign=\"top\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33",
     "xpath": "<td valign=\"top\" scope=\"row\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33",
     "xpath": "<td valign=\"top\" scope=\"row\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33",
     "xpath": "<td valign=\"top\" scope=\"row\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
     "xpath": "<td nowrap=\"\" style=\"background:#4C94D8;mso-background-themecolor:text2; mso-background-themetint:128;padding:0in 5.4pt 0in 5.4pt;height:15.0pt\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=224&proposed=Y",
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=55",
    "https://www.cms.gov/medicare-coverage-database/reports/national-coverage-medicare-coverage-documents-report.aspx?docTypeId=1&status=all",
    "https://www.cms.gov/medicare-coverage-database/reports/national-coverage-medicare-coverage-documents-report.aspx?docTypeId=-1&sortBy=title&status=all",
    "https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=190&ncdver=2",
    "https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=ACAAAAAAQAAA&NCAId=292&type=Closed"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.",
    "Locate the element: <td colspan=\"6\" valign=\"top\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r77 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r77",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r77.csv"
  },
  {
   "instance_id": "VS-6ba7deb5",
   "pattern_id": "VS-0ddc2ac6",
   "a11y_pattern_fingerprint": "f82e0876a0aeb9f424dea8f9a63644b45e168593f4b93bed5866d4f0ac616dc9",
   "a11y_pattern_display_id": "A11Y-PAT-F82E0876A0AE",
   "a11y_occurrence_fingerprint": "d7f9809e6314c2ee9a198bee9179c216fd5858321eedbc551cef64f29fb741f1",
   "a11y_occurrence_display_id": "A11Y-OCC-D7F9809E6314",
   "url": "https://www.cms.gov/",
   "xpath": "<button type=\"button\" id=\"trigger-tabs-1562390284\" aria-expanded=\"false\" class=\"responsive-tabs__tab-button--mobile ds-u-display--flex\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r42",
   "rule_label": "Element in required WAI-ARIA context role",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r42",
   "severity": "Moderate",
   "frequency": {
    "instances": 5,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "summary": "Element in required WAI-ARIA context role (WCAG 1.3.1)",
   "description": "Element in required WAI-ARIA context role. Detected by Siteimprove Alfa rule sia-r42 on 1 of 8287 scanned pages (5 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/",
     "xpath": "<button type=\"button\" id=\"trigger-tabs-1562390284\" aria-expanded=\"false\" class=\"responsive-tabs__tab-button--mobile ds-u-display--flex\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/",
     "xpath": "<button type=\"button\" id=\"trigger-tabs-1487168828\" aria-expanded=\"false\" class=\"responsive-tabs__tab-button--mobile ds-u-display--flex\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/",
     "xpath": "<button type=\"button\" id=\"trigger-tabs-1105979058\" aria-expanded=\"false\" class=\"responsive-tabs__tab-button--mobile ds-u-display--flex\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/"
   ],
   "affected_pages": [
    "https://www.cms.gov/"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/.",
    "Locate the element: <button type=\"button\" id=\"trigger-tabs-1562390284\" aria-expanded=\"false\" class=\"responsive-tabs__tab-button--mobile ds-u-display--flex\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r42 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r42",
   "possible_duplicate_of": "VS-79907f9c",
   "possible_duplicate_pattern": "VS-07ba3b17",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/alfa__sia-r42.csv"
  },
  {
   "instance_id": "VS-5dc13dda",
   "pattern_id": "VS-33b49e3b",
   "a11y_pattern_fingerprint": "69bce8bfa72ef5a919d399ebbf8d6337463d2f825dbfcc834e9e3edd67a8d6e8",
   "a11y_pattern_display_id": "A11Y-PAT-69BCE8BFA72E",
   "a11y_occurrence_fingerprint": "d647137c02a28f49d865782584b0aecb316d68fec3ad44b7269679fdbf5c94de",
   "a11y_occurrence_display_id": "A11Y-OCC-D647137C02A2",
   "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
   "xpath": "<th nowrap=\"\" style=\"background:#4C94D8;mso-background-themecolor: text2;mso-background-themetint:128;padding:0in 5.4pt 0in 5.4pt;height:15.0pt\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r76",
   "rule_label": "Info and Relationships",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r76",
   "severity": "Moderate",
   "frequency": {
    "instances": 5,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
     "xpath": "<th nowrap=\"\" style=\"background:#4C94D8;mso-background-themecolor: text2;mso-background-themetint:128;padding:0in 5.4pt 0in 5.4pt;height:15.0pt\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
     "xpath": "<th nowrap=\"\" style=\"background:#4C94D8;mso-background-themecolor:text2; mso-background-themetint:128;padding:0in 5.4pt 0in 5.4pt;height:15.0pt\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
     "xpath": "<th nowrap=\"\" style=\"background:#4C94D8;mso-background-themecolor:text2; mso-background-themetint:128;padding:0in 5.4pt 0in 5.4pt;height:15.0pt\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N"
   ],
   "affected_pages": [
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N.",
    "Locate the element: <th nowrap=\"\" style=\"background:#4C94D8;mso-background-themecolor: text2;mso-background-themetint:128;padding:0in 5.4pt 0in 5.4pt;height:15.0pt\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r76 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r76",
   "possible_duplicate_of": "VS-79907f9c",
   "possible_duplicate_pattern": "VS-07ba3b17",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W27",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r76.csv"
  },
  {
   "instance_id": "VS-01080991",
   "pattern_id": "VS-8ade3360",
   "a11y_pattern_fingerprint": "c133a2fff5696d812e0401fb5dc714dd5cd1be550d65eb40b13b35c72a83c94d",
   "a11y_pattern_display_id": "A11Y-PAT-C133A2FFF569",
   "a11y_occurrence_fingerprint": "239121e3789870ddc3fe0b47be1e4ebd82a26d2fcacd92005a36693ca58a095c",
   "a11y_occurrence_display_id": "A11Y-OCC-239121E37898",
   "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40179&ver=7",
   "xpath": "#lblProposedLcd > .system-link.log-click[target=\"_blank\"]",
   "html_snippet": "<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",
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "link-in-text-block",
   "rule_label": "Links must be distinguishable without relying on color",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 2140,
    "pages_affected": 894,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "summary": "Links must be distinguishable without relying on color (WCAG 1.4.1)",
   "description": "Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 894 of 8287 scanned pages (2140 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40179&ver=7",
     "xpath": "#lblProposedLcd > .system-link.log-click[target=\"_blank\"]",
     "html_snippet": "<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"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40179&ver=7",
     "xpath": "li:nth-child(4) > a[rel=\"noopener\"][target=\"_blank\"]",
     "html_snippet": "<a href=\"https://www.nccn.org/guidelines/guidelines-detail?category=1&id=1416\" target=\"_blank\" rel=\"noopener\">"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40179&ver=7",
     "xpath": "li:nth-child(5) > a[rel=\"noopener\"][target=\"_blank\"]",
     "html_snippet": "<a href=\"https://www.nccn.org/guidelines/guidelines-detail?category=1&id=1465\" target=\"_blank\" rel=\"noopener\">"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&ver=25",
     "xpath": "#lblProposedLcd > .system-link.log-click[target=\"_blank\"]",
     "html_snippet": "<a href=\"https://localcoverage.cms.gov/mcd_archive/view/lcd.aspx?lcdInfo=36459:5\" target=\"_blank\" class=\"log-click system-link\" data-page-action=\"Clicked the Source Proposed LCD link\">DL36460</a>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=15",
     "xpath": "#lblProposedLcd > .system-link.log-click[target=\"_blank\"]",
     "html_snippet": "<a href=\"https://localcoverage.cms.gov/mcd_archive/view/lcd.aspx?lcdInfo=39014:7\" target=\"_blank\" class=\"log-click system-link\" data-page-action=\"Clicked the Source Proposed LCD link\">DL39015</a>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "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",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36406&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38647&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37502&lcdStatus=all&sortBy=title&ver=21",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=40000&ver=3",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38645&lcdStatus=all&sortBy=title&ver=5",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33906&ver=51",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34426&lcdStatus=all&sortBy=title&ver=55",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&ver=30",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33831&ver=46",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36920&lcdStatus=all&sortBy=title&ver=90",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=37",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39636&lcdStatus=all&sortBy=title&ver=4",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37750&lcdStatus=all&sortBy=title&ver=29",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39314&lcdStatus=all&sortBy=title&ver=11",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40049&ver=3",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39962&lcdStatus=all&sortBy=title&ver=4",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34633&lcdStatus=all&sortBy=title&ver=54"
   ],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40179&ver=7.",
    "Locate the element: #lblProposedLcd > .system-link.log-click[target=\"_blank\"]",
    "Confirm the axe-core finding for rule link-in-text-block against WCAG 1.4.1 Use of Color."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__link-in-text-block.csv"
  },
  {
   "instance_id": "VS-40c36708",
   "pattern_id": "VS-efd91fdd",
   "a11y_pattern_fingerprint": "4de5ba4dbb23095845021d527ac4c9e27dcf3074f9971ad6d8e5b199ff163fb9",
   "a11y_pattern_display_id": "A11Y-PAT-4DE5BA4DBB23",
   "a11y_occurrence_fingerprint": "1875701b675f12a01af2c1afe9c4fd6d34cbe7ff678afc2ac1daaf655291b3a5",
   "a11y_occurrence_display_id": "A11Y-OCC-1875701B675F",
   "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34196&lcdStatus=all&sortBy=title&ver=30",
   "xpath": "<a href=\"#\" data-bs-toggle=\"modal\" data-bs-target=\"#MCDNoticeBoadModal\" id=\"aBoardItemLink_2\">",
   "html_snippet": null,
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r62",
   "rule_label": "Link in text block is visually distinguishable without color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r62",
   "severity": "Moderate",
   "frequency": {
    "instances": 8,
    "pages_affected": 8,
    "total_pages_scanned": 8287
   },
   "likely_source": "unknown",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34196&lcdStatus=all&sortBy=title&ver=30",
     "xpath": "<a href=\"#\" data-bs-toggle=\"modal\" data-bs-target=\"#MCDNoticeBoadModal\" id=\"aBoardItemLink_2\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57797&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9",
     "xpath": "<a href=\"#\" data-bs-toggle=\"modal\" data-bs-target=\"#MCDNoticeBoadModal\" id=\"aBoardItemLink_2\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53084&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=28",
     "xpath": "<a href=\"#\" data-bs-toggle=\"modal\" data-bs-target=\"#MCDNoticeBoadModal\" id=\"aBoardItemLink_2\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59809&articleStatus=all&bc=3&sortBy=title&ver=10",
     "xpath": "<a href=\"#\" data-bs-toggle=\"modal\" data-bs-target=\"#MCDNoticeBoadModal\" id=\"aBoardItemLink_2\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/overview-and-quick-search.aspx",
     "xpath": "<a href=\"#\" data-bs-toggle=\"modal\" data-bs-target=\"#MCDNoticeBoadModal\" id=\"aBoardItemLink_2\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59809&articleStatus=all&bc=3&sortBy=title&ver=10",
    "https://cms.gov/medicare-coverage-database/overview-and-quick-search.aspx",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35121&lcdStatus=all&sortBy=title&ver=31",
    "https://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?ArticleType=SAD%7CEd&bc=IAAAACAAAAAA&CoverageSelection=Local&CptHcpcsCode=92145&kq=true&LCDId=36954&PolicyType=Both&s=All&SearchType=Advanced&ver=26",
    "http://www.cms.gov/medicare-coverage-database/new-search/search.aspx"
   ],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34196&lcdStatus=all&sortBy=title&ver=30.",
    "Locate the element: <a href=\"#\" data-bs-toggle=\"modal\" data-bs-target=\"#MCDNoticeBoadModal\" id=\"aBoardItemLink_2\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r62 against WCAG 1.4.1 Use of Color."
