{
 "domain": "www.cms.gov",
 "week": "2026-W32",
 "generatedAt": "2026-08-09T13:34:23.410Z",
 "reports": [
  {
   "instance_id": "VS-11cc7348",
   "pattern_id": "VS-179ad9b3",
   "a11y_pattern_fingerprint": "e7bac73319e452f783dbc9ac7a50ef65c6973a8841f507cb28b7168f9f48a792",
   "a11y_pattern_display_id": "A11Y-PAT-E7BAC73319E4",
   "a11y_occurrence_fingerprint": "f07906f3c708a4f104163905104add8c97e4db5827aa6659315d0741f2632f61",
   "a11y_occurrence_display_id": "A11Y-OCC-F07906F3C708",
   "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
   "xpath": "<a href=\"http://www.hhs.gov\">",
   "html_snippet": null,
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "frequency": {
    "instances": 236,
    "pages_affected": 121,
    "total_pages_scanned": 6846
   },
   "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 121 of 6846 scanned pages (236 instances).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
     "xpath": "<a href=\"http://www.hhs.gov\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
     "xpath": "<a href=\"http://www.medicare.gov\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
     "xpath": "<a href=\"http://www.usa.gov\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72",
     "xpath": "<a href=\"#lblIssueDescriptionSubheader\" data-href=\"lblIssueDescriptionSubheader\" class=\"nav-link toc-link no-link log-click\" title=\"Jump to Issue Description\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42",
     "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://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42"
   ],
   "affected_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57649&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59521&articleStatus=all&bc=3&sortBy=title&ver=11",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56615&bc=1&contractOption=all&docType=6%2C1&keyword=cataract+extraction&keywordType=all&sortBy=relevance&ver=26",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59868&articleStatus=all&bc=3&sortBy=title&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33822",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=37620&ver=16",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57663&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57873&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=31",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53252&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=236",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36125&ver=40",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57804&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=41",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60276&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=3",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39071&ver=16",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56914&articleStatus=all&bc=3&sortBy=title&ver=19",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56467&articleStatus=all&bc=3&sortBy=title&ver=14",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58052&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=9"
   ],
   "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://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html.",
    "Locate the element: <a href=\"http://www.hhs.gov\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r113.csv"
  },
  {
   "instance_id": "VS-ff344900",
   "pattern_id": "VS-f7dba940",
   "a11y_pattern_fingerprint": "714cfa2672abec642b191ae001c2d17ec37f8b0583bb71ecc7b42f9c7d1949ae",
   "a11y_pattern_display_id": "A11Y-PAT-714CFA2672AB",
   "a11y_occurrence_fingerprint": "67d1005bfe08f7f9d2fbcab3cc5de2b6c8d742d7e9593aa9303c65f2a63e175c",
   "a11y_occurrence_display_id": "A11Y-OCC-67D1005BFE08",
   "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
   "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": 992,
    "pages_affected": 386,
    "total_pages_scanned": 6846
   },
   "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 386 of 6846 scanned pages (992 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
     "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=35007&lcdStatus=all&sortBy=title&ver=81",
     "xpath": "<a href=\"#\" data-bs-toggle=\"collapse\" id=\"aCollapseNavigation\" aria-label=\"Collapse Document Navigation\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "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": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "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/article.aspx?articleId=59807&ver=7",
     "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/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&stateRegion=all&ver=29",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52459&ver=23",
    "http://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=36941&lcdStatus=all&sortBy=title&ver=22",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34415&lcdStatus=all&sortBy=title&stateRegion=all&ver=58",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33686&lcdStatus=all&sortBy=title&stateRegion=all&ver=43",
    "https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37356&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55536&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39642&lcdStatus=all&sortBy=title&ver=11",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56329&articleStatus=all&bc=3&sortBy=title&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54612&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=323&sortBy=status&status=all",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57811&articleStatus=all&bc=3&sortBy=title&ver=2",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38769&lcdStatus=all&sortBy=title"
   ],
   "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/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81.",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r14.csv"
  },
  {
   "instance_id": "VS-f85889d4",
   "pattern_id": "VS-9074b4dd",
   "a11y_pattern_fingerprint": "a978dea41024ecf3c2edc0da00aac9058166a8299fabb3a47324cc4a04812e96",
   "a11y_pattern_display_id": "A11Y-PAT-A978DEA41024",
   "a11y_occurrence_fingerprint": "478cb10d5b2c48188795a643ede41836c07ab56f1657f08681a9e9e463511f15",
   "a11y_occurrence_display_id": "A11Y-OCC-478CB10D5B2C",
   "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
   "xpath": "img[src$=\"cms-site-logo.png\"]",
   "html_snippet": "<img src=\"cms-site-logo.png\">",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "image-alt",
   "rule_label": "Images must have alternative text",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 53,
    "pages_affected": 53,
    "total_pages_scanned": 6846
   },
   "likely_source": "template",
   "summary": "Images must have alternative text (WCAG 1.1.1)",
   "description": "Images must have alternative text. Detected by axe-core rule image-alt on 53 of 6846 scanned pages (53 instances).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
     "xpath": "img[src$=\"cms-site-logo.png\"]",
     "html_snippet": "<img src=\"cms-site-logo.png\">"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
     "xpath": "img[src$=\"cms-site-logo.png\"]",
     "html_snippet": "<img src=\"cms-site-logo.png\">"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
     "xpath": "img[src$=\"cms-site-logo.png\"]",
     "html_snippet": "<img src=\"cms-site-logo.png\">"
    },
    {
     "url": "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0001.html",
     "xpath": "img[src$=\"cms-site-logo.png\"]",
     "html_snippet": "<img src=\"cms-site-logo.png\">"
    },
    {
     "url": "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html",
     "xpath": "img[src$=\"cms-site-logo.png\"]",
     "html_snippet": "<img src=\"cms-site-logo.png\">"
    }
   ],
   "example_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html"
   ],
   "affected_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0001.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0005.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0280.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0469.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0055.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0062.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0065.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0132.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0127.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0023.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0035.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0098.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0232.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0109.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0957.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0255.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0008.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0954.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html.",
    "Locate the element: img[src$=\"cms-site-logo.png\"]",
    "Confirm the axe-core finding for rule image-alt against WCAG 1.1.1 Non-text Content."
   ],
   "remediation_tip": "Give every <img> a meaningful alt attribute. Use alt=\"\" only for decorative images so screen readers skip them.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "In Drupal's Media Library, fill the \"Alternative text\" field when uploading or editing an image. For images in body fields, the CKEditor \"Image Properties\" dialog includes an Alt Text field.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W32",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__image-alt.csv"
  },
  {
   "instance_id": "VS-53916df7",
   "pattern_id": "VS-f7280372",
   "a11y_pattern_fingerprint": "68204781b80ca5c7263e2cd6a88eeff6d6d8c5c7ed83342ea76edb5308dd9aa0",
   "a11y_pattern_display_id": "A11Y-PAT-68204781B80C",
   "a11y_occurrence_fingerprint": "eb87ee6bc8948f2a1a75520ee52593570e0c78a2b9f553d8417565b3736a4f60",
   "a11y_occurrence_display_id": "A11Y-OCC-EB87EE6BC894",
   "url": "https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39297&sortBy=relevance",
   "xpath": "#searchResults > tfoot > tr > .text-center[colspan=\"5\"][data-exclude=\"true\"] > .ds-c-spinner[aria-valuetext=\"Loading\"][role=\"progressbar\"]",
   "html_snippet": "<span class=\"ds-c-spinner\" 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": 1,
    "pages_affected": 1,
    "total_pages_scanned": 6846
   },
   "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 6846 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39297&sortBy=relevance",
     "xpath": "#searchResults > tfoot > tr > .text-center[colspan=\"5\"][data-exclude=\"true\"] > .ds-c-spinner[aria-valuetext=\"Loading\"][role=\"progressbar\"]",
     "html_snippet": "<span class=\"ds-c-spinner\" aria-valuetext=\"Loading\" role=\"progressbar\"></span>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39297&sortBy=relevance"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39297&sortBy=relevance"
   ],
   "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/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39297&sortBy=relevance.",
    "Locate the element: #searchResults > tfoot > tr > .text-center[colspan=\"5\"][data-exclude=\"true\"] > .ds-c-spinner[aria-valuetext=\"Loading\"][role=\"progressbar\"]",
    "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-W32",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/axe-core__aria-progressbar-name.csv"
  },
  {
   "instance_id": "VS-8da3d128",
   "pattern_id": "VS-a24eaa8c",
   "a11y_pattern_fingerprint": "9706dec6d1fe236347283238777ae900c1508adec6284acb1378d2ccabf1a12d",
   "a11y_pattern_display_id": "A11Y-PAT-9706DEC6D1FE",
   "a11y_occurrence_fingerprint": "35f0324904a9f5fa12c4f3740064edca5e2fe580bae57fc300342e07b09be008",
   "a11y_occurrence_display_id": "A11Y-OCC-35F0324904A9",
   "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
   "xpath": "<img src=\"cms-site-logo.png\">",
   "html_snippet": null,
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r2",
   "rule_label": "Image has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r2",
   "severity": "Moderate",
   "frequency": {
    "instances": 12,
    "pages_affected": 12,
    "total_pages_scanned": 6846
   },
   "likely_source": "template",
   "summary": "Image has accessible name (WCAG 1.1.1)",
   "description": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 12 of 6846 scanned pages (12 instances).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
     "xpath": "<img src=\"cms-site-logo.png\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
     "xpath": "<img src=\"cms-site-logo.png\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html",
     "xpath": "<img src=\"cms-site-logo.png\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
     "xpath": "<img src=\"cms-site-logo.png\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html",
     "xpath": "<img src=\"cms-site-logo.png\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html"
   ],
   "affected_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0055.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0132.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0232.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0109.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0957.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0012.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0006.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html.",
    "Locate the element: <img src=\"cms-site-logo.png\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r2 against WCAG 1.1.1 Non-text Content."