   ],
   "remediation_tip": "Make links visually distinguishable from surrounding text (not by color alone).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r62.csv"
  },
  {
   "instance_id": "VS-a1ce930a",
   "pattern_id": "VS-e9fe47ac",
   "a11y_pattern_fingerprint": "8d928f7a5f9e2c8e14e3dce2ba0469fcfd753287ea2b4dd2d2108809b6c7dbb6",
   "a11y_pattern_display_id": "A11Y-PAT-8D928F7A5F9E",
   "a11y_occurrence_fingerprint": "f93c0111c5f49c7e81cdacd15085bb5c3c9f96e26ad3388f53ae3b222a1144a3",
   "a11y_occurrence_display_id": "A11Y-OCC-F93C0111C5F4",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=320&proposed=Y",
   "xpath": "ol[type=\"A\"] > a[href$=\"#5A\"]",
   "html_snippet": "<a href=\"#5A\">\n</a>",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 19,
    "pages_affected": 9,
    "total_pages_scanned": 8287
   },
   "likely_source": "unknown",
   "summary": "Links must have discernible text (WCAG 2.4.4)",
   "description": "Links must have discernible text. Detected by axe-core rule link-name on 9 of 8287 scanned pages (19 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=320&proposed=Y",
     "xpath": "ol[type=\"A\"] > a[href$=\"#5A\"]",
     "html_snippet": "<a href=\"#5A\">\n</a>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=320&proposed=Y",
     "xpath": "li:nth-child(3) > a[href$=\"#5A\"]",
     "html_snippet": "<a href=\"#5A\"></a>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=320&proposed=Y",
     "xpath": "ol[type=\"I\"] > a[href$=\"#5B\"]",
     "html_snippet": "<a href=\"#5B\">\n</a>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
     "xpath": "ol[type=\"I\"] > a[href$=\"#3I6\"]",
     "html_snippet": "<a href=\"#3I6\">\n\n<strong></strong></a>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
     "xpath": "strong:nth-child(1) > a[href$=\"#3I6\"]",
     "html_snippet": "<a href=\"#3I6\"></a>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=20&doctype=all&mcdid=35&sortBy=updated&timeframe=30",
    "https://cms.gov/medicare/medicare-contracting/medicare-administrative-contractors/archive-j11-now-known-as-jurisdiction-m",
    "https://www.cms.gov/medicare/enrollment-renewal/providers-suppliers/hospitals-center",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=320&proposed=Y"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=320&proposed=Y.",
    "Locate the element: ol[type=\"A\"] > a[href$=\"#5A\"]",
    "Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context)."
   ],
   "remediation_tip": "Give the link discernible text. Avoid empty links and icon-only links without an aria-label.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "\"Read more\" links from Drupal Views should use the \"Link text\" rewrite field to add context, or add aria-label via the Views rewrite output.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__link-name.csv"
  },
  {
   "instance_id": "VS-23ab4948",
   "pattern_id": "VS-28ebd979",
   "a11y_pattern_fingerprint": "021175cc62d2bfcedccc80b1cdc5688d32e1c1eb5e4611f39b865cbdd346ab62",
   "a11y_pattern_display_id": "A11Y-PAT-021175CC62D2",
   "a11y_occurrence_fingerprint": "552d0c7db5489eabe3433de78643f5687caa25393fda88f4970f83a483ef54f3",
   "a11y_occurrence_display_id": "A11Y-OCC-552D0C7DB548",
   "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
   "xpath": "<a href=\"#3I6\">",
   "html_snippet": null,
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r11",
   "rule_label": "Link has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r11",
   "severity": "Moderate",
   "frequency": {
    "instances": 8,
    "pages_affected": 5,
    "total_pages_scanned": 8287
   },
   "likely_source": "unknown",
   "summary": "Link has accessible name (WCAG 2.4.4)",
   "description": "Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 5 of 8287 scanned pages (8 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
     "xpath": "<a href=\"#3I6\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
     "xpath": "<a href=\"#3I6\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=35&sortBy=title&status=all",
     "xpath": "<a href=\"#X\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=35&sortBy=title&status=all",
     "xpath": "<a href=\"#X\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/data-research/cms-data/learn-more-about-cms-data",
     "xpath": "<a href=\"/data-research/cms-data/data-available-qualified-entities\" target=\"_blank\" data-entity-substitution=\"canonical\" data-entity-type=\"node\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/medicare/medicare-contracting/medicare-administrative-contractors/archive-j11-now-known-as-jurisdiction-m",
    "https://www.cms.gov/medicare/enrollment-renewal/providers-suppliers/hospitals-center"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N.",
    "Locate the element: <a href=\"#3I6\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r11 against WCAG 2.4.4 Link Purpose (In Context)."
   ],
   "remediation_tip": "Give the link an accessible name via text content or aria-label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r11",
   "possible_duplicate_of": "VS-a1ce930a",
   "possible_duplicate_pattern": "VS-e9fe47ac",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r11.csv"
  },
  {
   "instance_id": "VS-b6d0e2cb",
   "pattern_id": "VS-c126b6a6",
   "a11y_pattern_fingerprint": "b7442ecec422c9ea5529350523f7782c182cdaa20f17a6b784c1a6cc960ebc51",
   "a11y_pattern_display_id": "A11Y-PAT-B7442ECEC422",
   "a11y_occurrence_fingerprint": "39e3f45f6f0e385b22189005f1cb789839a14e32ddcc52f87ed4f591bde26fa8",
   "a11y_occurrence_display_id": "A11Y-OCC-39E3F45F6F0E",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
   "xpath": "html",
   "html_snippet": "<html>",
   "wcag_sc": "3.1.1",
   "wcag_name": "Language of Page",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "html-has-lang",
   "rule_label": "<html> element must have a lang attribute",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 90,
    "pages_affected": 90,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "summary": "<html> element must have a lang attribute (WCAG 3.1.1)",
   "description": "<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 90 of 8287 scanned pages (90 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0178.html",
     "xpath": "html",
     "html_snippet": "<html>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0178.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0245.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0260.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0293.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0386.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0163.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0188.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0327.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0155.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0253.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0051.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0032.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0057.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0025.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0102.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0169.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0234.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0120.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0015.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule html-has-lang against WCAG 3.1.1 Language of Page."
   ],
   "remediation_tip": "Add a lang attribute to <html> (e.g. lang=\"en\").",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Drupal sets the page lang attribute from Admin › Configuration › Regional and Language › Languages. Ensure the default language is configured.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__html-has-lang.csv"
  },
  {
   "instance_id": "VS-497c6e09",
   "pattern_id": "VS-7a0e5645",
   "a11y_pattern_fingerprint": "54500cbd05eb59c8569f8bd8ecb39fd022278602bbe3fafb15344d45cc2f686d",
   "a11y_pattern_display_id": "A11Y-PAT-54500CBD05EB",
   "a11y_occurrence_fingerprint": "088bf52599a21b556725b81ce357132d453e4a81536f6b3656831ee332324106",
   "a11y_occurrence_display_id": "A11Y-OCC-088BF52599A2",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
   "xpath": "<html>",
   "html_snippet": null,
   "wcag_sc": "3.1.1",
   "wcag_name": "Language of Page",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r4",
   "rule_label": "Document has a valid lang attribute",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r4",
   "severity": "Moderate",
   "frequency": {
    "instances": 47,
    "pages_affected": 47,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "xpath": "<html>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "xpath": "<html>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html",
     "xpath": "<html>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html",
     "xpath": "<html>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html",
     "xpath": "<html>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0327.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0051.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0032.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0025.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0102.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0234.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0120.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0015.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0329.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0153.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0252.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0177.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0122.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0347.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0087.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0275.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0194.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0513.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0894.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html.",
    "Locate the element: <html>",
    "Confirm the Siteimprove Alfa finding for rule sia-r4 against WCAG 3.1.1 Language of Page."
   ],
   "remediation_tip": "Add a valid lang attribute to <html>.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r4",
   "possible_duplicate_of": "VS-b6d0e2cb",
   "possible_duplicate_pattern": "VS-c126b6a6",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r4.csv"
  },
  {
   "instance_id": "VS-8c488e2b",
   "pattern_id": "VS-fafffee0",
   "a11y_pattern_fingerprint": "55d019f5d10bd994cd8723d95b7b051b17c038a1fa605b765999d78f39974789",
   "a11y_pattern_display_id": "A11Y-PAT-55D019F5D10B",
   "a11y_occurrence_fingerprint": "4ed65d33830f3cc502221bf6ffbc94e5b51816c1d534b7e2923723cb2305c75d",
   "a11y_occurrence_display_id": "A11Y-OCC-4ED65D33830F",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
   "xpath": "#q",
   "html_snippet": "<input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "label",
   "rule_label": "Form elements must have labels",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 90,
    "pages_affected": 90,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "xpath": "#q",
     "html_snippet": "<input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "xpath": "#q",
     "html_snippet": "<input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html",
     "xpath": "#q",
     "html_snippet": "<input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html",
     "xpath": "#q",
     "html_snippet": "<input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0178.html",
     "xpath": "#q",
     "html_snippet": "<input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0178.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0245.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0260.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0293.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0386.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0163.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0188.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0327.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0155.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0253.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0051.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0032.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0057.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0025.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0102.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0169.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0234.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0120.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0015.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html.",
    "Locate the element: #q",
    "Confirm the axe-core finding for rule label against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Associate every form control with a <label> (via for/id) or an aria-label/aria-labelledby.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Use Drupal's form element \"Label\" setting. In Webform, every element has a Label field — ensure it's not empty or hidden. Check that twig templates don't strip <label> elements from form fields.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W26",
   "last_seen": "2026-W27",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__label.csv"
  },
  {
   "instance_id": "VS-a12223ee",
   "pattern_id": "VS-fab92378",
   "a11y_pattern_fingerprint": "12875ef0573d07ca09cba5a2551270eb72090d1a89659097d3695dbf3c4997d1",
   "a11y_pattern_display_id": "A11Y-PAT-12875EF0573D",
   "a11y_occurrence_fingerprint": "c1d48440ecbc6af48a65f2f982e9f1dc59d62f2e5399a7aa1eaa6c4b301a987d",
   "a11y_occurrence_display_id": "A11Y-OCC-C1D48440ECBC",
   "url": "https://www.cms.gov/priorities/innovation/models/medicare-demonstrations",
   "xpath": ".per-page-select-1",
   "html_snippet": "<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>",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "select-name",
   "rule_label": "Select element must have an accessible name",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/priorities/innovation/models/medicare-demonstrations",
     "xpath": ".per-page-select-1",
     "html_snippet": "<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>"
    },
    {
     "url": "https://www.cms.gov/priorities/innovation/models/medicare-demonstrations",
     "xpath": ".per-page-select-2",
     "html_snippet": "<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>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/priorities/innovation/models/medicare-demonstrations"
   ],
   "affected_pages": [
    "https://www.cms.gov/priorities/innovation/models/medicare-demonstrations"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/priorities/innovation/models/medicare-demonstrations.",
    "Locate the element: .per-page-select-1",
    "Confirm the axe-core finding for rule select-name against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Give the <select> an accessible name via a <label> or aria-label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W26",
   "last_seen": "2026-W27",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__select-name.csv"
  },
  {
   "instance_id": "VS-6e858b03",
   "pattern_id": "VS-0841abc2",
   "a11y_pattern_fingerprint": "1ac6a69cac2821df124e33edfa97d41767d587129e40f777d0a4ff8297237134",
   "a11y_pattern_display_id": "A11Y-PAT-1AC6A69CAC28",
   "a11y_occurrence_fingerprint": "6c847979d65d02f82d9739f62315ceb4a5fd7e5f1fecf984ba1d90ce263945e5",
   "a11y_occurrence_display_id": "A11Y-OCC-6C847979D65D",
   "url": "https://www.cms.gov/files/linked-video-files/long-term-care-indian-country-oneida-nation-wisconsin",
   "xpath": "#simplebox-placeholder",
   "html_snippet": "<yt-formatted-string id=\"simplebox-placeholder\" role=\"textbox\" tabindex=\"0\" class=\"style-scope ytd-comment-simplebox-renderer\">Add a comment...</yt-formatted-string>",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-input-field-name",
   "rule_label": "ARIA input fields must have an accessible name",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/files/linked-video-files/long-term-care-indian-country-oneida-nation-wisconsin",
     "xpath": "#simplebox-placeholder",
     "html_snippet": "<yt-formatted-string id=\"simplebox-placeholder\" role=\"textbox\" tabindex=\"0\" class=\"style-scope ytd-comment-simplebox-renderer\">Add a comment...</yt-formatted-string>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/files/linked-video-files/long-term-care-indian-country-oneida-nation-wisconsin"
   ],
   "affected_pages": [
    "https://www.cms.gov/files/linked-video-files/long-term-care-indian-country-oneida-nation-wisconsin"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/files/linked-video-files/long-term-care-indian-country-oneida-nation-wisconsin.",
    "Locate the element: #simplebox-placeholder",
    "Confirm the axe-core finding for rule aria-input-field-name against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W27",
   "last_seen": "2026-W27",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__aria-input-field-name.csv"
  },
  {
   "instance_id": "VS-5540b04d",
   "pattern_id": "VS-a48e6078",
   "a11y_pattern_fingerprint": "be0420ca757b4ac4057f508e818c9eee6fd2f8da041eb0df8b8e3ffbf2eeaf35",
   "a11y_pattern_display_id": "A11Y-PAT-BE0420CA757B",
   "a11y_occurrence_fingerprint": "01b95a46e2d2f4a8678531483908a20e169c8b2b1ee3c9a50bbe2d655d4f4539",
   "a11y_occurrence_display_id": "A11Y-OCC-01B95A46E2D2",
   "url": "https://www.cms.gov/priorities/nursing-home-careers/get-up-40000-student-loan-repayment",
   "xpath": "<input class=\"long email_text_field ds-c-field\" name=\"email\" id=\"email\" type=\"email\">",
   "html_snippet": null,
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r8",
   "rule_label": "Form field has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r8",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/priorities/nursing-home-careers/get-up-40000-student-loan-repayment",
     "xpath": "<input class=\"long email_text_field ds-c-field\" name=\"email\" id=\"email\" type=\"email\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/priorities/nursing-home-careers/get-up-40000-student-loan-repayment"
   ],
   "affected_pages": [
    "https://www.cms.gov/priorities/nursing-home-careers/get-up-40000-student-loan-repayment"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/priorities/nursing-home-careers/get-up-40000-student-loan-repayment.",
    "Locate the element: <input class=\"long email_text_field ds-c-field\" name=\"email\" id=\"email\" type=\"email\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r8 against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Associate the form field with a label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8",
   "possible_duplicate_of": "VS-6e858b03",
   "possible_duplicate_pattern": "VS-0841abc2",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W27",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/alfa__sia-r8.csv"
  },
  {
   "instance_id": "VS-3710ce48",
   "pattern_id": "VS-be8d563e",
   "a11y_pattern_fingerprint": "c97685839ec416ca6b718d37cdb7dd0086c5fed5e59de726581272efaf94e1d9",
   "a11y_pattern_display_id": "A11Y-PAT-C97685839EC4",
   "a11y_occurrence_fingerprint": "63049abd222ce3383d9db51a9df6aaa055a0af6bdeab4354d95273ec41a4f12d",
   "a11y_occurrence_display_id": "A11Y-OCC-63049ABD222C",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
   "xpath": "font[color=\"FF0000\"] > p:nth-child(1) > strong",
   "html_snippet": "<strong>3. Blood-based Biomarker Tests (effective January XX, 2021)</strong>",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 371,
    "pages_affected": 50,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "font[color=\"FF0000\"] > p:nth-child(1) > strong",
     "html_snippet": "<strong>3. Blood-based Biomarker Tests (effective January XX, 2021)</strong>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "font[color=\"FF0000\"] > p:nth-child(2)",
     "html_snippet": "<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 "
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "font[color=\"FF0000\"] > p:nth-child(3)",
     "html_snippet": "<p>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39464&lcdStatus=all&sortBy=title&ver=8",
     "xpath": "td[rowspan=\"2\"]:nth-child(1) > p",
     "html_snippet": "<p style=\"text-align: center;\">Outcomes</p>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39464&lcdStatus=all&sortBy=title&ver=8",
     "xpath": "td[width=\"26%\"][rowspan=\"2\"] > p",
     "html_snippet": "<p style=\"text-align: center;\">Comments</p>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33832&lcdStatus=all&sortBy=title&ver=20",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34425&lcdStatus=all&sortBy=title&ver=43",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37897&lcdStatus=all&sortBy=title&ver=18",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33828&lcdStatus=all&sortBy=title&ver=27",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52461&articleStatus=all&bc=3&sortBy=title&ver=21",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33803&lcdStatus=all&sortBy=title&ver=57",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39464&ver=8",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33832&lcdStatus=all&sortBy=title&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33828&lcdStatus=all&sortBy=title&ver=27",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33832&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=33370&proposedStatus=all&sortBy=title&ver=58",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39402&lcdStatus=all&sortBy=title&ver=14",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33611&ver=25",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39402&lcdStatus=all&sortBy=title&ver=14",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=26",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33803&ver=47",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33318&lcdStatus=all&sortBy=title&ver=57",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37899&lcdStatus=all&sortBy=title&ver=14",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56190&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=3",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33370&lcdStatus=all&sortBy=title&ver=58",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33318&lcdStatus=all&sortBy=title&ver=63"
   ],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.",
    "Locate the element: font[color=\"FF0000\"] > p:nth-child(1) > strong",
    "Confirm the axe-core finding for rule color-contrast against WCAG 1.4.3 Contrast (Minimum)."
   ],
   "remediation_tip": "Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Check your Drupal theme's base CSS. Themes like Olivero and Bartik have contrast issues in default color schemes — override failing color pairs in your subtheme's style.css.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__color-contrast.csv"
  },
  {
   "instance_id": "VS-519d2cb4",
   "pattern_id": "VS-f7e99f4b",
   "a11y_pattern_fingerprint": "73a932f344c837793d4895a2caeee1226e430fe5bcb547c4415c5c87a2462855",
   "a11y_pattern_display_id": "A11Y-PAT-73A932F344C8",
   "a11y_occurrence_fingerprint": "78e9e0140903f267157ffbfb4c296213d1f6490ee81f03915a41f862684999b2",
   "a11y_occurrence_display_id": "A11Y-OCC-78E9E0140903",
   "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52",
   "xpath": "text: \"Situation\"",
   "html_snippet": null,
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r69",
   "rule_label": "Text has sufficient color contrast (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r69",
   "severity": "Moderate",
   "frequency": {
    "instances": 172,
    "pages_affected": 24,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52",
     "xpath": "text: \"Situation\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52",
     "xpath": "text: \"Chance of Dozing or Sleeping\"",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/about-cms/components/cpi/victimizedproviderproject",
     "xpath": "text: \"Victimized Provider Project\"",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/about-cms/components/cpi/victimizedproviderproject",
     "xpath": "text: \"CMS’ Center for Program Integrity (CPI) works with providers who claim to be victims of identity theft, and who have suffered financial liabilities in the form of Medicare overpayments or debts",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/about-cms/components/cpi/victimizedproviderproject",
     "xpath": "text: \"Interested in Learning More?\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33803&lcdStatus=all&sortBy=title&ver=57",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39464&ver=8",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=33370&proposedStatus=all&sortBy=title&ver=58",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39402&lcdStatus=all&sortBy=title&ver=14",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39402&lcdStatus=all&sortBy=title&ver=14",
    "https://cms.gov/priorities/innovation/innovation-models/md-tccm",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33318&lcdStatus=all&sortBy=title&ver=63",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33828&lcdStatus=all&sortBy=title&ver=27",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39383&lcdStatus=all&sortBy=title&ver=13",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33828&ver=27",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39475&lcdStatus=all&sortBy=title&ver=7",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52489&articleStatus=all&bc=3&sortBy=title&ver=24",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33611&lcdStatus=all&sortBy=title&ver=25",
    "https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=33&sortBy=title&status=all",
    "http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37921&lcdStatus=all&sortBy=title&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33803&lcdStatus=all&sortBy=title&ver=61",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39462&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39464&lcdStatus=all&sortBy=title&ver=8",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39462&lcdStatus=all&sortBy=title&ver=9"
   ],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52.",
    "Locate the element: text: \"Situation\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r69 against WCAG 1.4.3 Contrast (Minimum)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r69.csv"
  },
  {
   "instance_id": "VS-dc9b976a",
   "pattern_id": "VS-6c86a43a",
   "a11y_pattern_fingerprint": "1134218e7739afe86448268dd1ca03a9b2dbe6f290a0b22d3355d72c6ab97939",
   "a11y_pattern_display_id": "A11Y-PAT-1134218E7739",
   "a11y_occurrence_fingerprint": "f34ef6a43414bd3cdbe7fba4482a86e080271b3b6472768d301e08b9ce7dfaca",
   "a11y_occurrence_display_id": "A11Y-OCC-F34EF6A43414",
   "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
   "xpath": "meta[name=\"viewport\"]",
   "html_snippet": "<meta name=\"viewport\" content=\"width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui\">",
   "wcag_sc": "1.4.4",
   "wcag_name": "Resize Text",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "meta-viewport",
   "rule_label": "Zooming and scaling must not be disabled",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/meta-viewport?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "summary": "Zooming and scaling must not be disabled (WCAG 1.4.4)",
   "description": "Zooming and scaling must not be disabled. Detected by axe-core rule meta-viewport on 1 of 8287 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
     "xpath": "meta[name=\"viewport\"]",
     "html_snippet": "<meta name=\"viewport\" content=\"width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui\">"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html.",
    "Locate the element: meta[name=\"viewport\"]",
    "Confirm the axe-core finding for rule meta-viewport against WCAG 1.4.4 Resize Text."
   ],
   "remediation_tip": "Don't disable zoom (user-scalable=no / maximum-scale=1); low-vision users need to zoom.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/meta-viewport?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__meta-viewport.csv"
  },
  {
   "instance_id": "VS-c5d3f7aa",
   "pattern_id": "VS-3a9437f7",
   "a11y_pattern_fingerprint": "9003f0fd4d006fdf5a8bb9f82f01e41684758ca2295bac5ac22094013638a153",
   "a11y_pattern_display_id": "A11Y-PAT-9003F0FD4D00",
   "a11y_occurrence_fingerprint": "6656b5ba55745c94c6d1b3514836fc58901c4d04b63be8c4aad7d50f453d0a1d",
   "a11y_occurrence_display_id": "A11Y-OCC-6656B5BA5574",
   "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
   "xpath": "<meta name=\"viewport\" content=\"width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui\">",
   "html_snippet": null,
   "wcag_sc": "1.4.4",
   "wcag_name": "Resize Text",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r47",
   "rule_label": "Text is not too small to read",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r47",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
     "xpath": "<meta name=\"viewport\" content=\"width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html.",
    "Locate the element: <meta name=\"viewport\" content=\"width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r47 against WCAG 1.4.4 Resize Text."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r47",
   "possible_duplicate_of": "VS-dc9b976a",
   "possible_duplicate_pattern": "VS-6c86a43a",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W26",
   "last_seen": "2026-W27",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r47.csv"
  },
  {
   "instance_id": "VS-8f470a84",
   "pattern_id": "VS-dd1c019f",
   "a11y_pattern_fingerprint": "36981749f76afd2aa8eb88b4f42546daec5ce98b2510f5ffde3e3d64a81412a9",
   "a11y_pattern_display_id": "A11Y-PAT-36981749F76A",
   "a11y_occurrence_fingerprint": "b23bca43cc2d2907c2ad33344e9a49342de1720c0dac9102c58d4ca363554d8a",
   "a11y_occurrence_display_id": "A11Y-OCC-B23BCA43CC2D",
   "url": "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
   "xpath": "a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]",
   "html_snippet": "<span lang=\"X-NONE\">[1]</span>",
   "wcag_sc": "3.1.2",
   "wcag_name": "Language of Parts",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "valid-lang",
   "rule_label": "lang attribute must have a valid value",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 10,
    "pages_affected": 2,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "summary": "lang attribute must have a valid value (WCAG 3.1.2)",
   "description": "lang attribute must have a valid value. Detected by axe-core rule valid-lang on 2 of 8287 scanned pages (10 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
     "xpath": "a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]",
     "html_snippet": "<span lang=\"X-NONE\">[1]</span>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33609&lcdStatus=all&sortBy=title&ver=14",
     "xpath": "li:nth-child(1) > span[lang=\"X-NONE\"]",
     "html_snippet": "<span lang=\"X-NONE\">"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33609&lcdStatus=all&sortBy=title&ver=14",
     "xpath": "li:nth-child(2) > span[lang=\"X-NONE\"]:nth-child(1)",
     "html_snippet": "<span lang=\"X-NONE\">Vasomotor adrenergic innervation&nbsp;</span>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33609&lcdStatus=all&sortBy=title&ver=14",
     "xpath": "li:nth-child(2) > span[lang=\"X-NONE\"]:nth-child(2)",
     "html_snippet": "<span lang=\"X-NONE\">"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings.",
    "Locate the element: a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]",
    "Confirm the axe-core finding for rule valid-lang against WCAG 3.1.2 Language of Parts."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__valid-lang.csv"
  },
  {
   "instance_id": "VS-765760a0",
   "pattern_id": "VS-400f3a18",
   "a11y_pattern_fingerprint": "bd73d41316c6d02e3e3383f68363f2e28b68efe322455f09cf6ec8ce0416b68c",
   "a11y_pattern_display_id": "A11Y-PAT-BD73D41316C6",
   "a11y_occurrence_fingerprint": "a1bcfe17ec571e1a3fb96861d9990eb79af3d00eafeb10bd73c2b67158375076",
   "a11y_occurrence_display_id": "A11Y-OCC-A1BCFE17EC57",
   "url": "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
   "xpath": "@lang=\"X-NONE\"",
   "html_snippet": null,
   "wcag_sc": "3.1.2",
   "wcag_name": "Language of Parts",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r7",
   "rule_label": "Element with lang attribute has correct language",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r7",
   "severity": "Moderate",
   "frequency": {
    "instances": 10,
    "pages_affected": 2,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
     "xpath": "@lang=\"X-NONE\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33609&lcdStatus=all&sortBy=title&ver=14",