   ],
   "remediation_tip": "Give every <img> an accessible name (alt text), or alt=\"\" if purely decorative.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W32",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r2.csv"
  },
  {
   "instance_id": "VS-3b942efe",
   "pattern_id": "VS-a0bdbdf6",
   "a11y_pattern_fingerprint": "19d3ab2869620b8de82719bf3e571e72cad458a6182bbaa852101d4710e48533",
   "a11y_pattern_display_id": "A11Y-PAT-19D3AB286962",
   "a11y_occurrence_fingerprint": "480c2ceb94466c825877d20bc1278ac8085140ebaa35958946911f3c1e75a310",
   "a11y_occurrence_display_id": "A11Y-OCC-480C2CEB9446",
   "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35098&lcdStatus=all&sortBy=title&stateRegion=all&ver=28",
   "xpath": "#lblCoverageIndication > 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": 1672,
    "pages_affected": 317,
    "total_pages_scanned": 6846
   },
   "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 317 of 6846 scanned pages (1672 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35098&lcdStatus=all&sortBy=title&stateRegion=all&ver=28",
     "xpath": "#lblCoverageIndication > ul:nth-child(5)",
     "html_snippet": "<ul>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35098&lcdStatus=all&sortBy=title&stateRegion=all&ver=28",
     "xpath": "ul:nth-child(5) > ul:nth-child(1)",
     "html_snippet": "<ul>1. Focal neuropathies or compressive lesions such as carpal tunnel syndrome, ulnar neuropathies or root lesions, for localization.</ul>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35098&lcdStatus=all&sortBy=title&stateRegion=all&ver=28",
     "xpath": "ul:nth-child(5) > ul:nth-child(2)",
     "html_snippet": "<ul>2. Traumatic nerve lesions, for diagnosis and prognosis.</ul>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
     "xpath": "#lblCoverageIndication > ul[type=\"disc\"]:nth-child(3)",
     "html_snippet": "<ul type=\"disc\">"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
     "xpath": "ul:nth-child(6)",
     "html_snippet": "<ul>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35098&lcdStatus=all&sortBy=title&stateRegion=all&ver=28",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58250&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=14"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35098&lcdStatus=all&sortBy=title&stateRegion=all&ver=28",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58250&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=14",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35093&lcdStatus=all&sortBy=title&stateRegion=all&ver=114",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38268&lcdStatus=all&sortBy=title&stateRegion=all&ver=11",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33567&lcdStatus=all&sortBy=title&stateRegion=all&ver=27",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34859&ver=34",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=40302&sortBy=relevance&ver=2",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34046&lcdStatus=all&sortBy=title&stateRegion=all&ver=29",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57238&articleStatus=all&bc=3&sortBy=title&ver=10",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34314&lcdStatus=all&sortBy=title&stateRegion=all&ver=53",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34976&lcdStatus=all&sortBy=title&ver=34",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=9&lcdid=40404&proposedStatus=all&sortBy=title&ver=7",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33999&lcdStatus=all&sortBy=title&ver=21",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34553&ver=47",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=23",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55146&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=320&proposed=Y&sortBy=title&year=2026",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39490&sortBy=relevance&ver=7",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40377&proposedStatus=all&sortBy=title&stateRegion=all&ver=27",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36941&lcdStatus=all&sortBy=title&ver=22"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "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?bc=8&contractorNumber=all&lcdid=35098&lcdStatus=all&sortBy=title&stateRegion=all&ver=28.",
    "Locate the element: #lblCoverageIndication > 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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__list.csv"
  },
  {
   "instance_id": "VS-e8f4f9e1",
   "pattern_id": "VS-6175596b",
   "a11y_pattern_fingerprint": "f7ed185b31d0560e846272d7dfb3c1a637b0ba77649de72609a7d010c9550d1f",
   "a11y_pattern_display_id": "A11Y-PAT-F7ED185B31D0",
   "a11y_occurrence_fingerprint": "e380b2b9aa3e5262e357a27c9ff30dec2e3618ad1928e78516941ad1d7be5e82",
   "a11y_occurrence_display_id": "A11Y-OCC-E380B2B9AA3E",
   "url": "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N",
   "xpath": "li:nth-child(198)",
   "html_snippet": "<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": 117,
    "pages_affected": 13,
    "total_pages_scanned": 6846
   },
   "likely_source": "template",
   "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 13 of 6846 scanned pages (117 instances).",
   "examples": [
    {
     "url": "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N",
     "xpath": "li:nth-child(198)",
     "html_snippet": "<li>"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N",
     "xpath": "li:nth-child(199)",
     "html_snippet": "<li>Cytokine release syndrome (CRS) management - See CAR T-Cell-Related Toxicities in the NCCN Guidelines for Management of Immunotherapy-Related Toxicities</li>"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N",
     "xpath": "li:nth-child(200)",
     "html_snippet": "<li>Neurologic toxicity management - See CAR T-Cell-Related Toxicities in the NCCN Guidelines for Management of Immunotherapy-Related Toxicities</li>"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=Y",
     "xpath": "li:nth-child(209)",
     "html_snippet": "<li>"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=Y",
     "xpath": "li:nth-child(210)",
     "html_snippet": "<li>"
    }
   ],
   "example_pages": [
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N",
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=Y",
    "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=274&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&TimeFrame=7"
   ],
   "affected_pages": [
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N",
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=Y",
    "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=274&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&TimeFrame=7",
    "https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=291&proposed=Y&sortBy=status&status=all",
    "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=246&proposed=N&sortBy=relevance",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34183&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
    "http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=82&sortBy=meetingdate&year=all",
    "http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=77&sortBy=meetingdate&year=all",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=21&doctype=all&ncaid=313&proposed=N&sortBy=updated&timeframe=30",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?bc=17&ncacaldoctype=all&ncaid=295&sortBy=status&status=all",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=N&sortBy=status&status=all"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N.",
    "Locate the element: li:nth-child(198)",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__listitem.csv"
  },
  {
   "instance_id": "VS-0aa01f63",
   "pattern_id": "VS-07ba3b17",
   "a11y_pattern_fingerprint": "78f59582c1f82c5203ddb8b3ce067fb8e29de0f36b7bcb4b37491b2e71c7fe11",
   "a11y_pattern_display_id": "A11Y-PAT-78F59582C1F8",
   "a11y_occurrence_fingerprint": "4e4cdef44432e8b3d1f88c83026a459e09f11ab816e278d3acd3b6a0a072aa93",
   "a11y_occurrence_display_id": "A11Y-OCC-4E4CDEF44432",
   "url": "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&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": 6846
   },
   "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 6846 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&sort=asc",
     "xpath": ".MsoTableGrid",
     "html_snippet": "<table class=\"MsoTableGrid\">"
    },
    {
     "url": "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_cr_number&page=15&sort=desc",
     "xpath": ".MsoTableGrid",
     "html_snippet": "<table class=\"MsoTableGrid\">"
    }
   ],
   "example_pages": [
    "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&sort=asc",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_cr_number&page=15&sort=desc"
   ],
   "affected_pages": [
    "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&sort=asc",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_cr_number&page=15&sort=desc"
   ],
   "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/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&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-W32",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__td-headers-attr.csv"
  },
  {
   "instance_id": "VS-40687a31",
   "pattern_id": "VS-d6097011",
   "a11y_pattern_fingerprint": "f4b92356e9e99a1a4b4e8ffb0758340fd91de8a896573717b96c4414f64c405e",
   "a11y_pattern_display_id": "A11Y-PAT-F4B92356E9E9",
   "a11y_occurrence_fingerprint": "daf8e92099988bb76f452e29211bfecfb5fac70de47d541817147a2b39070009",
   "a11y_occurrence_display_id": "A11Y-OCC-DAF8E9209998",
   "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
   "xpath": "<ul type=\"disc\">",
   "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": 310,
    "pages_affected": 99,
    "total_pages_scanned": 6846
   },
   "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 99 of 6846 scanned pages (310 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
     "xpath": "<ul type=\"disc\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "xpath": "<ol style=\"list-style-type: decimal;\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "xpath": "<ul style=\"list-style-type: disc;\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "xpath": "<ol style=\"list-style-type: decimal;\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18",
     "xpath": "<ul>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=23",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33686&lcdStatus=all&sortBy=title&stateRegion=all&ver=43",
    "https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37356&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=323&sortBy=status&status=all",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38769&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=80",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35702&lcdStatus=all&sortBy=title&ver=32",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56615&bc=1&contractOption=all&docType=6%2C1&keyword=cataract+extraction&keywordType=all&sortBy=relevance&ver=26",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=34008&lcdStatus=all&sortBy=title",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34051&lcdStatus=all&sortBy=title&ver=43",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&stateRegion=all&ver=30",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34163&lcdStatus=all&sortBy=title&ver=28",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53252&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=236",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56148&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2",
    "http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=33813&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=34526&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=39262&lcdStatus=all&sortBy=title&stateRegion=all",
    "http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=33623&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=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81.",
    "Locate the element: <ul type=\"disc\">",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r68.csv"
  },
  {
   "instance_id": "VS-c5d977f5",
   "pattern_id": "VS-4408605e",
   "a11y_pattern_fingerprint": "7ffa87e4deb23583b3dbd939e3827738682c8ae8fcd1df96b4508a5a69724e29",
   "a11y_pattern_display_id": "A11Y-PAT-7FFA87E4DEB2",
   "a11y_occurrence_fingerprint": "e58ea6a3f69a652c7bfe7e904b85641e8de79119f54995bd38fba536085b9573",
   "a11y_occurrence_display_id": "A11Y-OCC-E58EA6A3F69A",
   "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
   "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": 52,
    "pages_affected": 34,
    "total_pages_scanned": 6846
   },
   "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 34 of 6846 scanned pages (52 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
     "xpath": "<th scope=\"col\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
     "xpath": "<th scope=\"col\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57649&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9",
     "xpath": "<th scope=\"col\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57649&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9",
     "xpath": "<th scope=\"col\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59521&articleStatus=all&bc=3&sortBy=title&ver=11",
     "xpath": "<th scope=\"col\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57649&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59521&articleStatus=all&bc=3&sortBy=title&ver=11"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57649&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59521&articleStatus=all&bc=3&sortBy=title&ver=11",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56615&bc=1&contractOption=all&docType=6%2C1&keyword=cataract+extraction&keywordType=all&sortBy=relevance&ver=26",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56034&ver=39",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53252&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=236",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57804&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=41",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56914&articleStatus=all&bc=3&sortBy=title&ver=19",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56467&articleStatus=all&bc=3&sortBy=title&ver=14",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57201&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57843&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=12",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57707&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58216&articleStatus=all&bc=3&sortBy=title&ver=5",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59233&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&ver=14",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56941&articleStatus=all&bc=3&sortBy=title&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57689&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=39",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=58592&bc=1&contractOption=all&docType=6%2C1&keyword=cataract+extraction&keywordType=all&sortBy=relevance&ver=6",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56455&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55057&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=8",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53017&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=32",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58867&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=19",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56615&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=36",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57540&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12"
   ],
   "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/article.aspx?articleId=59807&ver=7.",
    "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-W32",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r46.csv"
  },
  {
   "instance_id": "VS-bd73d1a9",
   "pattern_id": "VS-3c632d31",
   "a11y_pattern_fingerprint": "fd43f9066b55fe488b573f7661d22622ce1c31584e1d586cddc6855a03471662",
   "a11y_pattern_display_id": "A11Y-PAT-FD43F9066B55",
   "a11y_occurrence_fingerprint": "e23d05e87e37dabecc45c4388db25bae6d2e2c3b4d97d0f99d3fd0018176e87e",
   "a11y_occurrence_display_id": "A11Y-OCC-E23D05E87E37",
   "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
   "xpath": "<h1>",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r64",
   "rule_label": "Element has required owned roles",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r64",
   "severity": "Moderate",
   "frequency": {
    "instances": 14,
    "pages_affected": 14,
    "total_pages_scanned": 6846
   },
   "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 14 of 6846 scanned pages (14 instances).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
     "xpath": "<h1>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
     "xpath": "<h1>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html",
     "xpath": "<h1>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
     "xpath": "<h1>",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html",
     "xpath": "<h1>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html"
   ],
   "affected_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0055.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0132.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0232.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0109.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0957.html",
    "http://cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives",
    "https://www.cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0012.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0006.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html.",
    "Locate the element: <h1>",
    "Confirm the Siteimprove Alfa finding for rule sia-r64 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r64",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r64.csv"
  },
  {
   "instance_id": "VS-a4592ce0",
   "pattern_id": "VS-9207ed51",
   "a11y_pattern_fingerprint": "66ebe8bd0f18e63619458dbdacd4c6e785972a7e3baffb22e049abb1e347e993",
   "a11y_pattern_display_id": "A11Y-PAT-66EBE8BD0F18",
   "a11y_occurrence_fingerprint": "69599b5e2f1eff67ed0b70db4c57e6d9805b9cade89642e49a6fa40cfc500f34",
   "a11y_occurrence_display_id": "A11Y-OCC-69599B5E2F1E",
   "url": "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&sort=asc",
   "xpath": "@headers=\"view-field-dyna-transmittal-number-table-column\"",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r45",
   "rule_label": "aria-hidden element is not exposed to assistive technology",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r45",
   "severity": "Moderate",
   "frequency": {
    "instances": 138,
    "pages_affected": 2,
    "total_pages_scanned": 6846
   },
   "likely_source": "content",
   "summary": "aria-hidden element is not exposed to assistive technology (WCAG 1.3.1)",
   "description": "aria-hidden element is not exposed to assistive technology. Detected by Siteimprove Alfa rule sia-r45 on 2 of 6846 scanned pages (138 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&sort=asc",
     "xpath": "@headers=\"view-field-dyna-transmittal-number-table-column\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&sort=asc",
     "xpath": "@headers=\"view-field-dyna-transmittal-number-table-column\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&sort=asc",
     "xpath": "@headers=\"view-field-dyna-transmittal-number-table-column\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_cr_number&page=15&sort=desc",
     "xpath": "@headers=\"view-field-dyna-cr-number-table-column\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_cr_number&page=15&sort=desc",
     "xpath": "@headers=\"view-field-dyna-release-date-table-column\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&sort=asc",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_cr_number&page=15&sort=desc"
   ],
   "affected_pages": [