     "xpath": "@lang=\"X-NONE\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33609&lcdStatus=all&sortBy=title&ver=14",
     "xpath": "@lang=\"X-NONE\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33609&lcdStatus=all&sortBy=title&ver=14",
     "xpath": "@lang=\"X-NONE\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings.",
    "Locate the element: @lang=\"X-NONE\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r7 against WCAG 3.1.2 Language of Parts."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r7",
   "possible_duplicate_of": "VS-8f470a84",
   "possible_duplicate_pattern": "VS-dd1c019f",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W26",
   "last_seen": "2026-W27",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r7.csv"
  },
  {
   "instance_id": "VS-a9787d4d",
   "pattern_id": "VS-646b1e0b",
   "a11y_pattern_fingerprint": "5929371356b55a1fba56b949ddad597773c25422956e52c78cd24c553029d68b",
   "a11y_pattern_display_id": "A11Y-PAT-5929371356B5",
   "a11y_occurrence_fingerprint": "4ab5156d4ac8eab714715b7a758b7166a53d917e9b4953247bbc50fb73063020",
   "a11y_occurrence_display_id": "A11Y-OCC-4AB5156D4AC8",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
   "xpath": "text: \"Here's how you know\"",
   "html_snippet": null,
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "frequency": {
    "instances": 6746,
    "pages_affected": 1336,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 1336 of 8287 scanned pages (6746 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "text: \"Here's how you know\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "text: \"Centers for Medicare & Medicaid Services\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
     "xpath": "text: \"Here's how you know\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
     "xpath": "text: \"Centers for Medicare & Medicaid Services\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
     "xpath": "text: \"I Accept\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55076&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8",
    "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://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58955&articleStatus=all&bc=3&sortBy=title&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38647&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37502&lcdStatus=all&sortBy=title&ver=21",
    "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/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57020&ver=3",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34426&lcdStatus=all&sortBy=title&ver=55",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&ver=30",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33831&ver=46",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57830&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60347&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=37",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56632&articleStatus=all&bc=3&sortBy=title&ver=31",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39636&lcdStatus=all&sortBy=title&ver=4",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35073&lcdStatus=all&sortBy=title&ver=51",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53605&ver=21"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.",
    "Locate the element: text: \"Here's how you know\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r66.csv"
  },
  {
   "instance_id": "VS-7157beaa",
   "pattern_id": "VS-2208081b",
   "a11y_pattern_fingerprint": "c4e42ec5cae7b113932037749f48183030838206af72062c9b757d8053dd7f19",
   "a11y_pattern_display_id": "A11Y-PAT-C4E42EC5CAE7",
   "a11y_occurrence_fingerprint": "3e92cac99dcf483bd6313c611b807d5c6ce16ebdcb2f02818ec33aaad9035840",
   "a11y_occurrence_display_id": "A11Y-OCC-3E92CAC99DCF",
   "url": "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
   "xpath": "<p class=\"ds-c-usa-banner__header-text\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "frequency": {
    "instances": 39969,
    "pages_affected": 3327,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 3327 of 8287 scanned pages (39969 instances).",
   "examples": [
    {
     "url": "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
     "xpath": "<p class=\"ds-c-usa-banner__header-text\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
     "xpath": "<p class=\"ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
     "xpath": "<p class=\"share-text ds-u-font-size--lg\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?page=9",
     "xpath": "<p class=\"ds-c-usa-banner__header-text\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?page=9",
     "xpath": "<p class=\"ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://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"
   ],
   "affected_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/2021-transmittals?page=9",
    "https://www.cms.gov/marketplace/in-person-assisters/technical-resources",
    "https://cms.gov/priorities/innovation-center/value-based-care-spotlight/external-resources",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A33466&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "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",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12274otn",
    "https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10261otn",
    "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://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55076&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A21&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A136&f%5B3%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r9r242i",
    "https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2026-end-stage-renal-disease-esrd-prospective-payment-system-final-rule",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A101&f%5B1%5D=topic%3A181&f%5B2%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7",
    "http://www.cms.gov/marketplace/in-person-assisters/outreach-education",
    "https://www.cms.gov/about-cms/information-systems/privacy/notice-privacy-practices-original-medicare",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12261fm",
    "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",
    "https://www.cms.gov/data-research/cms-covid-19-data-products/medicare-home-covid-19-vaccine-analysis",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58955&articleStatus=all&bc=3&sortBy=title&ver=4",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A71&f%5B1%5D=topic%3A161&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A6076&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency.",
    "Locate the element: <p class=\"ds-c-usa-banner__header-text\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r73.csv"
  },
  {
   "instance_id": "VS-a5ac5bda",
   "pattern_id": "VS-fbf54eba",
   "a11y_pattern_fingerprint": "06187d5871c4d5b866696cee5c220c752cae063cb09d2b9c3b165c92b96f8d30",
   "a11y_pattern_display_id": "A11Y-PAT-06187D5871C4",
   "a11y_occurrence_fingerprint": "a52c10e12eec927a00305298725992375f3496d16a28e189d436ede3cccbce9e",
   "a11y_occurrence_display_id": "A11Y-OCC-A52C10E12EEC",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
   "xpath": "<p class=\"mb-2\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "frequency": {
    "instances": 104753,
    "pages_affected": 1332,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "summary": "Link is distinguishable without relying on color (WCAG 1.4.8)",
   "description": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 1332 of 8287 scanned pages (104753 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "<p class=\"mb-2\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
     "xpath": "<p class=\"mb-2\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
     "xpath": "<p>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55076&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8",
    "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://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58955&articleStatus=all&bc=3&sortBy=title&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38647&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37502&lcdStatus=all&sortBy=title&ver=21",
    "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/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57020&ver=3",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34426&lcdStatus=all&sortBy=title&ver=55",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&ver=30",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33831&ver=46",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57830&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60347&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=37",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56632&articleStatus=all&bc=3&sortBy=title&ver=31",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39636&lcdStatus=all&sortBy=title&ver=4",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35073&lcdStatus=all&sortBy=title&ver=51",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53605&ver=21"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.",
    "Locate the element: <p class=\"mb-2\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r74.csv"
  },
  {
   "instance_id": "VS-a5a67b93",
   "pattern_id": "VS-388b5438",
   "a11y_pattern_fingerprint": "ed908c36c39b07ee8ccdea3f180a0f95ed1e6f65a9f4269471bbe969955f9127",
   "a11y_pattern_display_id": "A11Y-PAT-ED908C36C39B",
   "a11y_occurrence_fingerprint": "131bda2c09b14861e01e1a14e56702eb335399bcfbdeeda1713c4f1a983f9dae",
   "a11y_occurrence_display_id": "A11Y-OCC-131BDA2C09B1",
   "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
   "xpath": "<p style=\"line-height: 14.4pt; background: white;\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r80",
   "rule_label": "Scrollable element is keyboard accessible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r80",
   "severity": "Moderate",
   "frequency": {
    "instances": 1717,
    "pages_affected": 118,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
     "xpath": "<p style=\"line-height: 14.4pt; background: white;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
     "xpath": "<p style=\"line-height: 14.4pt; background: white;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
     "xpath": "<p style=\"line-height: 14.4pt; background: white;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7",
     "xpath": "<p style=\"line-height: 14.3pt;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7",
     "xpath": "<p style=\"line-height: 14.3pt;\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33831&ver=46",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=37",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38151&lcdStatus=all&sortBy=title&ver=6",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60245&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=3",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34541&lcdStatus=all&sortBy=title&ver=21",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52519&ver=39",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54901&ver=27",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=16",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37504&lcdStatus=all&sortBy=title&ver=17",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38125&lcdStatus=all&sortBy=title&ver=11",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34045&lcdStatus=all&sortBy=title&ver=38",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37822&lcdStatus=all&sortBy=title&ver=18",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=38",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39464&ver=8",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35026&lcdStatus=all&sortBy=title&ver=75",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39373&lcdStatus=all&sortBy=title&ver=6",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59520&articleStatus=all&bc=3&sortBy=title&ver=5",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39242&lcdStatus=all&sortBy=title&ver=8",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39863&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38584&lcdStatus=all&sortBy=title&ver=15"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93.",
    "Locate the element: <p style=\"line-height: 14.4pt; background: white;\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r80 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r80",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W27",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/alfa__sia-r80.csv"
  },
  {
   "instance_id": "VS-efd71db9",
   "pattern_id": "VS-48291402",
   "a11y_pattern_fingerprint": "a4c898dfd1c91f700243a089f7e1ef09f72737cc9092a07fa17793d120a30fe8",
   "a11y_pattern_display_id": "A11Y-PAT-A4C898DFD1C9",
   "a11y_occurrence_fingerprint": "c3f4426e659bb515fd231a7808ce27fac951d4eead57fd881c7a221df88c0079",
   "a11y_occurrence_display_id": "A11Y-OCC-C3F4426E659B",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
   "xpath": "<p class=\"MsoNormal\" style=\"text-align:justify;line-height:normal\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r71",
   "rule_label": "iframe element is not empty",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r71",
   "severity": "Moderate",
   "frequency": {
    "instances": 472,
    "pages_affected": 68,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "<p class=\"MsoNormal\" style=\"text-align:justify;line-height:normal\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18",
     "xpath": "<p style=\"text-align: justify; line-height: 115%;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18",
     "xpath": "<p style=\"text-align: justify; line-height: 115%;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18",
     "xpath": "<p style=\"text-align: justify; line-height: 115%;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7",
     "xpath": "<p style=\"text-align: justify;\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38647&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=228&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33794&lcdStatus=all&sortBy=title&ver=164",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=39297&proposedStatus=all&sortBy=title&ver=6",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38151&lcdStatus=all&sortBy=title&ver=6",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39832&lcdStatus=all&sortBy=title&ver=13",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39276&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=16",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38649&lcdStatus=all&sortBy=title&ver=13",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38385&lcdStatus=all&sortBy=title&ver=40",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59831&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33794&lcdStatus=all&sortBy=title&ver=171",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56240&ver=8",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39464&ver=8",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38647&lcdStatus=all&sortBy=title&ver=11",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39242&lcdStatus=all&sortBy=title&ver=8",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39262&ver=8",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=16",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=15",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58993&articleStatus=all&bc=3&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39402&lcdStatus=all&sortBy=title&ver=14",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39402&lcdStatus=all&sortBy=title&ver=14"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.",
    "Locate the element: <p class=\"MsoNormal\" style=\"text-align:justify;line-height:normal\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r71 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r71",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W27",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/alfa__sia-r71.csv"
  },
  {
   "instance_id": "VS-9a9d9e41",
   "pattern_id": "VS-cb53cc4d",
   "a11y_pattern_fingerprint": "a435874d5bfac4e401b42e33ca22cd5c87717574c15531eaa7239ebce17a743e",
   "a11y_pattern_display_id": "A11Y-PAT-A435874D5BFA",
   "a11y_occurrence_fingerprint": "7ac14e9411343d284e8d8380a9ba1e9fc1925a3e3607a3c05451726e8a9a9e15",
   "a11y_occurrence_display_id": "A11Y-OCC-7AC14E941134",
   "url": "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
   "xpath": "<a href=\"/about-cms\" class=\"menu-item-link\" data-drupal-link-system-path=\"node/132926\" data-once=\"navigationLinkMatch\">",
   "html_snippet": null,
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "frequency": {
    "instances": 121903,
    "pages_affected": 3338,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 3338 of 8287 scanned pages (121903 instances).",
   "examples": [
    {
     "url": "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
     "xpath": "<a href=\"/about-cms\" class=\"menu-item-link\" data-drupal-link-system-path=\"node/132926\" data-once=\"navigationLinkMatch\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
     "xpath": "<a href=\"/about-cms/contact/newsroom\" class=\"menu-item-link\" data-drupal-link-system-path=\"node/43871\" data-once=\"navigationLinkMatch\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
     "xpath": "<a href=\"/data-research\" class=\"menu-item-link\" data-drupal-link-system-path=\"node/132891\" data-once=\"navigationLinkMatch\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?page=9",
     "xpath": "<a href=\"/about-cms\" class=\"menu-item-link\" data-drupal-link-system-path=\"node/132926\" data-once=\"navigationLinkMatch\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?page=9",
     "xpath": "<a href=\"/about-cms/contact/newsroom\" class=\"menu-item-link\" data-drupal-link-system-path=\"node/43871\" data-once=\"navigationLinkMatch\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://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"
   ],
   "affected_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/2021-transmittals?page=9",
    "https://www.cms.gov/marketplace/in-person-assisters/technical-resources",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
    "https://cms.gov/priorities/innovation-center/value-based-care-spotlight/external-resources",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A33466&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "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",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12274otn",
    "https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10261otn",
    "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://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55076&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A21&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A136&f%5B3%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r9r242i",
    "https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2026-end-stage-renal-disease-esrd-prospective-payment-system-final-rule",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A101&f%5B1%5D=topic%3A181&f%5B2%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7",
    "http://www.cms.gov/marketplace/in-person-assisters/outreach-education",
    "https://www.cms.gov/about-cms/information-systems/privacy/notice-privacy-practices-original-medicare",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12261fm",
    "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",
    "https://www.cms.gov/data-research/cms-covid-19-data-products/medicare-home-covid-19-vaccine-analysis",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58955&articleStatus=all&bc=3&sortBy=title&ver=4"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency.",
    "Locate the element: <a href=\"/about-cms\" class=\"menu-item-link\" data-drupal-link-system-path=\"node/132926\" data-once=\"navigationLinkMatch\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r111.csv"
  },
  {
   "instance_id": "VS-98a6b159",
   "pattern_id": "VS-d25f622d",
   "a11y_pattern_fingerprint": "9cbf33e288a0c256d47c843df6eeb51f766304c75781955764303cc603bb2a9e",
   "a11y_pattern_display_id": "A11Y-PAT-9CBF33E288A0",
   "a11y_occurrence_fingerprint": "a22cceaea89360dbe76c438affe3ed82eecbca944fdec2f2ce3833b58ab4cf74",
   "a11y_occurrence_display_id": "A11Y-OCC-A22CCEAEA893",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
   "xpath": "#dmHeader0",
   "html_snippet": "<h4 id=\"dmHeader0\">I. Decision</h4>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 477,
    "pages_affected": 455,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 455 of 8287 scanned pages (477 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "#dmHeader0",
     "html_snippet": "<h4 id=\"dmHeader0\">I. Decision</h4>"
    },
    {
     "url": "https://cms.gov/training-education/medicare-learning-networkr-mln/resources-training/mln-matters-articles",
     "xpath": ".field--name-field-cms-card-title",
     "html_snippet": "<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>"
    },
    {
     "url": "https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2Fascpayment%2Fdownloads%2Fascpuf2004.zip",
     "xpath": ".content > h3:nth-child(2)",
     "html_snippet": "<h3>End User Point and Click Agreement:</h3>"
    },
    {
     "url": "https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2FASCPayment%2FDownloads%2F2011-ASC-Approved-HCPCS-Codes-and-Payment-Rates.zip",
     "xpath": ".content > h3:nth-child(2)",
     "html_snippet": "<h3>End User Point and Click Agreement:</h3>"
    },
    {
     "url": "https://www.cms.gov/data-research/cms-covid-19-data-products/medicare-home-covid-19-vaccine-analysis",
     "xpath": ".ds-u-text-align--left > h3",
     "html_snippet": "<h3>Downloads</h3>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2FASCPayment%2FDownloads%2F2011-ASC-Approved-HCPCS-Codes-and-Payment-Rates.zip",
    "https://www.cms.gov/data-research/cms-covid-19-data-products/medicare-home-covid-19-vaccine-analysis",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34008&lcdStatus=all&sortBy=title",
    "http://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2Fphysicianfeesched%2Fdownloads%2Fpe_townhall_hcpcs_level.zip",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A441&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/apps/aha/license.asp?file=%2Ffiles%2Fzip%2Fi%2Foce-quarterly-data-files-v263r0.zip",
    "https://www.cms.gov/data-research/research/statistical-resources-dually-eligible-beneficiaries/state-mma-file-dual-eligible-beneficiaries",
    "http://www.cms.gov/priorities/key-initiatives/opioids",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38805&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40189&proposedStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=228&proposed=N",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A126&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A441&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=38443&lcdStatus=all&sortBy=title",
    "https://cms.gov/newsroom/search?f%5B0%5D=topic%3A161&f%5B1%5D=topic%3A356&f%5B2%5D=topic%3A841&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38662&lcdStatus=all&sortBy=title",
    "https://cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=37&sortBy=title&status=all",
    "https://www.cms.gov/priorities/health-equity/minority-health/resource-center/language/navajo-dine-bizaad",
    "https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2FASCPayment%2FDownloads%2F2019-Jan-ASC-Addenda-Corrections.zip",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37822&lcdStatus=all&sortBy=title",
    "https://cms.gov/medicare/payment/fee-schedules/physician-fee-schedule/advanced-primary-care-management-services",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A21&f%5B1%5D=topic%3A441&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/medicare-coverage-database/reports/national-coverage-annual-report.aspx?docType=all&year=2026"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.",
    "Locate the element: #dmHeader0",
    "Confirm the axe-core finding for rule heading-order."
   ],
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Drupal Views and blocks can insert headings at arbitrary levels. In the Views UI, set \"Title tag\" for each display. For block titles, configure the heading level in the block's layout settings.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__heading-order.csv"
  },
  {
   "instance_id": "VS-826dee8c",
   "pattern_id": "VS-fa44f293",
   "a11y_pattern_fingerprint": "153387593f99913345b282b0ea387f236c6a129942c41d961f0ed36776eb998d",
   "a11y_pattern_display_id": "A11Y-PAT-153387593F99",
   "a11y_occurrence_fingerprint": "8cf1fedab0da1e6ccc9f645ed7c8d672e4b9c4af60bb10a1ba215dcb7bd59901",
   "a11y_occurrence_display_id": "A11Y-OCC-8CF1FEDAB0DA",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
   "xpath": "html",
   "html_snippet": "<html>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 131,
    "pages_affected": 131,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "summary": "Page should contain a level-one heading (WCAG criterion undetermined)",
   "description": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 131 of 8287 scanned pages (131 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-payment-rates-addenda",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" dir=\"ltr\" class=\" js\" style=\"--vw: 12.8px; --vh: 8px;\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "http://www.cms.gov/marketplace/about/health-insurance-quality-initiatives/enrollee-survey",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" dir=\"ltr\" class=\" js\" style=\"--vw: 12.8px; --vh: 8px;\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html",
     "xpath": "html",
     "html_snippet": "<html>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "http://www.cms.gov/marketplace/about/health-insurance-quality-initiatives/enrollee-survey",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0178.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0245.html",
    "https://cms.gov/medical-bill-rights/help",
    "https://www.cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/about/current-partners",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0260.html",
    "https://cms.gov/derechos-facturas-medicas/ayuda/guias/defensor-del-paciente",
    "https://www.cms.gov/derechos-facturas-medicas/ayuda/guias",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0293.html",
    "https://www.cms.gov/initiatives/medicare-prescription-drug-affordability/overview/medicare-drug-price-negotiation-program",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0386.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0163.html",
    "http://www.cms.gov/data-research/cms-information-technology/tlc",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0188.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0327.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0155.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0253.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0051.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule page-has-heading-one."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__page-has-heading-one.csv"
  },
  {
   "instance_id": "VS-bae30fda",
   "pattern_id": "VS-f18df681",
   "a11y_pattern_fingerprint": "61333abe9aaf55cfc0c624cc89a73c2fe8aead770a2392b07e140a2c74146157",
   "a11y_pattern_display_id": "A11Y-PAT-61333ABE9AAF",
   "a11y_occurrence_fingerprint": "cdcf827fff03eeb72f5eb25d069167be53eabf6ce6455673d76e6a6eac8b822b",
   "a11y_occurrence_display_id": "A11Y-OCC-CDCF827FFF03",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
   "xpath": ".hhshead[cellpadding=\"0\"][cellspacing=\"0\"]:nth-child(1)",
   "html_snippet": "<table class=\"hhshead\" cellpadding=\"0\" cellspacing=\"0\" summary=\"HHS Header. Table for formatting only.\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 2099,
    "pages_affected": 92,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 92 of 8287 scanned pages (2099 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "xpath": ".hhshead[cellpadding=\"0\"][cellspacing=\"0\"]:nth-child(1)",
     "html_snippet": "<table class=\"hhshead\" cellpadding=\"0\" cellspacing=\"0\" summary=\"HHS Header. Table for formatting only.\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "xpath": ".masthead > a[href$=\"cms.gov/\"]",
     "html_snippet": "<a href=\"http://www.cms.gov/\" title=\"Centers for Medicare &amp; Medicaid Services\"> \n        <img class=\"hhsimg\" src=\"banner-text.jpg\" width=\"650\" height=\"60\" alt=\"Centers for Medicare &amp; Medicaid "
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "xpath": "label",
     "html_snippet": "<label for=\"q\" title=\"Search CMS.gov\">\n       <input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">&nbsp;</label>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "xpath": ".hhshead[cellpadding=\"0\"][cellspacing=\"0\"]:nth-child(1)",
     "html_snippet": "<table class=\"hhshead\" cellpadding=\"0\" cellspacing=\"0\" summary=\"HHS Header. Table for formatting only.\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "xpath": ".masthead > a[href$=\"cms.gov/\"]",
     "html_snippet": "<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 "
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0178.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0245.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0260.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0293.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0386.html",
    "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/icd10m/version33-fullcode-cms/fullcode_cms/P0163.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0188.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0327.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0155.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0253.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0051.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0032.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0057.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0025.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0102.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0169.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0234.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0120.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html.",
    "Locate the element: .hhshead[cellpadding=\"0\"][cellspacing=\"0\"]:nth-child(1)",
    "Confirm the axe-core finding for rule region."
   ],
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Use Drupal's region system (header, navigation, main, sidebar, footer) and map each to an HTML5 landmark element in your theme's page.html.twig.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__region.csv"
  },
  {
   "instance_id": "VS-f61ae1eb",
   "pattern_id": "VS-d5d82446",
   "a11y_pattern_fingerprint": "52a7c3a9a1882fc2863a3420d1896e0b93df91a4d98a8dd156f924d061887f61",
   "a11y_pattern_display_id": "A11Y-PAT-52A7C3A9A188",
   "a11y_occurrence_fingerprint": "a025b900233a5c9f368e4abb92c81c88de9b5f25ebd61c89300737500ea2be8f",
   "a11y_occurrence_display_id": "A11Y-OCC-A025B900233A",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
   "xpath": "html",
   "html_snippet": "<html>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 90,
    "pages_affected": 90,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "summary": "Document should have one main landmark (WCAG criterion undetermined)",
   "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 90 of 8287 scanned pages (90 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0178.html",
     "xpath": "html",
     "html_snippet": "<html>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0178.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0245.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0260.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0293.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0386.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0163.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0188.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0327.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0155.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0253.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0051.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0032.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0057.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0025.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0102.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0169.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0234.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0120.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0015.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule landmark-one-main."