    "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&sort=asc",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_cr_number&page=15&sort=desc"
   ],
   "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/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&sort=asc.",
    "Locate the element: @headers=\"view-field-dyna-transmittal-number-table-column\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r45 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-r45",
   "possible_duplicate_of": "VS-0aa01f63",
   "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-W26",
   "last_seen": "2026-W32",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r45.csv"
  },
  {
   "instance_id": "VS-5d479168",
   "pattern_id": "VS-3f067795",
   "a11y_pattern_fingerprint": "81f747badb881b493f8e2cef95d34d39eac0fb08588e651098babfb0e6e3db6d",
   "a11y_pattern_display_id": "A11Y-PAT-81F747BADB88",
   "a11y_occurrence_fingerprint": "8c85ea5430555977645e9c22282e41368d3f80d2273de0395c9e94006a56cd62",
   "a11y_occurrence_display_id": "A11Y-OCC-8C85EA543055",
   "url": "http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=7&sortBy=meetingdate&year=all",
   "xpath": "<td>",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r77",
   "rule_label": "Table cell has header",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r77",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 6846
   },
   "likely_source": "content",
   "summary": "Table cell has header (WCAG 1.3.1)",
   "description": "Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 1 of 6846 scanned pages (1 instances).",
   "examples": [
    {
     "url": "http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=7&sortBy=meetingdate&year=all",
     "xpath": "<td>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=7&sortBy=meetingdate&year=all"
   ],
   "affected_pages": [
    "http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=7&sortBy=meetingdate&year=all"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=7&sortBy=meetingdate&year=all.",
    "Locate the element: <td>",
    "Confirm the Siteimprove Alfa finding for rule sia-r77 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r77",
   "possible_duplicate_of": "VS-0aa01f63",
   "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r77.csv"
  },
  {
   "instance_id": "VS-5b227538",
   "pattern_id": "VS-8ade3360",
   "a11y_pattern_fingerprint": "feed57d728133ce2ac91c5dc934d036c56bb4fcc01d251151372829089e597e6",
   "a11y_pattern_display_id": "A11Y-PAT-FEED57D72813",
   "a11y_occurrence_fingerprint": "750b33f33fc36f434dd23df13dd4fe5ba5904fa890af05bc58e509a8b4f24243",
   "a11y_occurrence_display_id": "A11Y-OCC-750B33F33FC3",
   "url": "http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=358&ncdver=1&sortBy=title",
   "xpath": "li:nth-child(7) > a[href$=\"www.icmje.org\"]",
   "html_snippet": "<a href=\"http://www.icmje.org\">",
   "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": 1186,
    "pages_affected": 562,
    "total_pages_scanned": 6846
   },
   "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 562 of 6846 scanned pages (1186 instances).",
   "examples": [
    {
     "url": "http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=358&ncdver=1&sortBy=title",
     "xpath": "li:nth-child(7) > a[href$=\"www.icmje.org\"]",
     "html_snippet": "<a href=\"http://www.icmje.org\">"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=358&ncdver=1&sortBy=title",
     "xpath": "li:nth-child(11) > a[href$=\"www.icmje.org\"]",
     "html_snippet": "<a href=\"http://www.icmje.org\">"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35093&lcdStatus=all&sortBy=title&stateRegion=all&ver=114",
     "xpath": "#lblProposedLcd > .system-link.log-click[target=\"_blank\"]",
     "html_snippet": "<a href=\"https://localcoverage.cms.gov/mcd_archive/view/lcd.aspx?lcdInfo=39431:13\" target=\"_blank\" class=\"log-click system-link\" data-page-action=\"Clicked the Source Proposed LCD link\">DL35093</a>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38667&ver=4",
     "xpath": "#lblProposedLcd > .system-link.log-click[target=\"_blank\"]",
     "html_snippet": "<a href=\"https://localcoverage.cms.gov/mcd_archive/view/lcd.aspx?lcdInfo=38666:14\" target=\"_blank\" class=\"log-click system-link\" data-page-action=\"Clicked the Source Proposed LCD link\">DL38667</a>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38667&ver=4",
     "xpath": "a[href=\"www.nice.org.uk/guidance/ng128\"]",
     "html_snippet": "<a href=\"www.nice.org.uk/guidance/ng128\">"
    }
   ],
   "example_pages": [
    "http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=358&ncdver=1&sortBy=title",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35093&lcdStatus=all&sortBy=title&stateRegion=all&ver=114",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38667&ver=4"
   ],
   "affected_pages": [
    "http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=358&ncdver=1&sortBy=title",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35093&lcdStatus=all&sortBy=title&stateRegion=all&ver=114",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38667&ver=4",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38268&lcdStatus=all&sortBy=title&stateRegion=all&ver=11",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34859&ver=34",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38288&lcdStatus=all&sortBy=title&ver=11",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=40302&sortBy=relevance&ver=2",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&stateRegion=all&ver=29",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38745&lcdStatus=all&sortBy=title&ver=17",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34976&lcdStatus=all&sortBy=title&ver=34",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=289&sortBy=status&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37598&lcdStatus=all&sortBy=title&ver=21",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=9&lcdid=40404&proposedStatus=all&sortBy=title&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34553&ver=47",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=23",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33445&ver=71",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39490&sortBy=relevance&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39262&lcdStatus=all&sortBy=title&stateRegion=all&ver=8",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37618&lcdStatus=all&sortBy=title&ver=16",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36941&lcdStatus=all&sortBy=title&ver=22",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34415&lcdStatus=all&sortBy=title&stateRegion=all&ver=58"
   ],
   "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 http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=358&ncdver=1&sortBy=title.",
    "Locate the element: li:nth-child(7) > a[href$=\"www.icmje.org\"]",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__link-in-text-block.csv"
  },
  {
   "instance_id": "VS-4fa2c827",
   "pattern_id": "VS-efd91fdd",
   "a11y_pattern_fingerprint": "4de5ba4dbb23095845021d527ac4c9e27dcf3074f9971ad6d8e5b199ff163fb9",
   "a11y_pattern_display_id": "A11Y-PAT-4DE5BA4DBB23",
   "a11y_occurrence_fingerprint": "ad49272f42471636fede6ce167536f0b1b50658fbd7e035dd5c82d606b339b8b",
   "a11y_occurrence_display_id": "A11Y-OCC-AD49272F4247",
   "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58376&articleStatus=all&bc=3&sortBy=title&ver=47",
   "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": 4,
    "pages_affected": 4,
    "total_pages_scanned": 6846
   },
   "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 4 of 6846 scanned pages (4 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58376&articleStatus=all&bc=3&sortBy=title&ver=47",
     "xpath": "<a href=\"#\" data-bs-toggle=\"modal\" data-bs-target=\"#MCDNoticeBoadModal\" id=\"aBoardItemLink_2\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52370&ver=109",
     "xpath": "<a href=\"#\" data-bs-toggle=\"modal\" data-bs-target=\"#MCDNoticeBoadModal\" id=\"aBoardItemLink_2\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58741&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=15",
     "xpath": "<a href=\"#\" data-bs-toggle=\"modal\" data-bs-target=\"#MCDNoticeBoadModal\" id=\"aBoardItemLink_2\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57527&bc=0&ver=25",
     "xpath": "<a href=\"#\" data-bs-toggle=\"modal\" data-bs-target=\"#MCDNoticeBoadModal\" id=\"aBoardItemLink_2\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58376&articleStatus=all&bc=3&sortBy=title&ver=47",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52370&ver=109",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58741&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=15"
   ],
   "affected_pages": [
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58376&articleStatus=all&bc=3&sortBy=title&ver=47",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52370&ver=109",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58741&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=15",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57527&bc=0&ver=25"
   ],
   "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://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58376&articleStatus=all&bc=3&sortBy=title&ver=47.",
    "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-W32",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r62.csv"
  },
  {
   "instance_id": "VS-116d5184",
   "pattern_id": "VS-c613c153",
   "a11y_pattern_fingerprint": "c5dc98480035da248214117a8da33e9344f8dc8320600f229fd4acab0bed1699",
   "a11y_pattern_display_id": "A11Y-PAT-C5DC98480035",
   "a11y_occurrence_fingerprint": "5a7d7f2334e4099ab724b3d304c5046fc1924d05bc86081c643ae3517ca3982e",
   "a11y_occurrence_display_id": "A11Y-OCC-5A7D7F2334E4",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=230&proposed=N",
   "xpath": "pre",
   "html_snippet": "<pre>",
   "wcag_sc": "2.1.1",
   "wcag_name": "Keyboard",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "scrollable-region-focusable",
   "rule_label": "Scrollable region must have keyboard access",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 6846
   },
   "likely_source": "content",
   "summary": "Scrollable region must have keyboard access (WCAG 2.1.1)",
   "description": "Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 1 of 6846 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=230&proposed=N",
     "xpath": "pre",
     "html_snippet": "<pre>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=230&proposed=N"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=230&proposed=N"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "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
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited manipulation/strength (13.0%), Limited reach (2.0%)."
   },
   "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=230&proposed=N.",
    "Locate the element: pre",
    "Confirm the axe-core finding for rule scrollable-region-focusable against WCAG 2.1.1 Keyboard."
   ],
   "remediation_tip": "Make scrollable regions keyboard-focusable (tabindex=\"0\") so keyboard users can scroll them.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?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-W32",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/axe-core__scrollable-region-focusable.csv"
  },
  {
   "instance_id": "VS-5133e587",
   "pattern_id": "VS-e9fe47ac",
   "a11y_pattern_fingerprint": "8d928f7a5f9e2c8e14e3dce2ba0469fcfd753287ea2b4dd2d2108809b6c7dbb6",
   "a11y_pattern_display_id": "A11Y-PAT-8D928F7A5F9E",
   "a11y_occurrence_fingerprint": "dd6df3d9af5ed80ef052445edbc688d73a5d680ecbd71f6fae9a7f24562af5c2",
   "a11y_occurrence_display_id": "A11Y-OCC-DD6DF3D9AF5E",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=320&proposed=Y&sortBy=title&year=2026",
   "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": 7,
    "pages_affected": 3,
    "total_pages_scanned": 6846
   },
   "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 3 of 6846 scanned pages (7 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=320&proposed=Y&sortBy=title&year=2026",
     "xpath": "ol[type=\"A\"] > a[href$=\"#5A\"]",
     "html_snippet": "<a href=\"#5A\">\n</a>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=320&proposed=Y&sortBy=title&year=2026",
     "xpath": "li:nth-child(3) > a[href$=\"#5A\"]",
     "html_snippet": "<a href=\"#5A\"></a>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=320&proposed=Y&sortBy=title&year=2026",
     "xpath": "ol[type=\"I\"] > a[href$=\"#5B\"]",
     "html_snippet": "<a href=\"#5B\">\n</a>"
    },
    {
     "url": "https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments",
     "xpath": "div > a[data-entity-type=\"media\"][data-entity-substitution=\"canonical\"][data-once=\"linkMatch\"]",
     "html_snippet": "<a href=\"/files/document/clia-cert-quick-start-guide.pdf\" data-entity-substitution=\"canonical\" data-entity-type=\"media\" data-entity-uuid=\"27ce5119-858b-44f2-bbc6-c5d2d56ce4f0\" data-once=\"linkMatch\"></"
    },
    {
     "url": "https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments",
     "xpath": ".align-left.media--view-mode-embedded.media--type-image > a[data-entity-type=\"media\"][data-entity-substitution=\"canonical\"][data-once=\"linkMatch\"]",
     "html_snippet": "<a href=\"/files/document/clia-cert-quick-start-guide.pdf\" data-entity-substitution=\"canonical\" data-entity-type=\"media\" data-entity-uuid=\"27ce5119-858b-44f2-bbc6-c5d2d56ce4f0\" data-once=\"linkMatch\">\n "
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=320&proposed=Y&sortBy=title&year=2026",
    "https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments",
    "http://www.cms.gov/medicare/medicaid-coordination/about/resources-integrated-care"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=320&proposed=Y&sortBy=title&year=2026",
    "https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments",
    "http://www.cms.gov/medicare/medicaid-coordination/about/resources-integrated-care"
   ],
   "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?bc=14&doctype=all&fromTracking=Y&ncaid=320&proposed=Y&sortBy=title&year=2026.",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__link-name.csv"
  },
  {
   "instance_id": "VS-65ff71a0",
   "pattern_id": "VS-28ebd979",
   "a11y_pattern_fingerprint": "6be23307438d9db748411983b3ad4184504a35cceb43b1651aa17c78d90488cc",
   "a11y_pattern_display_id": "A11Y-PAT-6BE23307438D",
   "a11y_occurrence_fingerprint": "dee32636b3fd4c678206f566d623b67e94ec8ed652f895a0e725fcfc1b7dba79",
   "a11y_occurrence_display_id": "A11Y-OCC-DEE32636B3FD",
   "url": "https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments",
   "xpath": "<a href=\"/files/document/clia-cert-quick-start-guide.pdf\" data-entity-substitution=\"canonical\" data-entity-type=\"media\" data-entity-uuid=\"27ce5119-858b-44f2-bbc6-c5d2d56ce4f0\">",
   "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": 2,
    "pages_affected": 1,
    "total_pages_scanned": 6846
   },
   "likely_source": "content",
   "summary": "Link has accessible name (WCAG 2.4.4)",
   "description": "Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 1 of 6846 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments",
     "xpath": "<a href=\"/files/document/clia-cert-quick-start-guide.pdf\" data-entity-substitution=\"canonical\" data-entity-type=\"media\" data-entity-uuid=\"27ce5119-858b-44f2-bbc6-c5d2d56ce4f0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments",
     "xpath": "<a href=\"/files/document/clia-cert-quick-start-guide.pdf\" data-entity-substitution=\"canonical\" data-entity-type=\"media\" data-entity-uuid=\"27ce5119-858b-44f2-bbc6-c5d2d56ce4f0\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments"
   ],
   "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/quality/clinical-laboratory-improvement-amendments.",
    "Locate the element: <a href=\"/files/document/clia-cert-quick-start-guide.pdf\" data-entity-substitution=\"canonical\" data-entity-type=\"media\" data-entity-uuid=\"27ce5119-858b-44f2-bbc6-c5d2d56ce4f0\">",
    "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",
   "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r11.csv"
  },
  {
   "instance_id": "VS-237e6a42",
   "pattern_id": "VS-c126b6a6",
   "a11y_pattern_fingerprint": "b7442ecec422c9ea5529350523f7782c182cdaa20f17a6b784c1a6cc960ebc51",
   "a11y_pattern_display_id": "A11Y-PAT-B7442ECEC422",
   "a11y_occurrence_fingerprint": "1c6f8113fb7013e0d0b21eb6cc69ad8f4a33b3370aadc15b19a095b8cbea50db",
   "a11y_occurrence_display_id": "A11Y-OCC-1C6F8113FB70",
   "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.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": 71,
    "pages_affected": 71,
    "total_pages_scanned": 6846
   },
   "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 71 of 6846 scanned pages (71 instances).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0001.html",
     "xpath": "html",
     "html_snippet": "<html>"
    }
   ],
   "example_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html"
   ],
   "affected_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0001.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0005.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0280.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0469.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0055.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0436.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0062.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0065.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1549.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0132.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0127.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1327.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0023.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1135.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0755.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1915.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0035.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0098.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://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__html-has-lang.csv"
  },
  {
   "instance_id": "VS-7927e1fb",
   "pattern_id": "VS-7a0e5645",
   "a11y_pattern_fingerprint": "54500cbd05eb59c8569f8bd8ecb39fd022278602bbe3fafb15344d45cc2f686d",
   "a11y_pattern_display_id": "A11Y-PAT-54500CBD05EB",
   "a11y_occurrence_fingerprint": "87d4486d41a91ff394107ba2377d6e85198b105033cb844f43803a7566abb268",
   "a11y_occurrence_display_id": "A11Y-OCC-87D4486D41A9",
   "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.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": 17,
    "pages_affected": 17,
    "total_pages_scanned": 6846
   },
   "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 17 of 6846 scanned pages (17 instances).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
     "xpath": "<html>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
     "xpath": "<html>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html",
     "xpath": "<html>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
     "xpath": "<html>",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html",
     "xpath": "<html>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html"
   ],
   "affected_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0055.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0132.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0232.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0109.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0957.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0365.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0323.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0012.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0006.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1463.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://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html.",
    "Locate the element: <html>",
    "Confirm the Siteimprove Alfa finding for rule sia-r4 against WCAG 3.1.1 Language of Page."