   ],
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__landmark-one-main.csv"
  },
  {
   "instance_id": "VS-b7e0e1ee",
   "pattern_id": "VS-0ba8ce9d",
   "a11y_pattern_fingerprint": "1181661e0cf071444fb69de6c3d7babac9ae55e858d775413b995a2d250f095b",
   "a11y_pattern_display_id": "A11Y-PAT-1181661E0CF0",
   "a11y_occurrence_fingerprint": "a785d8ce6c3b70ca1b5d22622e0c7ddb0ca2b3bb8956bff9a9167b30cfd10ab3",
   "a11y_occurrence_display_id": "A11Y-OCC-A785D8CE6C3B",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=228&proposed=N",
   "xpath": "td[width=\"25%\"]",
   "html_snippet": "<td width=\"25%\" scope=\"row\">January 20, 2009</td>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "scope-attr-valid",
   "rule_label": "scope attribute should be used correctly",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 593,
    "pages_affected": 21,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=228&proposed=N",
     "xpath": "td[width=\"25%\"]",
     "html_snippet": "<td width=\"25%\" scope=\"row\">January 20, 2009</td>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=228&proposed=N",
     "xpath": "tr[valign=\"top\"]:nth-child(2) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">February 19, 2009</td>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=228&proposed=N",
     "xpath": "tbody:nth-child(2) > tr[valign=\"top\"]:nth-child(3) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">March 16, 2009</td>"
    },
    {
     "url": "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",
     "xpath": ".MsoTableGrid:nth-child(148) > tbody > tr:nth-child(2) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\"> Del Ojo 2005</td>"
    },
    {
     "url": "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",
     "xpath": "tr:nth-child(3) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\"> Gimbel 1996</td>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38571&lcdStatus=all&sortBy=title&ver=8",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=224&proposed=Y",
    "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/ncd.aspx?=%2C&bc=BEAAAAAAAQAAAA%3D%3D&ncdid=190&NCDSect=280.1&ncdver=3",
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=55",
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=331&NCDver=4",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=267&proposed=Y&sortBy=relevance",
    "https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=90",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&ncaid=90&proposed=Y&sortBy=title&year=2026",
    "https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?NCAId=267",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=224",
    "https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=190&ncdver=2",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=224&proposed=Y",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=289&NcaName=Magnetic+Resonance+Imaging+%28MRI%29+%282nd+Recon%29&proposed=Y&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=331&ncdver=2",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=39122&proposedStatus=all&sortBy=title&ver=3",
    "https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=24&sortBy=title&status=all",
    "https://www.cms.gov/medicare-coverage-database/details/medcac-meeting-details.aspx?bc=AgAAAQAAEAoA&DocType=NCA%7CCAL&fromdb=true&MEDCACId=47&NCAId=224&NcaName=Pharmacogenomic+Testing+for+Warfarin+Response&ver=11&year=2009"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=228&proposed=N.",
    "Locate the element: td[width=\"25%\"]",
    "Confirm the axe-core finding for rule scope-attr-valid."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__scope-attr-valid.csv"
  },
  {
   "instance_id": "VS-81344b63",
   "pattern_id": "VS-8806389c",
   "a11y_pattern_fingerprint": "ab718baf7867e2034f3b72263d1015572e5187d8413d3ea53292773645a3bcc7",
   "a11y_pattern_display_id": "A11Y-PAT-AB718BAF7867",
   "a11y_occurrence_fingerprint": "2a185f3f4789ff0a8acfd93ab9be6b7e329d819eed8e1748a487f5e5e5bd7713",
   "a11y_occurrence_display_id": "A11Y-OCC-2A185F3F4789",
   "url": "https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html",
   "xpath": "main",
   "html_snippet": "<main>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 8,
    "pages_affected": 8,
    "total_pages_scanned": 8287
   },
   "likely_source": "unknown",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html",
     "xpath": "main",
     "html_snippet": "<main>"
    },
    {
     "url": "https://www.cms.gov/apps/media?page=1",
     "xpath": ".views-field-field-topic[aria-label=\"Related search topics\"][role=\"region\"]:nth-child(1)",
     "html_snippet": "<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"
    },
    {
     "url": "https://www.cms.gov/priorities/innovation/models/medicare-demonstrations",
     "xpath": "nav[aria-labelledby=\"pagination-heading--1\"]",
     "html_snippet": "<nav class=\"ds-c-pagination\" aria-labelledby=\"pagination-heading--1\">"
    },
    {
     "url": "https://cms.gov/data-tools",
     "xpath": ".ds-u-padding-x--2.ds-u-lg-padding--0.ds-u-margin-y--2:nth-child(5) > .ds-u-lg-padding-right--2.ds-l-lg-col--4.ds-u-padding-x--0 > div[role=\"region\"]",
     "html_snippet": "<div role=\"region\">"
    },
    {
     "url": "https://www.cms.gov/newsroom",
     "xpath": ".views-field-field-topic[aria-label=\"Related search topics\"][role=\"region\"]:nth-child(1)",
     "html_snippet": "<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"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/data-tools",
    "https://www.cms.gov/newsroom",
    "https://www.cms.gov/apps/media",
    "https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/index.html",
    "http://www.cms.gov/home/medicaid.asp"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html.",
    "Locate the element: main",
    "Confirm the axe-core finding for rule landmark-unique."
   ],
   "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.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W27",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/axe-core__landmark-unique.csv"
  },
  {
   "instance_id": "VS-9f603d4f",
   "pattern_id": "VS-30db094d",
   "a11y_pattern_fingerprint": "208b1cbfe7cece445b721bf4864c978824ef0123bc2ffe8e7121c5d13ab27e12",
   "a11y_pattern_display_id": "A11Y-PAT-208B1CBFE7CE",
   "a11y_occurrence_fingerprint": "a0a4568c259060405cd23a4dd8d88ae2832c11375617945f58fca0c405074310",
   "a11y_occurrence_display_id": "A11Y-OCC-A0A4568C2590",
   "url": "http://www.cms.gov/data-research/statistics-trends-and-reports/mcbs-public-use-file",
   "xpath": ".Header",
   "html_snippet": "<header class=\"Header\" style=\"position: sticky;\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-banner-is-top-level",
   "rule_label": "Banner landmark should not be contained in another landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 4,
    "pages_affected": 4,
    "total_pages_scanned": 8287
   },
   "likely_source": "unknown",
   "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).",
   "examples": [
    {
     "url": "http://www.cms.gov/data-research/statistics-trends-and-reports/mcbs-public-use-file",
     "xpath": ".Header",
     "html_snippet": "<header class=\"Header\" style=\"position: sticky;\">"
    },
    {
     "url": "https://www.cms.gov/Research-Statistics-Data-and-Systems/Downloadable-Public-Use-Files/MCBS-Public-Use-File/index",
     "xpath": ".Header",
     "html_snippet": "<header class=\"Header\" style=\"position: sticky;\">"
    },
    {
     "url": "https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Outpatient.html",
     "xpath": ".Header",
     "html_snippet": "<header class=\"Header\" style=\"position: sticky;\">"
    },
    {
     "url": "http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files",
     "xpath": ".Header",
     "html_snippet": "<header class=\"Header\" style=\"position: sticky;\">"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://www.cms.gov/data-research/statistics-trends-and-reports/mcbs-public-use-file.",
    "Locate the element: .Header",
    "Confirm the axe-core finding for rule landmark-banner-is-top-level."
   ],
   "remediation_tip": "Put the banner landmark (<header>) at the top level, not nested inside another landmark.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/axe-core__landmark-banner-is-top-level.csv"
  },
  {
   "instance_id": "VS-be44c833",
   "pattern_id": "VS-ff3ceb19",
   "a11y_pattern_fingerprint": "19f53bbe1542314a2f2edf81989ed6db4269968aa0057a3ae067f59785bdeaf4",
   "a11y_pattern_display_id": "A11Y-PAT-19F53BBE1542",
   "a11y_occurrence_fingerprint": "aac157f3fae4b4dc1607e6f66d2e4e655dbac824208879ccbfa009c115caf8dd",
   "a11y_occurrence_display_id": "A11Y-OCC-AAC157F3FAE4",
   "url": "https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html",
   "xpath": "#NAV_MAIN",
   "html_snippet": "<div id=\"NAV_MAIN\" role=\"main\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-main-is-top-level",
   "rule_label": "Main landmark should not be contained in another landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html",
     "xpath": "#NAV_MAIN",
     "html_snippet": "<div id=\"NAV_MAIN\" role=\"main\">"
    }
   ],
   "example_pages": [
    "https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html"
   ],
   "affected_pages": [
    "https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html.",
    "Locate the element: #NAV_MAIN",
    "Confirm the axe-core finding for rule landmark-main-is-top-level."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W27",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__landmark-main-is-top-level.csv"
  },
  {
   "instance_id": "VS-68876761",
   "pattern_id": "VS-cd69be3a",
   "a11y_pattern_fingerprint": "662fb09c137c6c7f56a64b4b083e6f373657879b2c83cbafcc3c87d2adcf6d41",
   "a11y_pattern_display_id": "A11Y-PAT-662FB09C137C",
   "a11y_occurrence_fingerprint": "559d937fa40577036fc2425306e426ecf8525f822edaeba3f980884e23b41566",
   "a11y_occurrence_display_id": "A11Y-OCC-559D937FA405",
   "url": "https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html",
   "xpath": "main",
   "html_snippet": "<main>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-no-duplicate-main",
   "rule_label": "Document should not have more than one main landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html",
     "xpath": "main",
     "html_snippet": "<main>"
    }
   ],
   "example_pages": [
    "https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html"
   ],
   "affected_pages": [
    "https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html.",
    "Locate the element: main",
    "Confirm the axe-core finding for rule landmark-no-duplicate-main."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W27",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__landmark-no-duplicate-main.csv"
  },
  {
   "instance_id": "VS-eb3d004a",
   "pattern_id": "VS-0066c67d",
   "a11y_pattern_fingerprint": "0e7d3d6ca9dc09896175a3a029d43e442ab0940d10bf257a29976851b6b69ac8",
   "a11y_pattern_display_id": "A11Y-PAT-0E7D3D6CA9DC",
   "a11y_occurrence_fingerprint": "b38380d13e6200a6814c2383d136496728f8c8048eef9d11e8e0c38109902f4d",
   "a11y_occurrence_display_id": "A11Y-OCC-B38380D13E62",
   "url": "https://cms.gov/medicare/quality/nursing-home-improvement/announcements",
   "xpath": "h3:nth-child(56)",
   "html_snippet": "<h3>&nbsp;</h3>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "empty-heading",
   "rule_label": "Headings should not be empty",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 20,
    "pages_affected": 20,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "summary": "Headings should not be empty (WCAG criterion undetermined)",
   "description": "Headings should not be empty. Detected by axe-core rule empty-heading on 20 of 8287 scanned pages (20 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare/quality/nursing-home-improvement/announcements",
     "xpath": "h3:nth-child(56)",
     "html_snippet": "<h3>&nbsp;</h3>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=3&sortBy=title&ver=22",
     "xpath": "h4:nth-child(11)",
     "html_snippet": "<h4>&nbsp;</h4>"
    },
    {
     "url": "http://www.cms.gov/training-education/partner-outreach-resources/privacy",
     "xpath": ".field--name-field-left-column-brief > .field__item > .node--type-briefs.node--view-mode-default > div:nth-child(1) > .node__title.ds-u-font-size--xl",
     "html_snippet": "<h3 class=\"node__title ds-u-font-size--xl\">\n        <span class=\"field field--name-title field--type-string field--label-hidden\" data-once=\"trademark-symbol\">  </span>\n\n      </h3>"
    },
    {
     "url": "https://www.cms.gov/about-cms/work-us/careers/careers-frequently-asked-questions-faq",
     "xpath": "h2:nth-child(91)",
     "html_snippet": "<h2>&nbsp;</h2>"
    },
    {
     "url": "https://www.cms.gov/about-cms/what-we-do/nursing-homes",
     "xpath": ".paragraph--type--hero-unit__inner > .ds-u-font-size--base",
     "html_snippet": "<h2 class=\"ds-u-font-size--base\"></h2>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/about-cms/work-us/careers/careers-frequently-asked-questions-faq",
    "https://www.cms.gov/about-cms/what-we-do/nursing-homes",
    "https://cms.gov/medicare/appeals-grievances/fee-for-service/second-level-appeal",
    "http://www.cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives",
    "https://www.cms.gov/medicare/quality/health-insurance-marketplace-initiatives",
    "http://www.cms.gov/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/quality-improvement-interventions",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37244&lcdStatus=all&sortBy=title&ver=39",
    "https://www.cms.gov/marketplace/about/oversight/other-insurance-protections/prescription-drug-data-collection-rxdc",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59487&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14",
    "https://www.cms.gov/priorities/health-equity/minority-health/officina-salud-minorias/observancias-salud",
    "https://cms.gov/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/quality-improvement-interventions",
    "https://cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/annual-wellness-visits",
    "https://www.cms.gov/newsroom/press-releases/medicare-expands-coverage-pet-scans-cancer-diagnostic-tool",
    "https://cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/orthopedic-footwear",
    "https://www.cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39591&lcdStatus=all&sortBy=title&ver=11",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37578&lcdStatus=all&sortBy=title&ver=30"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare/quality/nursing-home-improvement/announcements.",
    "Locate the element: h3:nth-child(56)",
    "Confirm the axe-core finding for rule empty-heading."
   ],
   "remediation_tip": "Remove empty headings or give them text. Don't use heading tags for spacing.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__empty-heading.csv"
  },
  {
   "instance_id": "VS-6cfac969",
   "pattern_id": "VS-d69fc059",
   "a11y_pattern_fingerprint": "82b8cc97e8331ecabf9076df8d1959fdc669fb066963fbada38efc96d8568b80",
   "a11y_pattern_display_id": "A11Y-PAT-82B8CC97E833",
   "a11y_occurrence_fingerprint": "6d0e696cc9a1ce2bd9c0b8d547dec5552c97ac3b46aa1ff29d1adc023d7d4cde",
   "a11y_occurrence_display_id": "A11Y-OCC-6D0E696CC9A1",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
   "xpath": "tr:nth-child(2) > th:nth-child(1)",
   "html_snippet": "<th valign=\"top\"> <p>&nbsp;</p>  </th>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "empty-table-header",
   "rule_label": "Table header text should not be empty",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 19,
    "pages_affected": 8,
    "total_pages_scanned": 8287
   },
   "likely_source": "unknown",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "tr:nth-child(2) > th:nth-child(1)",
     "html_snippet": "<th valign=\"top\"> <p>&nbsp;</p>  </th>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33",
     "xpath": "table:nth-child(7) > tbody > tr:nth-child(1) > th[scope=\"col\"]:nth-child(1)",
     "html_snippet": "<th scope=\"col\">&nbsp;</th>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33",
     "xpath": "table:nth-child(19) > tbody > tr:nth-child(1) > th[scope=\"col\"]:nth-child(1)",
     "html_snippet": "<th scope=\"col\">&nbsp;</th>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
     "xpath": ".TableGrid1:nth-child(84) > tbody > tr:nth-child(1) > th:nth-child(1)",
     "html_snippet": "<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>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
     "xpath": ".TableGrid1:nth-child(84) > tbody > tr:nth-child(1) > th[rowspan=\"2\"]",
     "html_snippet": "<th rowspan=\"2\" valign=\"top\" style=\"width:54.4pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; mso-border-bottom-alt:solid windowtext .5pt"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=224&proposed=Y",
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=55",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=224&proposed=Y",
    "https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=ACAAAAAAQAAA&NCAId=292&type=Closed",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56104&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.",
    "Locate the element: tr:nth-child(2) > th:nth-child(1)",
    "Confirm the axe-core finding for rule empty-table-header."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__empty-table-header.csv"
  },
  {
   "instance_id": "VS-5c71ec5c",
   "pattern_id": "VS-4fac2f41",
   "a11y_pattern_fingerprint": "4eb5dbc8d473a6b9deea0eb425bd263694fdc19ca839b199880630a38425fefa",
   "a11y_pattern_display_id": "A11Y-PAT-4EB5DBC8D473",
   "a11y_occurrence_fingerprint": "fe58f832c696e1f68052d9e311e8b10ea11a933a9315f396c3a5d20d51b16e8b",
   "a11y_occurrence_display_id": "A11Y-OCC-FE58F832C696",
   "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
   "xpath": "body",
   "html_snippet": "<body style=\"background: #072137\" class=\"cs-HTML theme-unified view-desktop is-landscape ff-on ff-drop-in-base ff-multiple-quiz-tracking ff-player-size-option sidebar-left zoom-mode timeline-playing n",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-role",
   "rule_label": "ARIA role should be appropriate for the element",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 3,
    "pages_affected": 2,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "summary": "ARIA role should be appropriate for the element (WCAG criterion undetermined)",
   "description": "ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 2 of 8287 scanned pages (3 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
     "xpath": "body",
     "html_snippet": "<body style=\"background: #072137\" class=\"cs-HTML theme-unified view-desktop is-landscape ff-on ff-drop-in-base ff-multiple-quiz-tracking ff-player-size-option sidebar-left zoom-mode timeline-playing n"
    },
    {
     "url": "http://www.cms.gov/home/medicaid.asp",
     "xpath": "#carousel-31-panel-0",
     "html_snippet": "<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\">"
    },
    {
     "url": "http://www.cms.gov/home/medicaid.asp",
     "xpath": ".landing-page-blue-ribbon > aside",
     "html_snippet": "<aside class=\"grid-container\" role=\"complementary\">"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
    "http://www.cms.gov/home/medicaid.asp"
   ],
   "affected_pages": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
    "http://www.cms.gov/home/medicaid.asp"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html.",
    "Locate the element: body",
    "Confirm the axe-core finding for rule aria-allowed-role."
   ],
   "remediation_tip": "Remove or change the ARIA role — it isn't allowed on this element type.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__aria-allowed-role.csv"
  },
  {
   "instance_id": "VS-5af87ad8",
   "pattern_id": "VS-7118fead",
   "a11y_pattern_fingerprint": "4146fc8bd9bfddcfe5276de4597709da9dd61e9e69f451ddb610e46163d649aa",
   "a11y_pattern_display_id": "A11Y-PAT-4146FC8BD9BF",
   "a11y_occurrence_fingerprint": "6d598fd3910b9411827aac7f1b981d3aec02fbb54c216c5e1f572ac648ad94f7",
   "a11y_occurrence_display_id": "A11Y-OCC-6D598FD3910B",
   "url": "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "frequency": {
    "instances": 3288,
    "pages_affected": 3288,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 3288 of 8287 scanned pages (3288 instances).",
   "examples": [
    {
     "url": "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?page=9",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/marketplace/in-person-assisters/technical-resources",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/priorities/innovation-center/value-based-care-spotlight/external-resources",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "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/2021-transmittals?page=9",
    "https://www.cms.gov/marketplace/in-person-assisters/technical-resources"
   ],
   "affected_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/2021-transmittals?page=9",
    "https://www.cms.gov/marketplace/in-person-assisters/technical-resources",
    "https://cms.gov/priorities/innovation-center/value-based-care-spotlight/external-resources",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A33466&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "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",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12274otn",
    "https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10261otn",
    "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://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55076&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=6",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A21&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A136&f%5B3%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r9r242i",
    "https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2026-end-stage-renal-disease-esrd-prospective-payment-system-final-rule",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A101&f%5B1%5D=topic%3A181&f%5B2%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=7",
    "http://www.cms.gov/marketplace/in-person-assisters/outreach-education",
    "https://www.cms.gov/about-cms/information-systems/privacy/notice-privacy-practices-original-medicare",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12261fm",
    "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",
    "https://www.cms.gov/data-research/cms-covid-19-data-products/medicare-home-covid-19-vaccine-analysis",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58955&articleStatus=all&bc=3&sortBy=title&ver=4",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A71&f%5B1%5D=topic%3A161&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A6076&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r61."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r61.csv"
  },
  {
   "instance_id": "VS-64678315",
   "pattern_id": "VS-f054f4a4",
   "a11y_pattern_fingerprint": "37ab4842ec0aef96bc3f027fe26cb61eaf1e0e6cf2e8ff2a177119d6dea2e022",
   "a11y_pattern_display_id": "A11Y-PAT-37AB4842EC0A",
   "a11y_occurrence_fingerprint": "bbabf84dcf7b6e94f8534355bf943863b297f9a7c5dbdd9f9d93acc1f9f47189",
   "a11y_occurrence_display_id": "A11Y-OCC-BBABF84DCF7B",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
   "xpath": "<h4 id=\"dmHeader0\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "frequency": {
    "instances": 1298,
    "pages_affected": 1294,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "<h4 id=\"dmHeader0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34428&lcdStatus=all&sortBy=title&ver=93",
     "xpath": "<h3 id=\"h3DocumentInformationHeader\" class=\"document-view-section-header\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/training-education/medicare-learning-networkr-mln/resources-training/mln-matters-articles",
     "xpath": "<h3 class=\"field field--name-field-cms-card-title field--type-string field--label-hidden ds-u-margin-bottom--3\" data-once=\"trademark-symbol\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&ver=18",
     "xpath": "<h3 id=\"h3DocumentInformationHeader\" class=\"document-view-section-header\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8",
     "xpath": "<h3 id=\"h3GeneralInformationHeader\" class=\"document-view-section-header\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "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://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8",
    "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/data-research/cms-covid-19-data-products/medicare-home-covid-19-vaccine-analysis",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58955&articleStatus=all&bc=3&sortBy=title&ver=4",
    "http://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2Fphysicianfeesched%2Fdownloads%2Fpe_townhall_hcpcs_level.zip",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A441&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38647&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37502&lcdStatus=all&sortBy=title&ver=21",
    "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/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=22",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57020&ver=3",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34426&lcdStatus=all&sortBy=title&ver=55",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&ver=30",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33831&ver=46",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60347&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&ver=37",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56632&articleStatus=all&bc=3&sortBy=title&ver=31",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39636&lcdStatus=all&sortBy=title&ver=4",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=12"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.",
    "Locate the element: <h4 id=\"dmHeader0\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r53."
   ],
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r53.csv"
  },
  {
   "instance_id": "VS-e02a91a9",
   "pattern_id": "VS-c18be945",
   "a11y_pattern_fingerprint": "6f4836c6a670501b2b2ec4ef8720babc528ae6143bb2b672472287e13b3e9b0e",
   "a11y_pattern_display_id": "A11Y-PAT-6F4836C6A670",
   "a11y_occurrence_fingerprint": "2ae119617e2255c321e7fbf59e2c327abf32592e5e96683d5ce6c8fb6cd9797c",
   "a11y_occurrence_display_id": "A11Y-OCC-2AE119617E22",
   "url": "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
   "xpath": "text: \"Feedback\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "frequency": {
    "instances": 1269,
    "pages_affected": 1266,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 1266 of 8287 scanned pages (1269 instances).",
   "examples": [
    {
     "url": "https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/priorities/innovation-center/value-based-care-spotlight/external-resources",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    },
    {
     "url": "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",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A71&f%5B1%5D=topic%3A161&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A6076&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/newsroom/search?f%5B0%5D=topic%3A161&f%5B1%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A71&f%5B1%5D=topic%3A161&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A6076&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://cms.gov/newsroom/search?f%5B0%5D=topic%3A161&f%5B1%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medicare-fee-service-recovery-audit-program",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A441&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/priorities/innovation-center/value-based-care-spotlight/patient-provider-voices/whole-person-care-stories/improving-health-access-care-rural-areas-one-pennsylvania-couples-story",
    "https://www.cms.gov/medicare/payment/medicare-part-b-drug-average-sales-price/asp-events",
    "https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/visitation-intermediate-care-facilities-individuals-intellectual-disabilities-icfiids-and",
    "https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11544cp",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=2&sort=desc",
    "https://www.cms.gov/newsroom/press-releases/cms-final-rule-improves-health-equity-access-treatment-hospital-readiness-covid-19-vaccination-data",
    "https://www.cms.gov/newsroom/press-releases/medicare-announces-funding-state-health-insurance-counseling-programs-2009",
    "http://www.cms.gov/medicare/audits-compliance/part-a-cost-report/medicare-cost-report-electronic-filing-mcref",
    "https://cms.gov/medicare/regulations-guidance/transmittals/2016-transmittals",
    "https://www.cms.gov/data-research/cms-information-technology/cio-resource-library",
    "http://www.cms.gov/data-research/statistics-trends-and-reports/cfo-report",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A33316&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://cms.gov/regulations-and-guidance/guidance/transmittals/2018-transmittals-items/r13p240",
    "https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A116&f%5B1%5D=topic%3A186&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A446&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals?items_per_page=25&order=field_dyna_cr_number&page=12&sort=desc",
    "https://www.cms.gov/medicare/quality/hospice-quality-reporting-program/how-update-hospice-demographic-data",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_release_date&page=4&sort=asc",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_subject_formatted&page=12&sort=desc"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/newsroom/fact-sheets/cms-waivers-flexibilities-transition-forward-covid-19-public-health-emergency.",
    "Locate the element: text: \"Feedback\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r57."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r57.csv"
  },
  {
   "instance_id": "VS-87eb0ce4",
   "pattern_id": "VS-2cd767ca",
   "a11y_pattern_fingerprint": "54e0360444f665703af8cfdd5c85edcd0d0dcafc841ff411e6eba0aaedaa808a",
   "a11y_pattern_display_id": "A11Y-PAT-54E0360444F6",
   "a11y_occurrence_fingerprint": "94d70f1fb848535ef21f977b8ce5c5a2cecad4a90c61c2296b3a8e04420c5c68",
   "a11y_occurrence_display_id": "A11Y-OCC-94D70F1FB848",
   "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8",
   "xpath": "<h4>",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "frequency": {
    "instances": 590,
    "pages_affected": 387,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=3&sortBy=title&ver=12",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57020&ver=3",
     "xpath": "<h4>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12",
    "http://www.cms.gov/priorities/innovation/key-concepts/bundled-payments",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56632&articleStatus=all&bc=3&sortBy=title&ver=31",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53605&ver=21",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57593&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38805&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40189&proposedStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59809&ver=10",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56692&articleStatus=all&bc=3&sortBy=title&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59101&ver=23",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57649&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57474&ver=34",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57867&articleStatus=all&bc=3&sortBy=title&ver=33",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34194&lcdStatus=all&sortBy=title",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57788&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=41",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=39367&lcdStatus=all&sortBy=title",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=3&sortBy=title&ver=22",
    "https://www.cms.gov/marketplace/resources/forms-reports-other",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59295&articleStatus=all&bc=3&sortBy=title&ver=6",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56872&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59805&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56065&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=23"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58649&articleStatus=all&bc=3&sortBy=title&ver=8.",
    "Locate the element: <h4>",
    "Confirm the Siteimprove Alfa finding for rule sia-r78."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r78.csv"
  },
  {
   "instance_id": "VS-6e8c48b9",
   "pattern_id": "VS-7fbb8b20",
   "a11y_pattern_fingerprint": "77c6216fbd4e8110bb8f6de50772332d9f730709a2342d5799081c44df2e4371",
   "a11y_pattern_display_id": "A11Y-PAT-77C6216FBD4E",
   "a11y_occurrence_fingerprint": "7eccf5ea4126baea4d59ed2b8cf986481f865a5d504c2b26db48ef1172b56887",