   ],
   "remediation_tip": "Add a valid lang attribute to <html>.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r4",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r4.csv"
  },
  {
   "instance_id": "VS-be87463f",
   "pattern_id": "VS-fafffee0",
   "a11y_pattern_fingerprint": "55d019f5d10bd994cd8723d95b7b051b17c038a1fa605b765999d78f39974789",
   "a11y_pattern_display_id": "A11Y-PAT-55D019F5D10B",
   "a11y_occurrence_fingerprint": "60623c17fac0032567fb492a06220f21264bb3696ce17783f29b788b175f6e55",
   "a11y_occurrence_display_id": "A11Y-OCC-60623C17FAC0",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.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": 19,
    "pages_affected": 19,
    "total_pages_scanned": 6846
   },
   "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 19 of 6846 scanned pages (19 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.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/P0436.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/P1549.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/P1327.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/P1135.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/P1230.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0436.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1549.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0436.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1549.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1327.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1135.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0755.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1915.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0511.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0273.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0603.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1180.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0365.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0323.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1364.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1354.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1463.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0749.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/P1230.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-W32",
   "weeks_seen": 7,
   "affected_pages_csv": "csv/axe-core__label.csv"
  },
  {
   "instance_id": "VS-7f4423f1",
   "pattern_id": "VS-fab92378",
   "a11y_pattern_fingerprint": "e94ccc463fe178b1e7144088da4b4d30ae36e3a5d169354b452fa1d43ccbc60c",
   "a11y_pattern_display_id": "A11Y-PAT-E94CCC463FE1",
   "a11y_occurrence_fingerprint": "3a5e72b6286d18f4ec002e72c330a95d7d38f3e4b370c2c0e2a1baece50e8993",
   "a11y_occurrence_display_id": "A11Y-OCC-3A5E72B6286D",
   "url": "http://www.cms.gov/priorities/innovation/innovation-models/map",
   "xpath": "#state-code-select",
   "html_snippet": "<select id=\"state-code-select\" class=\"form-select ds-c-field\">",
   "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": 1,
    "pages_affected": 1,
    "total_pages_scanned": 6846
   },
   "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 6846 scanned pages (1 instances).",
   "examples": [
    {
     "url": "http://www.cms.gov/priorities/innovation/innovation-models/map",
     "xpath": "#state-code-select",
     "html_snippet": "<select id=\"state-code-select\" class=\"form-select ds-c-field\">"
    }
   ],
   "example_pages": [
    "http://www.cms.gov/priorities/innovation/innovation-models/map"
   ],
   "affected_pages": [
    "http://www.cms.gov/priorities/innovation/innovation-models/map"
   ],
   "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 http://www.cms.gov/priorities/innovation/innovation-models/map.",
    "Locate the element: #state-code-select",
    "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-W32",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__select-name.csv"
  },
  {
   "instance_id": "VS-4aa85a1d",
   "pattern_id": "VS-a48e6078",
   "a11y_pattern_fingerprint": "59e35743a05549a3dab8d701b6f6e6ff4f7e10ac561823a9c3a1129c3621ac0f",
   "a11y_pattern_display_id": "A11Y-PAT-59E35743A055",
   "a11y_occurrence_fingerprint": "46930c16a57591eb3244d8b977b63c096e93df351551686c0f91706f250c9cd5",
   "a11y_occurrence_display_id": "A11Y-OCC-46930C16A575",
   "url": "http://www.cms.gov/priorities/innovation/innovation-models/map",
   "xpath": "<select id=\"state-code-select\" class=\"form-select ds-c-field\">",
   "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": 6846
   },
   "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 6846 scanned pages (1 instances).",
   "examples": [
    {
     "url": "http://www.cms.gov/priorities/innovation/innovation-models/map",
     "xpath": "<select id=\"state-code-select\" class=\"form-select ds-c-field\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://www.cms.gov/priorities/innovation/innovation-models/map"
   ],
   "affected_pages": [
    "http://www.cms.gov/priorities/innovation/innovation-models/map"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://www.cms.gov/priorities/innovation/innovation-models/map.",
    "Locate the element: <select id=\"state-code-select\" class=\"form-select ds-c-field\">",
    "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-7f4423f1",
   "possible_duplicate_pattern": "VS-fab92378",
   "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-W32",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r8.csv"
  },
  {
   "instance_id": "VS-c46ec469",
   "pattern_id": "VS-be8d563e",
   "a11y_pattern_fingerprint": "d089ed91058e460f43afa869a41d959e8d1f902452d1f736a714c19ee02c51bc",
   "a11y_pattern_display_id": "A11Y-PAT-D089ED91058E",
   "a11y_occurrence_fingerprint": "3e99f7156ed72197b4ec16145bf9979888cd12487b705b792b82ce5f49f1202d",
   "a11y_occurrence_display_id": "A11Y-OCC-3E99F7156ED7",
   "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52521&ver=55",
   "xpath": "tr:nth-child(1) > td:nth-child(1) > p",
   "html_snippet": "<p style=\"line-height: normal;\">Column I</p>",
   "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": 238,
    "pages_affected": 19,
    "total_pages_scanned": 6846
   },
   "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 19 of 6846 scanned pages (238 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52521&ver=55",
     "xpath": "tr:nth-child(1) > td:nth-child(1) > p",
     "html_snippet": "<p style=\"line-height: normal;\">Column I</p>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52521&ver=55",
     "xpath": "tr:nth-child(1) > td:nth-child(2) > p",
     "html_snippet": "<p style=\"text-align: center; line-height: normal;\">Column II</p>"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N",
     "xpath": "font > p:nth-child(1)",
     "html_snippet": "<p>[XXX.X]</p>"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N",
     "xpath": "p:nth-child(2) > strong",
     "html_snippet": "<strong>A.\tGeneral</strong>"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N",
     "xpath": "font > p:nth-child(3)",
     "html_snippet": "<p>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52521&ver=55",
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N",
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=Y"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52521&ver=55",
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N",
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=Y",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=291&proposed=Y&sortBy=status&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34425&lcdStatus=all&sortBy=title&ver=43",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33393&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=33318&sortBy=relevance&ver=63",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=Y",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&ver=47",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&ver=5",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39462&lcdStatus=all&sortBy=title&stateRegion=all&ver=8",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&stateRegion=all&ver=53",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52461&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=21",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=21&doctype=all&ncaid=313&proposed=N&sortBy=updated&timeframe=30",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&stateRegion=all&ver=52",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52508&articleStatus=all&bc=3&sortBy=title&ver=39",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37921&lcdStatus=all&sortBy=title&ver=18",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=N&sortBy=status&status=all",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33624&lcdStatus=all&sortBy=title&ver=34"
   ],
   "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/article.aspx?articleId=52521&ver=55.",
    "Locate the element: tr:nth-child(1) > td:nth-child(1) > p",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__color-contrast.csv"
  },
  {
   "instance_id": "VS-0752f71c",
   "pattern_id": "VS-f7e99f4b",
   "a11y_pattern_fingerprint": "9f55a30893bcd86eae7e86e3ae3626fca3627a6bb3b716a721931dd4fcaecb16",
   "a11y_pattern_display_id": "A11Y-PAT-9F55A30893BC",
   "a11y_occurrence_fingerprint": "e5ebc0e126b1c1809216a465f75e9656671e88481898f9ce2b4e1be668007748",
   "a11y_occurrence_display_id": "A11Y-OCC-E5EBC0E126B1",
   "url": "http://cms.gov/priorities/innovation/innovation-models/chart-model",
   "xpath": "text: \"State & Community-Based Models\"",
   "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": 43,
    "pages_affected": 5,
    "total_pages_scanned": 6846
   },
   "likely_source": "unknown",
   "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 5 of 6846 scanned pages (43 instances).",
   "examples": [
    {
     "url": "http://cms.gov/priorities/innovation/innovation-models/chart-model",
     "xpath": "text: \"State & Community-Based Models\"",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/priorities/innovation/innovation-models/chart-model",
     "xpath": "text: \"Accountable Health Communities Model\"",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/priorities/innovation/innovation-models/chart-model",
     "xpath": "text: \"State & Community-Based Models\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&ver=47",
     "xpath": "text: \"Code\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&ver=47",
     "xpath": "text: \"Number per month\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://cms.gov/priorities/innovation/innovation-models/chart-model",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&ver=47",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&stateRegion=all&ver=53"
   ],
   "affected_pages": [
    "http://cms.gov/priorities/innovation/innovation-models/chart-model",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&ver=47",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&stateRegion=all&ver=53",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52508&articleStatus=all&bc=3&sortBy=title&ver=39",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37921&lcdStatus=all&sortBy=title&ver=18"
   ],
   "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 http://cms.gov/priorities/innovation/innovation-models/chart-model.",
    "Locate the element: text: \"State & Community-Based Models\"",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r69.csv"
  },
  {
   "instance_id": "VS-13cd516f",
   "pattern_id": "VS-6c86a43a",
   "a11y_pattern_fingerprint": "1134218e7739afe86448268dd1ca03a9b2dbe6f290a0b22d3355d72c6ab97939",
   "a11y_pattern_display_id": "A11Y-PAT-1134218E7739",
   "a11y_occurrence_fingerprint": "d3f6d4338d6a2b7469350850e81063b26bba6318160fcd798a4d1ef9146dbc8f",
   "a11y_occurrence_display_id": "A11Y-OCC-D3F6D4338D6A",
   "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html",
   "xpath": "meta[name=\"viewport\"]",
   "html_snippet": "<meta name=\"viewport\" content=\"width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui\">",
   "wcag_sc": "1.4.4",
   "wcag_name": "Resize Text",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "meta-viewport",
   "rule_label": "Zooming and scaling must not be disabled",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/meta-viewport?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 6846
   },
   "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 6846 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html",
     "xpath": "meta[name=\"viewport\"]",
     "html_snippet": "<meta name=\"viewport\" content=\"width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui\">"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html.",
    "Locate the element: meta[name=\"viewport\"]",
    "Confirm the axe-core finding for rule meta-viewport against WCAG 1.4.4 Resize Text."