   "a11y_occurrence_display_id": "A11Y-OCC-7ECCF5EA4126",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r59",
   "rule_label": "Element with orientation is not locked",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r59",
   "severity": "Moderate",
   "frequency": {
    "instances": 47,
    "pages_affected": 47,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0327.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0051.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0032.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0025.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0102.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0234.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0120.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0015.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0329.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0153.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0252.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0177.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0122.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0347.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0087.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0275.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0194.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0513.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0894.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r59."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r59",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W26",
   "last_seen": "2026-W27",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r59.csv"
  },
  {
   "instance_id": "VS-8e908e0a",
   "pattern_id": "VS-e43903a1",
   "a11y_pattern_fingerprint": "b65b940fea6fe2881d9be490f491626db32eb1ea900ed16ae1fa6f1c8fe62cd6",
   "a11y_pattern_display_id": "A11Y-PAT-B65B940FEA6F",
   "a11y_occurrence_fingerprint": "070817826316f800862096be073f7652e61a675260747906f34aa186e48d7218",
   "a11y_occurrence_display_id": "A11Y-OCC-070817826316",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
   "xpath": "<ul id=\"globar\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r75",
   "rule_label": "Form field error is identified and described",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r75",
   "severity": "Moderate",
   "frequency": {
    "instances": 94,
    "pages_affected": 47,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "xpath": "<ul id=\"globar\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html",
     "xpath": "<ul id=\"supbar\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "xpath": "<ul id=\"globar\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "xpath": "<ul id=\"supbar\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0097.html",
     "xpath": "<ul id=\"globar\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0185.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0375.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0327.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0051.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0032.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0025.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0102.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0234.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0120.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0015.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0329.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0153.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0252.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0177.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0122.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0347.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0087.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0275.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0194.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0513.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0894.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0376.html.",
    "Locate the element: <ul id=\"globar\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r75."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r75",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W26",
   "last_seen": "2026-W27",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r75.csv"
  },
  {
   "instance_id": "VS-742b1d3e",
   "pattern_id": "VS-04a9d28c",
   "a11y_pattern_fingerprint": "4f689336d4c75d6ed473a6d2535809e06211e62fe72c1273f1ce24c280bb0a10",
   "a11y_pattern_display_id": "A11Y-PAT-4F689336D4C7",
   "a11y_occurrence_fingerprint": "11eda289a4c7c0c275ba149780126bd9b09722e0f40fe3219205eb06332596e2",
   "a11y_occurrence_display_id": "A11Y-OCC-11EDA289A4C7",
   "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20",
   "xpath": "table",
   "html_snippet": "<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",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine_key": "deprecated-html",
   "tool": "deprecated-html",
   "rule_url": null,
   "severity": "Moderate",
   "frequency": {
    "instances": 1000,
    "pages_affected": 44,
    "total_pages_scanned": 8287
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20",
     "xpath": "table",
     "html_snippet": "<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"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20",
     "xpath": "table",
     "html_snippet": "<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"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20",
     "xpath": "table",
     "html_snippet": "<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"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "xpath": "table",
     "html_snippet": "<table class=\"hhshead\" cellpadding=\"0\" cellspacing=\"0\" summary=\"HHS Header. Table for formatting only.\">\n\t<tbody><tr><td class=\"hhsbann\" align=\"left\">\n    <img class=\"hhsimg\" src=\"hhs_left.gif\" width="
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0100.html",
     "xpath": "td",
     "html_snippet": "<td class=\"hhsbann\" align=\"left\">\n    <img class=\"hhsimg\" src=\"hhs_left.gif\" width=\"370\" height=\"46\" alt=\"U S Department of Health and Human Services\">\n\t</td>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0245.html",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33832&lcdStatus=all&sortBy=title&ver=20",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0293.html",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34427&lcdStatus=all&sortBy=title&ver=100",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33828&lcdStatus=all&sortBy=title&ver=27",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=224&proposed=Y",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0253.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0105.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0032.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0057.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0025.html",
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=1",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0234.html",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39383&lcdStatus=all&sortBy=title&ver=11",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58324&articleStatus=all&bc=3&sortBy=title&ver=35",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39402&lcdStatus=all&sortBy=title&ver=14",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=3&sortBy=title&ver=40",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56635&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37199&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39232&lcdStatus=all&sortBy=title&ver=6",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0122.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36951&lcdStatus=all&sortBy=title&ver=20.",
    "Locate the element: table",
    "Confirm the deprecated-html finding for rule presentational-attr."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/deprecated-html__presentational-attr.csv"
  },
  {
   "instance_id": "VS-46fc3107",
   "pattern_id": "VS-f2542d87",
   "a11y_pattern_fingerprint": "03e69dee9333d7e11cc03a3ed8ce4fd222caccb83cb87fed3b43425fb04123c7",
   "a11y_pattern_display_id": "A11Y-PAT-03E69DEE9333",
   "a11y_occurrence_fingerprint": "8435885e3f69ecec295a22ddc9b08fed82fc39cf8cd54cbcba36af1d832081d7",
   "a11y_occurrence_display_id": "A11Y-OCC-8435885E3F69",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
   "xpath": "<pre>",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r79",
   "rule_label": "Duplicate role landmark is labeled",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r79",
   "severity": "Moderate",
   "frequency": {
    "instances": 8,
    "pages_affected": 8,
    "total_pages_scanned": 8287
   },
   "likely_source": "unknown",
   "summary": "Duplicate role landmark is labeled (WCAG criterion undetermined)",
   "description": "Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 8 of 8287 scanned pages (8 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "<pre>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=228&proposed=N",
     "xpath": "<pre>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=224&proposed=Y",
     "xpath": "<pre>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=17&sortBy=title&status=all",
     "xpath": "<pre>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=90",
     "xpath": "<pre>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=17&sortBy=title&status=all",
    "https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=90",
    "https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?NCAId=267",
    "https://cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=29&sortBy=title&status=all",
    "https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=ACAAAAAAQAAA&NCAId=292&type=Closed"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.",
    "Locate the element: <pre>",
    "Confirm the Siteimprove Alfa finding for rule sia-r79."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r79",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W27",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r79.csv"
  },
  {
   "instance_id": "VS-17e2c243",
   "pattern_id": "VS-4c341c77",
   "a11y_pattern_fingerprint": "b20456eab70e820eb40dcabd3947e1dac3a3a60b8b053518aeaece4f0d5edabd",
   "a11y_pattern_display_id": "A11Y-PAT-B20456EAB70E",
   "a11y_occurrence_fingerprint": "5b54e5dcbf23aa590275ad2a9ce1b43c4a63928ad6deebb4350896650e5ecf90",
   "a11y_occurrence_display_id": "A11Y-OCC-5B54E5DCBF23",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaid=289",
   "xpath": "<p>",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r85",
   "rule_label": "Keyboard trap does not exist",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r85",
   "severity": "Moderate",
   "frequency": {
    "instances": 24,
    "pages_affected": 8,
    "total_pages_scanned": 8287
   },
   "likely_source": "unknown",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaid=289",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=33",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=317&proposed=N",
     "xpath": "<p>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=60",
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=67",
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=14&doctype=all&ncdid=291&ncdver=2&sortBy=title&year=2026",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=315&proposed=N",
    "https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=ACAAAAAAQAAA&NCAId=292&type=Closed"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaid=289.",
    "Locate the element: <p>",
    "Confirm the Siteimprove Alfa finding for rule sia-r85."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W27",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/alfa__sia-r85.csv"
  },
  {
   "instance_id": "VS-8e3cfde4",
   "pattern_id": "VS-3d033717",
   "a11y_pattern_fingerprint": "02e366b4c298b491412ec27d0aa31fac798f5695a402a7d261c17d3135bb7025",
   "a11y_pattern_display_id": "A11Y-PAT-02E366B4C298",
   "a11y_occurrence_fingerprint": "248f37bc26e9ec4507683f900c32d70e8541faeecb8419b394c88fe943420548",
   "a11y_occurrence_display_id": "A11Y-OCC-248F37BC26E9",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r70",
   "rule_label": "No obsolete or deprecated elements are used",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r70",
   "severity": "Moderate",
   "frequency": {
    "instances": 6,
    "pages_affected": 6,
    "total_pages_scanned": 8287
   },
   "likely_source": "unknown",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=60",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=90",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=67",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=14&doctype=all&ncdid=291&ncdver=2&sortBy=title&year=2026",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=67",
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=14&doctype=all&ncdid=291&ncdver=2&sortBy=title&year=2026",
    "https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=ACAAAAAAQAAA&NCAId=292&type=Closed"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=299&proposed=N.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r70."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r70",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W27",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/alfa__sia-r70.csv"
  },
  {
   "instance_id": "VS-62e26f27",
   "pattern_id": "VS-aa242c2d",
   "a11y_pattern_fingerprint": "d3c0bd1ab62c73539ffd732c5242f82de13fea583f2ba6d1fd73e89a3275d35f",
   "a11y_pattern_display_id": "A11Y-PAT-D3C0BD1AB62C",
   "a11y_occurrence_fingerprint": "a50ee932f2ffae1fed44e2c61cc6d104e69a75a5744d1d0bd8bead3b515ed82c",
   "a11y_occurrence_display_id": "A11Y-OCC-A50EE932F2FF",
   "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r87."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W27",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/alfa__sia-r87.csv"
  },
  {
   "instance_id": "VS-97e4119c",
   "pattern_id": "VS-3d3b2245",
   "a11y_pattern_fingerprint": "9cfe48f5483859687ec886a67a91ee029cf9b69f10eaa1b07f98d6f51d1fcfb4",
   "a11y_pattern_display_id": "A11Y-PAT-9CFE48F54838",
   "a11y_occurrence_fingerprint": "27865b6f50fdb00a1a3d51a1b26c276065afddd4b9c129627d2a0b98ba4e06ac",
   "a11y_occurrence_display_id": "A11Y-OCC-27865B6F50FD",
   "url": "https://www.cms.gov/priorities/health-equity/minority-health/resource-center/language/navajo-dine-bizaad",
   "xpath": "<div role=\"region\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r40",
   "rule_label": "Tables are used for tabular data, not layout",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r40",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/priorities/health-equity/minority-health/resource-center/language/navajo-dine-bizaad",
     "xpath": "<div role=\"region\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/priorities/health-equity/minority-health/resource-center/language/navajo-dine-bizaad"
   ],
   "affected_pages": [
    "https://www.cms.gov/priorities/health-equity/minority-health/resource-center/language/navajo-dine-bizaad"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/priorities/health-equity/minority-health/resource-center/language/navajo-dine-bizaad.",
    "Locate the element: <div role=\"region\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r40."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r40",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W27",
   "last_seen": "2026-W27",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r40.csv"
  },
  {
   "instance_id": "VS-f1076d9f",
   "pattern_id": "VS-7f897be7",
   "a11y_pattern_fingerprint": "a9b3ea55b894c9ed6b43ad860a3e42348ef43dcc1bde8d04522140cf7059d773",
   "a11y_pattern_display_id": "A11Y-PAT-A9B3EA55B894",
   "a11y_occurrence_fingerprint": "65a374f6e0d0c79a415630986715160688908b00ebc3183faf0be28372d66398",
   "a11y_occurrence_display_id": "A11Y-OCC-65A374F6E0D0",
   "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
   "xpath": "@aria-role=\"scrollbar\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r20",
   "rule_label": "aria attribute is defined in WAI-ARIA",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r20",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html",
     "xpath": "@aria-role=\"scrollbar\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN4151758-ICD-10-PCS/ICD10PCS/story.html.",
    "Locate the element: @aria-role=\"scrollbar\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r20."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r20",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W26",
   "last_seen": "2026-W27",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r20.csv"
  },
  {
   "instance_id": "VS-17102650",
   "pattern_id": "VS-e05344b9",
   "a11y_pattern_fingerprint": "b2b0aba4d976aac39d1ff20f9dc8069df1e1e7f5c5d7333ab75affe695116058",
   "a11y_pattern_display_id": "A11Y-PAT-B2B0ABA4D976",
   "a11y_occurrence_fingerprint": "80a0899a708193a3d19a612df738f4c1eb7159d56705d8a6cc9bde3e6eddf7c5",
   "a11y_occurrence_display_id": "A11Y-OCC-80A0899A7081",
   "url": "http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files",
   "xpath": "@aria-label=\"Open Medicare Diabetes Prevention Program\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "frequency": {
    "instances": 6,
    "pages_affected": 1,
    "total_pages_scanned": 8287
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files",
     "xpath": "@aria-label=\"Open Medicare Diabetes Prevention Program\"",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files",
     "xpath": "@aria-label=\"Open Ambulatory Specialty Model Participants\"",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files",
     "xpath": "@aria-label=\"Open Comprehensive Care for Joint Replacement Model: Metropolitan Statistical Areas\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files"
   ],
   "affected_pages": [
    "http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files.",
    "Locate the element: @aria-label=\"Open Medicare Diabetes Prevention Program\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r18."
   ],
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W27",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/alfa__sia-r18.csv"
  }
 ],
 "policy": {
  "suppression": {
   "patterns": 0,
   "pages": 0,
   "occurrences": 0,
   "entries": []
  }
 }
}