   ],
   "remediation_tip": "Don't disable zoom (user-scalable=no / maximum-scale=1); low-vision users need to zoom.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/meta-viewport?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W32",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/axe-core__meta-viewport.csv"
  },
  {
   "instance_id": "VS-8f470a84",
   "pattern_id": "VS-dd1c019f",
   "a11y_pattern_fingerprint": "36981749f76afd2aa8eb88b4f42546daec5ce98b2510f5ffde3e3d64a81412a9",
   "a11y_pattern_display_id": "A11Y-PAT-36981749F76A",
   "a11y_occurrence_fingerprint": "b23bca43cc2d2907c2ad33344e9a49342de1720c0dac9102c58d4ca363554d8a",
   "a11y_occurrence_display_id": "A11Y-OCC-B23BCA43CC2D",
   "url": "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
   "xpath": "a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]",
   "html_snippet": "<span lang=\"X-NONE\">[1]</span>",
   "wcag_sc": "3.1.2",
   "wcag_name": "Language of Parts",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "valid-lang",
   "rule_label": "lang attribute must have a valid value",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 6846
   },
   "likely_source": "content",
   "summary": "lang attribute must have a valid value (WCAG 3.1.2)",
   "description": "lang attribute must have a valid value. Detected by axe-core rule valid-lang on 1 of 6846 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
     "xpath": "a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]",
     "html_snippet": "<span lang=\"X-NONE\">[1]</span>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings"
   ],
   "affected_pages": [
    "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings.",
    "Locate the element: a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]",
    "Confirm the axe-core finding for rule valid-lang against WCAG 3.1.2 Language of Parts."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__valid-lang.csv"
  },
  {
   "instance_id": "VS-4dde741c",
   "pattern_id": "VS-646b1e0b",
   "a11y_pattern_fingerprint": "5929371356b55a1fba56b949ddad597773c25422956e52c78cd24c553029d68b",
   "a11y_pattern_display_id": "A11Y-PAT-5929371356B5",
   "a11y_occurrence_fingerprint": "ddbf9487e034471b9bfdca654e3dc6a59b6cb82a04a831ed5592fe0cfe7f9c21",
   "a11y_occurrence_display_id": "A11Y-OCC-DDBF9487E034",
   "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
   "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": 2642,
    "pages_affected": 386,
    "total_pages_scanned": 6846
   },
   "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 386 of 6846 scanned pages (2642 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
     "xpath": "text: \"Here's how you know\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
     "xpath": "text: \"Centers for Medicare & Medicaid Services\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
     "xpath": "text: \" Subscribe\"",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "xpath": "text: \"Here's how you know\"",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "xpath": "text: \"Centers for Medicare & Medicaid Services\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&stateRegion=all&ver=29",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52459&ver=23",
    "http://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=36941&lcdStatus=all&sortBy=title&ver=22",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34415&lcdStatus=all&sortBy=title&stateRegion=all&ver=58",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33686&lcdStatus=all&sortBy=title&stateRegion=all&ver=43",
    "https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37356&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55536&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39642&lcdStatus=all&sortBy=title&ver=11",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56329&articleStatus=all&bc=3&sortBy=title&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54612&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=323&sortBy=status&status=all",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57811&articleStatus=all&bc=3&sortBy=title&ver=2",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38769&lcdStatus=all&sortBy=title"
   ],
   "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=35007&lcdStatus=all&sortBy=title&ver=81.",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r66.csv"
  },
  {
   "instance_id": "VS-dc3f5ce0",
   "pattern_id": "VS-2208081b",
   "a11y_pattern_fingerprint": "c4e42ec5cae7b113932037749f48183030838206af72062c9b757d8053dd7f19",
   "a11y_pattern_display_id": "A11Y-PAT-C4E42EC5CAE7",
   "a11y_occurrence_fingerprint": "5fc2ae443b6abb33380ba7d401c9d781334ca67e995a28a2665fefc022280f8e",
   "a11y_occurrence_display_id": "A11Y-OCC-5FC2AE443B6A",
   "url": "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
   "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": 10353,
    "pages_affected": 820,
    "total_pages_scanned": 6846
   },
   "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 820 of 6846 scanned pages (10353 instances).",
   "examples": [
    {
     "url": "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
     "xpath": "<p class=\"ds-c-usa-banner__header-text\">",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
     "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": "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
     "xpath": "<p class=\"usa-banner__header-text\">",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo",
     "xpath": "<p class=\"ds-c-usa-banner__header-text\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo"
   ],
   "affected_pages": [
    "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
    "https://www.cms.gov/outreach-and-education/outreach/partnerships/publications-partners/3-tips-help-someone-who-lost-medicaid-or-chip-coverage",
    "https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-fee-for-service-parts-a-b",
    "http://cms.gov/newsroom/press-releases/new-medicare-part-d-opioid-drug-mapping-tool-available",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6",
    "http://www.cms.gov/about-cms/information-systems/privacy/privacy-impact-assessment-pia",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72",
    "https://cms.gov/medicare/regulations-guidance/physician-self-referral/specialty-hospital-advisory-opinions",
    "https://www.cms.gov/medicare/forms-notices/cms-forms-list",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42",
    "https://cms.gov/medicare/fraud-and-abuse/physicianselfreferral/specialty-hospital-advisory-opinions-items/cms1234002",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&stateRegion=all&ver=29",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42",
    "https://www.cms.gov/glossary?items_per_page=10&order=body&page=23&sort=asc&term=&viewmode=grid",
    "https://cms.gov/medicare/regulations-guidance/transmittals/2024-transmittals?items_per_page=25&order=field_dyna_issue_date&page=12&sort=desc",
    "https://cms.gov/regulations-and-guidance/guidance/transmittals/2016-transmittals-items/r1633otn",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52459&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 http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009.",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r73.csv"
  },
  {
   "instance_id": "VS-7ad70426",
   "pattern_id": "VS-fbf54eba",
   "a11y_pattern_fingerprint": "06187d5871c4d5b866696cee5c220c752cae063cb09d2b9c3b165c92b96f8d30",
   "a11y_pattern_display_id": "A11Y-PAT-06187D5871C4",
   "a11y_occurrence_fingerprint": "060503a298464ab57d562b8aa20af3731b8daf1b7ef6eccdd026bd1e0924af21",
   "a11y_occurrence_display_id": "A11Y-OCC-060503A29846",
   "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
   "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": 30519,
    "pages_affected": 385,
    "total_pages_scanned": 6846
   },
   "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 385 of 6846 scanned pages (30519 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
     "xpath": "<p class=\"mb-2\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "xpath": "<p class=\"mb-2\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "xpath": "<p>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&stateRegion=all&ver=29",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52459&ver=23",
    "http://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=36941&lcdStatus=all&sortBy=title&ver=22",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34415&lcdStatus=all&sortBy=title&stateRegion=all&ver=58",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33686&lcdStatus=all&sortBy=title&stateRegion=all&ver=43",
    "https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37356&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55536&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39642&lcdStatus=all&sortBy=title&ver=11",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56329&articleStatus=all&bc=3&sortBy=title&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54612&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=323&sortBy=status&status=all",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57811&articleStatus=all&bc=3&sortBy=title&ver=2",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38769&lcdStatus=all&sortBy=title"
   ],
   "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=35007&lcdStatus=all&sortBy=title&ver=81.",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r74.csv"
  },
  {
   "instance_id": "VS-45d1a70a",
   "pattern_id": "VS-388b5438",
   "a11y_pattern_fingerprint": "cd4ee7f1d155ca4ad0fa0f3bb0ce91b7c5431f39f4e000053191414216dcb2b5",
   "a11y_pattern_display_id": "A11Y-PAT-CD4EE7F1D155",
   "a11y_occurrence_fingerprint": "8385389b1d2336b9a43a4a74e60decb334e401904324d046244d579ecda6868e",
   "a11y_occurrence_display_id": "A11Y-OCC-8385389B1D23",
   "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
   "xpath": "<p style=\"line-height: 14.3pt;\">",
   "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": 493,
    "pages_affected": 37,
    "total_pages_scanned": 6846
   },
   "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 37 of 6846 scanned pages (493 instances).",
   "examples": [
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "xpath": "<p style=\"line-height: 14.3pt;\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "xpath": "<p style=\"line-height: 14.3pt;\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "xpath": "<p style=\"line-height: 14.3pt;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9",
     "xpath": "<p style=\"line-height: 11.4pt;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9",
     "xpath": "<p style=\"line-height: 14.4pt;\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39642&lcdStatus=all&sortBy=title&ver=11"
   ],
   "affected_pages": [
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39642&lcdStatus=all&sortBy=title&ver=11",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56329&articleStatus=all&bc=3&sortBy=title&ver=4",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58743&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=5",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37725&lcdStatus=all&sortBy=title&ver=44",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&stateRegion=all&ver=30",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=15",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35724&lcdStatus=all&sortBy=title&ver=80",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58052&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58168&ver=33",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56199&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=130",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38777&lcdStatus=all&sortBy=title&stateRegion=all&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59233&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=18",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58168&articleStatus=all&bc=3&sortBy=title&ver=33",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&ver=32",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34372&lcdStatus=all&sortBy=title&stateRegion=all&ver=22",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58710&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=76",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37748&lcdStatus=all&sortBy=title&ver=28",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38551&lcdStatus=all&sortBy=title&ver=14",
    "https://www.cms.gov/cms20033-reconsideration-request-form",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39644&lcdStatus=all&sortBy=title&stateRegion=all&ver=12",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37547&lcdStatus=all&sortBy=title&ver=22",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58170&ver=33",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37748&lcdStatus=all&sortBy=title&ver=31"
   ],
   "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://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16.",
    "Locate the element: <p style=\"line-height: 14.3pt;\">",
    "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-W32",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r80.csv"
  },
  {
   "instance_id": "VS-ace32e87",
   "pattern_id": "VS-48291402",
   "a11y_pattern_fingerprint": "3e4e79331c3a65603496091bf53f3a23e5f1ab908f4e970a777b2a028356c4d2",
   "a11y_pattern_display_id": "A11Y-PAT-3E4E79331C3A",
   "a11y_occurrence_fingerprint": "553198e05779a1f23ec76930239cc90d5bdfddefa3a6b5c580d592dc0442984d",
   "a11y_occurrence_display_id": "A11Y-OCC-553198E05779",
   "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
   "xpath": "<p style=\"text-align: justify;\">",
   "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": 78,
    "pages_affected": 14,
    "total_pages_scanned": 6846
   },
   "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 14 of 6846 scanned pages (78 instances).",
   "examples": [
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "xpath": "<p style=\"text-align: justify;\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "xpath": "<p style=\"text-align: justify;\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "xpath": "<p style=\"text-align: justify;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&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?lcdId=38988&ver=18",
     "xpath": "<p style=\"text-align: justify; line-height: 115%;\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9"
   ],
   "affected_pages": [
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56329&articleStatus=all&bc=3&sortBy=title&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&stateRegion=all&ver=30",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59714&ver=8",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=15",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59084&articleStatus=all&bc=3&sortBy=title&ver=4",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&ver=32",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39226&lcdStatus=all&sortBy=title&ver=13",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39015&lcdStatus=all&sortBy=title&ver=15",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58613&articleStatus=all&bc=3&sortBy=title&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39770&sortBy=relevance&ver=15",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33794&lcdStatus=all&sortBy=title&ver=153"
   ],
   "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://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16.",
    "Locate the element: <p style=\"text-align: justify;\">",
    "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-W32",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r71.csv"
  },
  {
   "instance_id": "VS-83124642",
   "pattern_id": "VS-cb53cc4d",
   "a11y_pattern_fingerprint": "a435874d5bfac4e401b42e33ca22cd5c87717574c15531eaa7239ebce17a743e",
   "a11y_pattern_display_id": "A11Y-PAT-A435874D5BFA",
   "a11y_occurrence_fingerprint": "0262153b58ee0566225d4bd5c8d0d3632d75a4a7d495d6a75777d198b4fe1870",
   "a11y_occurrence_display_id": "A11Y-OCC-0262153B58EE",
   "url": "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
   "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": 29697,
    "pages_affected": 822,
    "total_pages_scanned": 6846
   },
   "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 822 of 6846 scanned pages (29697 instances).",
   "examples": [
    {
     "url": "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
     "xpath": "<a href=\"/about-cms\" class=\"menu-item-link\" data-drupal-link-system-path=\"node/132926\" data-once=\"navigationLinkMatch\">",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
     "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": "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
     "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-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
     "xpath": "<a href=\"#h3LcdGuidanceHeader\" data-href=\"h3LcdGuidanceHeader\" class=\"nav-link toc-link no-link log-click\" title=\"Jump to Coverage Guidance\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
     "xpath": "<a href=\"#lblAnalysisOfEvidenceSubheader\" data-href=\"lblAnalysisOfEvidenceSubheader\" class=\"nav-link toc-link no-link log-click\" title=\"Jump to Analysis of Evidence\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo"
   ],
   "affected_pages": [
    "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
    "https://www.cms.gov/outreach-and-education/outreach/partnerships/publications-partners/3-tips-help-someone-who-lost-medicaid-or-chip-coverage",
    "https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-fee-for-service-parts-a-b",
    "http://cms.gov/newsroom/press-releases/new-medicare-part-d-opioid-drug-mapping-tool-available",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6",
    "http://www.cms.gov/about-cms/information-systems/privacy/privacy-impact-assessment-pia",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72",
    "https://cms.gov/medicare/regulations-guidance/physician-self-referral/specialty-hospital-advisory-opinions",
    "https://www.cms.gov/medicare/forms-notices/cms-forms-list",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42",
    "https://cms.gov/medicare/fraud-and-abuse/physicianselfreferral/specialty-hospital-advisory-opinions-items/cms1234002",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&stateRegion=all&ver=29",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42",
    "https://www.cms.gov/glossary?items_per_page=10&order=body&page=23&sort=asc&term=&viewmode=grid",
    "https://cms.gov/medicare/regulations-guidance/transmittals/2024-transmittals?items_per_page=25&order=field_dyna_issue_date&page=12&sort=desc",
    "https://cms.gov/regulations-and-guidance/guidance/transmittals/2016-transmittals-items/r1633otn",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52459&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 http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009.",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r111.csv"
  },
  {
   "instance_id": "VS-e45efc3a",
   "pattern_id": "VS-bd13f00a",
   "a11y_pattern_fingerprint": "2fe550da698429b249e1fff8655987972c6902b89f923b6facfc369ec69c2616",
   "a11y_pattern_display_id": "A11Y-PAT-2FE550DA6984",
   "a11y_occurrence_fingerprint": "6a5089bcb9d22f16f89c7302c6be08be0a236606a30263adacdcb404e2d19168",
   "a11y_occurrence_display_id": "A11Y-OCC-6A5089BCB9D2",
   "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
   "xpath": "td[width=\"31\"]:nth-child(3) > a[accesskey=\"p\"][href$=\"P0248.html\"]",
   "html_snippet": "<a accesskey=\"p\" id=\"prev_page\" href=\"P0248.html\"><img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "accesskeys",
   "rule_label": "accesskey attribute value should be unique",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 24,
    "pages_affected": 8,
    "total_pages_scanned": 6846
   },
   "likely_source": "unknown",
   "summary": "accesskey attribute value should be unique (WCAG criterion undetermined)",
   "description": "accesskey attribute value should be unique. Detected by axe-core rule accesskeys on 8 of 6846 scanned pages (24 instances).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
     "xpath": "td[width=\"31\"]:nth-child(3) > a[accesskey=\"p\"][href$=\"P0248.html\"]",
     "html_snippet": "<a accesskey=\"p\" id=\"prev_page\" href=\"P0248.html\"><img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
     "xpath": "td[width=\"31\"]:nth-child(4) > a[accesskey=\"u\"][href$=\"P0013.html\"]",
     "html_snippet": "<a accesskey=\"u\" id=\"up_level\" href=\"P0013.html\"><img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
     "xpath": "td[width=\"31\"]:nth-child(5) > a[accesskey=\"n\"][href$=\"P0250.html\"]",
     "html_snippet": "<a accesskey=\"n\" id=\"next_page\" href=\"P0250.html\"><img src=\"fwdpg.png\" alt=\"Next Page [Alt-n]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
     "xpath": "td[width=\"31\"]:nth-child(3) > a[accesskey=\"p\"][href$=\"P0149.html\"]",
     "html_snippet": "<a accesskey=\"p\" id=\"prev_page\" href=\"P0149.html\"><img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
     "xpath": "td[width=\"31\"]:nth-child(4) > a[accesskey=\"u\"][href$=\"P0008.html\"]",
     "html_snippet": "<a accesskey=\"u\" id=\"up_level\" href=\"P0008.html\"><img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>"
    }
   ],
   "example_pages": [
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0008.html"
   ],
   "affected_pages": [
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0008.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0031.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0119.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0153.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0023.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0149.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html.",
    "Locate the element: td[width=\"31\"]:nth-child(3) > a[accesskey=\"p\"][href$=\"P0248.html\"]",
    "Confirm the axe-core finding for rule accesskeys."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/accesskeys?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-W32",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/axe-core__accesskeys.csv"
  },
  {
   "instance_id": "VS-95702c52",
   "pattern_id": "VS-d25f622d",
   "a11y_pattern_fingerprint": "22a84f9148f9ba759ca68b692eded2eaaa55f7667f1d7d17e8d8353fbb6c3057",
   "a11y_pattern_display_id": "A11Y-PAT-22A84F9148F9",
   "a11y_occurrence_fingerprint": "4146e4247b2c8887547e33df9ec4b7ac253db8662c2e858dac8e306e2532f7de",
   "a11y_occurrence_display_id": "A11Y-OCC-4146E4247B2C",
   "url": "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37919&lcdStatus=all&sortBy=title",
   "xpath": "#navStickyHeader",
   "html_snippet": "<h3 id=\"navStickyHeader\" class=\"bg-white d-inline expand-head-pad\">Report Information</h3>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 278,
    "pages_affected": 272,
    "total_pages_scanned": 6846
   },
   "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 272 of 6846 scanned pages (278 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37919&lcdStatus=all&sortBy=title",
     "xpath": "#navStickyHeader",
     "html_snippet": "<h3 id=\"navStickyHeader\" class=\"bg-white d-inline expand-head-pad\">Report Information</h3>"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34399&lcdStatus=all&sortBy=title",
     "xpath": "#navStickyHeader",
     "html_snippet": "<h3 id=\"navStickyHeader\" class=\"bg-white d-inline expand-head-pad\">Report Information</h3>"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdStatus=all",
     "xpath": "#navStickyHeader",
     "html_snippet": "<h3 id=\"navStickyHeader\" class=\"bg-white d-inline expand-head-pad\">Report Information</h3>"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=38803&lcdStatus=all&sortBy=title&stateRegion=all",
     "xpath": "#navStickyHeader",
     "html_snippet": "<h3 id=\"navStickyHeader\" class=\"bg-white d-inline expand-head-pad\">Report Information</h3>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=34049&lcdStatus=all&sortBy=title",
     "xpath": "#navStickyHeader",
     "html_snippet": "<h3 id=\"navStickyHeader\" class=\"bg-white d-inline expand-head-pad\">Report Information</h3>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37919&lcdStatus=all&sortBy=title",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34399&lcdStatus=all&sortBy=title",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdStatus=all"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37919&lcdStatus=all&sortBy=title",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34399&lcdStatus=all&sortBy=title",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdStatus=all",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=38803&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=34049&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33576&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=320&proposed=Y&sortBy=title&year=2026",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=34429&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=34771&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://www.cms.gov/initiatives/medicare-prescription-drug-affordability/overview/medicare-drug-price-negotiation-program/pharmacy-dispensing-entity-resources",
    "https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37356&lcdStatus=all&sortBy=title",
    "https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34090&lcdStatus=all&sortBy=title",
    "https://cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2FASCPayment%2Fdownloads%2F2018-ASC-Policy-Files-V2.zip",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=35101&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33996&lcdStatus=all&sortBy=title&stateRegion=all",
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=80&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40196&proposedStatus=all&sortBy=title",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38769&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40355&proposedStatus=all&sortBy=title",
    "https://www.cms.gov/apps/ama/license.asp?file=%2FResearch-Statistics-Data-and-Systems%2FStatistics-Trends-and-Reports%2FMedicareMedicaidStatSupp%2FDownloads%2F2013Outpatient.zip",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title",
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=Y",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=34008&lcdStatus=all&sortBy=title",
    "https://cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2FASCPayment%2Fdownloads%2FApril-2018-ASC-Policy-Files.zip"
   ],
   "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/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37919&lcdStatus=all&sortBy=title.",
    "Locate the element: #navStickyHeader",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__heading-order.csv"
  },
  {
   "instance_id": "VS-b1b50222",
   "pattern_id": "VS-f18df681",
   "a11y_pattern_fingerprint": "9cdd7037be60c66d5bff567f6650333bf0f7045fa83503e4e441425dbf4f4568",
   "a11y_pattern_display_id": "A11Y-PAT-9CDD7037BE60",
   "a11y_occurrence_fingerprint": "3dde16f10d686cc239125d2d8874530192ab66743c77c36f40438a0fd4a1851f",
   "a11y_occurrence_display_id": "A11Y-OCC-3DDE16F10D68",
   "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
   "xpath": ".arrows > tbody > tr:nth-child(1)",
   "html_snippet": "<tr>\n\t\t<td><img src=\"cms-site-logo.png\"></td>\n\t\t<td style=\"text-align:center;\"><h1>ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual</h1><h1></h1></td>\n\t\t<td></td>\n\t\t<td></td>\n\t\t<td></td>\n\t</tr>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1359,
    "pages_affected": 73,
    "total_pages_scanned": 6846
   },
   "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 73 of 6846 scanned pages (1359 instances).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
     "xpath": ".arrows > tbody > tr:nth-child(1)",
     "html_snippet": "<tr>\n\t\t<td><img src=\"cms-site-logo.png\"></td>\n\t\t<td style=\"text-align:center;\"><h1>ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual</h1><h1></h1></td>\n\t\t<td></td>\n\t\t<td></td>\n\t\t<td></td>\n\t</tr>"
    },
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
     "xpath": "td[width=\"31\"]:nth-child(3)",
     "html_snippet": "<td width=\"31\"><a accesskey=\"p\" id=\"prev_page\" href=\"P0319.html\"><img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a></td>"
    },
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
     "xpath": "td[width=\"31\"]:nth-child(4)",
     "html_snippet": "<td width=\"31\"><a accesskey=\"u\" id=\"up_level\" href=\"P0020.html\"><img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a></td>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
     "xpath": ".arrows:nth-child(1) > tbody > tr:nth-child(1)",
     "html_snippet": "<tr>\n\t\t<td><img src=\"cms-site-logo.png\"></td>\n\t\t<td style=\"text-align:center;\"><h1>ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual</h1><h1></h1></td>\n\t\t<td></td>\n\t\t<td></td>\n\t\t<td></td>\n\t</tr>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
     "xpath": "tr:nth-child(2) > td[width=\"31\"]:nth-child(3)",
     "html_snippet": "<td width=\"31\"><a accesskey=\"p\" id=\"prev_page\" href=\"P0248.html\"><img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a></td>"
    }
   ],
   "example_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html"
   ],
   "affected_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0001.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0005.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0280.html",
    "https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0469.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0055.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0436.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0062.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0065.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1549.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0132.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0127.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1327.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0023.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1135.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0755.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1915.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0035.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/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html.",
    "Locate the element: .arrows > tbody > tr:nth-child(1)",
    "Confirm the axe-core finding for rule region."
   ],
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "tech_name": "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__region.csv"
  },
  {
   "instance_id": "VS-994d8a02",
   "pattern_id": "VS-d5d82446",
   "a11y_pattern_fingerprint": "52a7c3a9a1882fc2863a3420d1896e0b93df91a4d98a8dd156f924d061887f61",
   "a11y_pattern_display_id": "A11Y-PAT-52A7C3A9A188",
   "a11y_occurrence_fingerprint": "f43e8bfc6ade7d1d5225e756737dc4c0c579fc6989406b39fac74e56ce7c06cd",
   "a11y_occurrence_display_id": "A11Y-OCC-F43E8BFC6ADE",
   "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.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": 71,
    "pages_affected": 71,
    "total_pages_scanned": 6846
   },
   "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 71 of 6846 scanned pages (71 instances).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0001.html",
     "xpath": "html",
     "html_snippet": "<html>"
    }
   ],
   "example_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html"
   ],
   "affected_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0001.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0005.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0280.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0469.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0055.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0436.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0062.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0065.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1549.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0132.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0127.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1327.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0023.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1135.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0755.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1915.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0035.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0098.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/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__landmark-one-main.csv"
  },
  {
   "instance_id": "VS-d0b80e01",
   "pattern_id": "VS-fa44f293",
   "a11y_pattern_fingerprint": "153387593f99913345b282b0ea387f236c6a129942c41d961f0ed36776eb998d",
   "a11y_pattern_display_id": "A11Y-PAT-153387593F99",
   "a11y_occurrence_fingerprint": "32cd892732fc2c83c94c8f3a24db62371e27230811611f61cc64d8d94e39e3bc",
   "a11y_occurrence_display_id": "A11Y-OCC-32CD892732FC",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.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": 34,
    "pages_affected": 34,
    "total_pages_scanned": 6846
   },
   "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 34 of 6846 scanned pages (34 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/medicaid-chip/community-engagement-support/eligibility-made-easy",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" dir=\"ltr\" class=\" js\" style=\"--vw: 12.8px; --vh: 8px;\">"
    },
    {
     "url": "http://www.cms.gov/priorities/key-initiatives/hospital-price-transparency/enforcement-actions",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" dir=\"ltr\" class=\" js\" style=\"--vw: 12.8px; --vh: 8px;\">"
    },
    {
     "url": "https://www.cms.gov/About-CMS/Agency-Information/Emergency/index.html",
     "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/P0436.html",
     "xpath": "html",
     "html_snippet": "<html>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.html",
    "https://www.cms.gov/medicaid-chip/community-engagement-support/eligibility-made-easy",
    "http://www.cms.gov/priorities/key-initiatives/hospital-price-transparency/enforcement-actions"
   ],
   "affected_pages": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.html",
    "https://www.cms.gov/medicaid-chip/community-engagement-support/eligibility-made-easy",
    "http://www.cms.gov/priorities/key-initiatives/hospital-price-transparency/enforcement-actions",
    "https://www.cms.gov/About-CMS/Agency-Information/Emergency/index.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0436.html",
    "https://www.cms.gov/derechos-facturas-medicas/ayuda/guias/explicacion-de-beneficios",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1549.html",
    "https://www.cms.gov/data-research/cms-information-technology/tlc",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1327.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1135.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0755.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1915.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.html",
    "https://www.cms.gov/medicare/medicaid-coordination/states/medicaid-integrity-program",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0511.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0273.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0603.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1180.html",
    "http://cms.gov/nosurprises/policies-and-resources",
    "https://cms.gov/derechos-facturas-medicas/conozca-sus-derechos/sin-seguro",
    "https://www.cms.gov/helpful-things-know",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html",
    "https://www.cms.gov/medical-bill-rights/help",
    "https://www.cms.gov/medical-bill-rights/help/guides",
    "https://www.cms.gov/medical-bill-rights"
   ],
   "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/P1230.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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__page-has-heading-one.csv"
  },
  {
   "instance_id": "VS-9c0a04cd",
   "pattern_id": "VS-0ba8ce9d",
   "a11y_pattern_fingerprint": "1181661e0cf071444fb69de6c3d7babac9ae55e858d775413b995a2d250f095b",
   "a11y_pattern_display_id": "A11Y-PAT-1181661E0CF0",
   "a11y_occurrence_fingerprint": "0935db028d0167c69f925e90875d84e836149145c0795fb2270faa953aba797a",
   "a11y_occurrence_display_id": "A11Y-OCC-0935DB028D01",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=80&proposed=N",
   "xpath": "td[width=\"25%\"]",
   "html_snippet": "<td scope=\"row\" width=\"25%\">August 23, 2001</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": 448,
    "pages_affected": 20,
    "total_pages_scanned": 6846
   },
   "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 20 of 6846 scanned pages (448 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=80&proposed=N",
     "xpath": "td[width=\"25%\"]",
     "html_snippet": "<td scope=\"row\" width=\"25%\">August 23, 2001</td>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=80&proposed=N",
     "xpath": "tr[valign=\"top\"]:nth-child(3) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">September 6, 2001</td>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=80&proposed=N",
     "xpath": "tr[valign=\"top\"]:nth-child(4) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">October 2, 2001</td>"
    },
    {
     "url": "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=274&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&TimeFrame=7",
     "xpath": "#lblDecisionSummary > .MsoTableGrid[border=\"1\"] > tbody > tr:nth-child(2) > td[scope=\"row\"][valign=\"top\"]",
     "html_snippet": "<td valign=\"top\" scope=\"row\"><p>Facility</p></td>"
    },
    {
     "url": "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=274&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&TimeFrame=7",
     "xpath": "#lblDecisionSummary > .MsoTableGrid[border=\"1\"] > tbody > tr:nth-child(3) > td[scope=\"row\"][valign=\"top\"]",
     "html_snippet": "<td valign=\"top\" scope=\"row\"> <p>Radiologist (reading)</p> </td>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=80&proposed=N",
    "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=274&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&TimeFrame=7",
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=331&ncdver=3"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=80&proposed=N",
    "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=274&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&TimeFrame=7",
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=331&ncdver=3",
    "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=246&proposed=N&sortBy=relevance",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=236&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=206&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=230&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=96&proposed=N",
    "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=252&proposed=Y&sortBy=relevance",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=218&proposed=Y",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38571&lcdStatus=all&sortBy=title&ver=9",
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=19&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=52",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=176&proposed=N",
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=197&proposed=Y",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=237&proposed=N",
    "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=204",
    "http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=211&ncdver=1&sortBy=title",
    "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=228&proposed=N&sortBy=relevance",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=109&proposed=Y"
   ],
   "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=80&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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__scope-attr-valid.csv"
  },
  {
   "instance_id": "VS-326ec43c",
   "pattern_id": "VS-8806389c",
   "a11y_pattern_fingerprint": "3366614c0d5c63cf6aaed8f2752a2b951c60a73b45ac9193b88c604752d387fc",
   "a11y_pattern_display_id": "A11Y-PAT-3366614C0D5C",
   "a11y_occurrence_fingerprint": "fc8c2e7ad4bba7a463708bf3df16a918a7296467f933600c20788ed46e555113",
   "a11y_occurrence_display_id": "A11Y-OCC-FC8C2E7AD4BB",
   "url": "https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint",
   "xpath": ".usa-nav",
   "html_snippet": "<nav class=\"usa-nav\">",
   "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": 5,
    "pages_affected": 5,
    "total_pages_scanned": 6846
   },
   "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 5 of 6846 scanned pages (5 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint",
     "xpath": ".usa-nav",
     "html_snippet": "<nav class=\"usa-nav\">"
    },
    {
     "url": "http://www.cms.gov/priorities/innovation/innovation-models/map",
     "xpath": "#non-state-table_wrapper > .dt-layout-row:nth-child(3) > .dt-layout-end.dt-layout-cell > .dt-paging > nav[aria-label=\"pagination\"]",
     "html_snippet": "<nav aria-label=\"pagination\">"
    },
    {
     "url": "https://www.cms.gov/about-cms/contact/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"
    },
    {
     "url": "http://www.cms.gov/priorities/innovation/events",
     "xpath": "nav[aria-labelledby=\"pagination-heading--5\"]",
     "html_snippet": "<nav class=\"ds-c-pagination\" aria-labelledby=\"pagination-heading--5\">"
    },
    {
     "url": "https://www.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://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint",
    "http://www.cms.gov/priorities/innovation/innovation-models/map",
    "https://www.cms.gov/about-cms/contact/newsroom"
   ],
   "affected_pages": [
    "https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint",
    "http://www.cms.gov/priorities/innovation/innovation-models/map",
    "https://www.cms.gov/about-cms/contact/newsroom",
    "http://www.cms.gov/priorities/innovation/events",
    "https://www.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://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint.",
    "Locate the element: .usa-nav",
    "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-W32",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__landmark-unique.csv"
  },
  {
   "instance_id": "VS-59726dc1",
   "pattern_id": "VS-ff3ceb19",
   "a11y_pattern_fingerprint": "19f53bbe1542314a2f2edf81989ed6db4269968aa0057a3ae067f59785bdeaf4",
   "a11y_pattern_display_id": "A11Y-PAT-19F53BBE1542",
   "a11y_occurrence_fingerprint": "b3cbc87a1aaaa8fd666bfc7fb25a95c6706f7ef77e05a4e3892206ef2166ce6f",
   "a11y_occurrence_display_id": "A11Y-OCC-B3CBC87A1AAA",
   "url": "https://www.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": 6846
   },
   "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 6846 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.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://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html"
   ],
   "affected_pages": [
    "https://www.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://www.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-W32",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/axe-core__landmark-main-is-top-level.csv"
  },
  {
   "instance_id": "VS-4e669f32",
   "pattern_id": "VS-cd69be3a",
   "a11y_pattern_fingerprint": "662fb09c137c6c7f56a64b4b083e6f373657879b2c83cbafcc3c87d2adcf6d41",
   "a11y_pattern_display_id": "A11Y-PAT-662FB09C137C",
   "a11y_occurrence_fingerprint": "5c15525a82408b0ea990ab6ad6e6be7f2d2d3d7f9c364832000188a0e01ed42b",
   "a11y_occurrence_display_id": "A11Y-OCC-5C15525A8240",
   "url": "https://www.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": 6846
   },
   "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 6846 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.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://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html"
   ],
   "affected_pages": [
    "https://www.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://www.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-W32",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/axe-core__landmark-no-duplicate-main.csv"
  },
  {
   "instance_id": "VS-d6a1ce6c",
   "pattern_id": "VS-0066c67d",
   "a11y_pattern_fingerprint": "9f609d48d7978e0dfca1cb28e48c77bff0a9f30ec81609f6d78da35fe80816ff",
   "a11y_pattern_display_id": "A11Y-PAT-9F609D48D797",
   "a11y_occurrence_fingerprint": "b09fcb296ca0f2c559f92f6d67cebdb2eb1d4e57e324660c8ac7197bf3e28c80",
   "a11y_occurrence_display_id": "A11Y-OCC-B09FCB296CA0",
   "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
   "xpath": "h1:nth-child(2)",
   "html_snippet": "<h1></h1>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "empty-heading",
   "rule_label": "Headings should not be empty",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 59,
    "pages_affected": 59,
    "total_pages_scanned": 6846
   },
   "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 59 of 6846 scanned pages (59 instances).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
     "xpath": "h1:nth-child(2)",
     "html_snippet": "<h1></h1>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
     "xpath": "h1:nth-child(2)",
     "html_snippet": "<h1></h1>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
     "xpath": "h1:nth-child(2)",
     "html_snippet": "<h1></h1>"
    },
    {
     "url": "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0001.html",
     "xpath": "h1:nth-child(2)",
     "html_snippet": "<h1></h1>"
    },
    {
     "url": "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html",
     "xpath": "h1:nth-child(2)",
     "html_snippet": "<h1></h1>"
    }
   ],
   "example_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html"
   ],
   "affected_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0001.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0005.html",
    "https://cms.gov/marketplace/about/oversight/other-insurance-protections/prescription-drug-data-collection-rxdc",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0280.html",
    "https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0469.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0055.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0062.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0065.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0132.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0127.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0023.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0035.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0098.html",
    "https://www.cms.gov/about-cms/what-we-do/nursing-homes",
    "http://www.cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/annual-wellness-visits",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0232.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0109.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0957.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/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html.",
    "Locate the element: h1:nth-child(2)",
    "Confirm the axe-core finding for rule empty-heading."
   ],
   "remediation_tip": "Remove empty headings or give them text. Don't use heading tags for spacing.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__empty-heading.csv"
  },
  {
   "instance_id": "VS-248febe6",
   "pattern_id": "VS-d69fc059",
   "a11y_pattern_fingerprint": "493a4afbf8e8a5663b6ea17ff8a19a70ddfd74411beead65aeca7310d3c3f151",
   "a11y_pattern_display_id": "A11Y-PAT-493A4AFBF8E8",
   "a11y_occurrence_fingerprint": "b549730e5711f4227e14953162220e31adc4b9d895bd402c3c1d0f74a2bf5d20",
   "a11y_occurrence_display_id": "A11Y-OCC-B549730E5711",
   "url": "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N",
   "xpath": ".MsoTableGrid[border=\"1\"]:nth-child(224) > tbody > tr[bgcolor=\"#c0c0c0\"] > th[scope=\"col\"]:nth-child(1)",
   "html_snippet": "<th scope=\"col\">&nbsp;</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": 17,
    "pages_affected": 10,
    "total_pages_scanned": 6846
   },
   "likely_source": "template",
   "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 10 of 6846 scanned pages (17 instances).",
   "examples": [
    {
     "url": "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N",
     "xpath": ".MsoTableGrid[border=\"1\"]:nth-child(224) > tbody > tr[bgcolor=\"#c0c0c0\"] > th[scope=\"col\"]:nth-child(1)",
     "html_snippet": "<th scope=\"col\">&nbsp;</th>"
    },
    {
     "url": "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=274&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&TimeFrame=7",
     "xpath": ".MsoTableGrid[border=\"1\"]:nth-child(283) > tbody > tr:nth-child(1) > th:nth-child(1)",
     "html_snippet": "<th scope=\"col\">&nbsp;</th>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=36868&ver=16",
     "xpath": "tbody > tr > th",
     "html_snippet": "<th>&nbsp;</th>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56104&articleStatus=all&bc=3&sortBy=title&ver=17",
     "xpath": "tbody > tr > th",
     "html_snippet": "<th>&nbsp;</th>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=218&proposed=Y",
     "xpath": "table[border=\"1\"]:nth-child(86) > tbody > tr:nth-child(1) > th:nth-child(1)",
     "html_snippet": "<th valign=\"top\" scope=\"col\">&nbsp;</th>"
    }
   ],
   "example_pages": [
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N",
    "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=274&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&TimeFrame=7",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=36868&ver=16"
   ],
   "affected_pages": [
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N",
    "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=274&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&TimeFrame=7",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=36868&ver=16",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56104&articleStatus=all&bc=3&sortBy=title&ver=17",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=218&proposed=Y",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=21&doctype=all&ncaid=313&proposed=N&sortBy=updated&timeframe=30",
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=197&proposed=Y",
    "https://cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=4&sortBy=meetingdate&year=all",
    "http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=211&ncdver=1&sortBy=title",
    "http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=7&sortBy=meetingdate&year=all"
   ],
   "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://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N.",
    "Locate the element: .MsoTableGrid[border=\"1\"]:nth-child(224) > tbody > tr[bgcolor=\"#c0c0c0\"] > th[scope=\"col\"]: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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__empty-table-header.csv"
  },
  {
   "instance_id": "VS-e6a0b5f2",
   "pattern_id": "VS-4fac2f41",
   "a11y_pattern_fingerprint": "c0c3f484f2e962cf2bcca73b8e851fc2b70951868ccc72aff2057982646a904c",
   "a11y_pattern_display_id": "A11Y-PAT-C0C3F484F2E9",
   "a11y_occurrence_fingerprint": "d7cbf1625631bd3ab6879029104debaff77912a09bb2d597d4ac264d88b55b6a",
   "a11y_occurrence_display_id": "A11Y-OCC-D7CBF1625631",
   "url": "https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint",
   "xpath": ".usa-nav__primary",
   "html_snippet": "<ul class=\"usa-nav__primary usa-accordion\" role=\"navigation\">",
   "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": 2,
    "pages_affected": 2,
    "total_pages_scanned": 6846
   },
   "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 6846 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint",
     "xpath": ".usa-nav__primary",
     "html_snippet": "<ul class=\"usa-nav__primary usa-accordion\" role=\"navigation\">"
    },
    {
     "url": "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html",
     "xpath": "body",
     "html_snippet": "<body style=\"background: #072137\" class=\"cs-HTML theme-unified view-desktop is-landscape ff-on ff-drop-in-base ff-multiple-quiz-tracking ff-player-size-option sidebar-left zoom-mode timeline-playing n"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint",
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint",
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint.",
    "Locate the element: .usa-nav__primary",
    "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-W32",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/axe-core__aria-allowed-role.csv"
  },
  {
   "instance_id": "VS-35890150",
   "pattern_id": "VS-7118fead",
   "a11y_pattern_fingerprint": "4146fc8bd9bfddcfe5276de4597709da9dd61e9e69f451ddb610e46163d649aa",
   "a11y_pattern_display_id": "A11Y-PAT-4146FC8BD9BF",
   "a11y_occurrence_fingerprint": "dc4a173696d219f0f15039cc7ca52057ac36c7a0576d1f795af519f2136dab24",
   "a11y_occurrence_display_id": "A11Y-OCC-DC4A173696D2",
   "url": "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
   "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": 804,
    "pages_affected": 804,
    "total_pages_scanned": 6846
   },
   "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 804 of 6846 scanned pages (804 instances).",
   "examples": [
    {
     "url": "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo"
   ],
   "affected_pages": [
    "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
    "https://www.cms.gov/outreach-and-education/outreach/partnerships/publications-partners/3-tips-help-someone-who-lost-medicaid-or-chip-coverage",
    "https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-fee-for-service-parts-a-b",
    "http://cms.gov/newsroom/press-releases/new-medicare-part-d-opioid-drug-mapping-tool-available",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6",
    "http://www.cms.gov/about-cms/information-systems/privacy/privacy-impact-assessment-pia",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72",
    "https://cms.gov/medicare/regulations-guidance/physician-self-referral/specialty-hospital-advisory-opinions",
    "https://www.cms.gov/medicare/forms-notices/cms-forms-list",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42",
    "https://cms.gov/medicare/fraud-and-abuse/physicianselfreferral/specialty-hospital-advisory-opinions-items/cms1234002",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&stateRegion=all&ver=29",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42",
    "https://www.cms.gov/glossary?items_per_page=10&order=body&page=23&sort=asc&term=&viewmode=grid",
    "https://cms.gov/medicare/regulations-guidance/transmittals/2024-transmittals?items_per_page=25&order=field_dyna_issue_date&page=12&sort=desc",
    "https://cms.gov/regulations-and-guidance/guidance/transmittals/2016-transmittals-items/r1633otn",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52459&ver=23",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&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 http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009.",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r61.csv"
  },
  {
   "instance_id": "VS-d8e88713",
   "pattern_id": "VS-f054f4a4",
   "a11y_pattern_fingerprint": "dded9322badcc7057dfd1d8dae4bb814390142cbbae4a595518311a9c0d3b2d7",
   "a11y_pattern_display_id": "A11Y-PAT-DDED9322BADC",
   "a11y_occurrence_fingerprint": "d6487780b4effc8f42723e99b002652518d4d36e154a71bcab756bf3b3003a9a",
   "a11y_occurrence_display_id": "A11Y-OCC-D6487780B4EF",
   "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
   "xpath": "<h3 id=\"h3DocumentInformationHeader\" class=\"document-view-section-header\">",
   "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": 367,
    "pages_affected": 366,
    "total_pages_scanned": 6846
   },
   "likely_source": "template",
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 366 of 6846 scanned pages (367 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
     "xpath": "<h3 id=\"h3DocumentInformationHeader\" class=\"document-view-section-header\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
     "xpath": "<h3 id=\"h3DocumentInformationHeader\" class=\"document-view-section-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
     "xpath": "<h3 id=\"h3GeneralInformationHeader\" class=\"document-view-section-header\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18",
     "xpath": "<h3 id=\"h3DocumentInformationHeader\" class=\"document-view-section-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6",
     "xpath": "<h3 id=\"h3DocumentInformationHeader\" class=\"document-view-section-header\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&stateRegion=all&ver=29",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52459&ver=23",
    "http://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=36941&lcdStatus=all&sortBy=title&ver=22",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34415&lcdStatus=all&sortBy=title&stateRegion=all&ver=58",
    "https://www.cms.gov/initiatives/medicare-prescription-drug-affordability/overview/medicare-drug-price-negotiation-program/pharmacy-dispensing-entity-resources",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33686&lcdStatus=all&sortBy=title&stateRegion=all&ver=43",
    "https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37356&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55536&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39642&lcdStatus=all&sortBy=title&ver=11",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56329&articleStatus=all&bc=3&sortBy=title&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54612&ver=4",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57811&articleStatus=all&bc=3&sortBy=title&ver=2",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38769&lcdStatus=all&sortBy=title"
   ],
   "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=35007&lcdStatus=all&sortBy=title&ver=81.",
    "Locate the element: <h3 id=\"h3DocumentInformationHeader\" class=\"document-view-section-header\">",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r53.csv"
  },
  {
   "instance_id": "VS-492b05b2",
   "pattern_id": "VS-c18be945",
   "a11y_pattern_fingerprint": "6f4836c6a670501b2b2ec4ef8720babc528ae6143bb2b672472287e13b3e9b0e",
   "a11y_pattern_display_id": "A11Y-PAT-6F4836C6A670",
   "a11y_occurrence_fingerprint": "d7fc719cb42c3e5d5a6b4c1fb428f77da4c01f65def3dc772059f2523b95850e",
   "a11y_occurrence_display_id": "A11Y-OCC-D7FC719CB42C",
   "url": "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
   "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": 298,
    "pages_affected": 297,
    "total_pages_scanned": 6846
   },
   "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 297 of 6846 scanned pages (298 instances).",
   "examples": [
    {
     "url": "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/outreach-and-education/outreach/partnerships/publications-partners/3-tips-help-someone-who-lost-medicaid-or-chip-coverage",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-fee-for-service-parts-a-b",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare/regulations-guidance/physician-self-referral/specialty-hospital-advisory-opinions",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
    "http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo",
    "https://www.cms.gov/outreach-and-education/outreach/partnerships/publications-partners/3-tips-help-someone-who-lost-medicaid-or-chip-coverage"
   ],
   "affected_pages": [
    "http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009",
    "http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo",
    "https://www.cms.gov/outreach-and-education/outreach/partnerships/publications-partners/3-tips-help-someone-who-lost-medicaid-or-chip-coverage",
    "https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-fee-for-service-parts-a-b",
    "https://cms.gov/medicare/regulations-guidance/physician-self-referral/specialty-hospital-advisory-opinions",
    "https://www.cms.gov/medicare/forms-notices/cms-forms-list",
    "https://cms.gov/medicare/fraud-and-abuse/physicianselfreferral/specialty-hospital-advisory-opinions-items/cms1234002",
    "https://www.cms.gov/glossary?items_per_page=10&order=body&page=23&sort=asc&term=&viewmode=grid",
    "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/pfs-carrier-specific-files-items/cy2019-carrierfiles",
    "https://www.cms.gov/medicare/coverage/determination-process/local",
    "https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/historical",
    "https://www.cms.gov/about-cms/who-we-are/leadership/office-hearings-inquiries",
    "https://www.cms.gov/initiatives/medicare-prescription-drug-affordability/overview/medicare-drug-price-negotiation-program/pharmacy-dispensing-entity-resources",
    "https://www.cms.gov/contacts/aegis-treatment-centers-llc/general-beneficiary-contact/1554471",
    "http://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&sort=desc",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=8&sort=asc",
    "https://cms.gov/regulations-and-guidance/guidance/transmittals/2016-transmittals-items/r3443cp",
    "https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2016-transmittals-items/r1607otn",
    "https://www.cms.gov/cms-l564-request-employment-information",
    "https://cms.gov/regulations-and-guidanceguidancetransmittals2020-transmittals/r10015cp",
    "https://www.cms.gov/about-cms/who-we-are/leadership/office-human-capital",
    "http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10474cp",
    "https://cms.gov/newsroom/press-releases/new-report-improvements-medicare-are-lowering-costs-improving-care",
    "http://cms.gov/medicare/coordination-benefits-recovery/overview/whats-new",
    "https://cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=10&sort=asc"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009.",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r57.csv"
  },
  {
   "instance_id": "VS-a7e9d000",
   "pattern_id": "VS-2cd767ca",
   "a11y_pattern_fingerprint": "06e5b7ad71ebe9131a8a899a0f6e61f876cb89b0b439779429e15ada89493ab3",
   "a11y_pattern_display_id": "A11Y-PAT-06E5B7AD71EB",
   "a11y_occurrence_fingerprint": "2a50a8b6aa7979e21befc22ccdc526adecb80b3a6f94b8b2e00067f77adb30bd",
   "a11y_occurrence_display_id": "A11Y-OCC-2A50A8B6AA79",
   "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
   "xpath": "<h1>",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "frequency": {
    "instances": 208,
    "pages_affected": 149,
    "total_pages_scanned": 6846
   },
   "likely_source": "template",
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 149 of 6846 scanned pages (208 instances).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
     "xpath": "<h1>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42",
     "xpath": "<h4>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42"
   ],
   "affected_pages": [
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
    "https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37356&lcdStatus=all&sortBy=title",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38769&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/cms-l564-request-employment-information",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57649&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59521&articleStatus=all&bc=3&sortBy=title&ver=11",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56615&bc=1&contractOption=all&docType=6%2C1&keyword=cataract+extraction&keywordType=all&sortBy=relevance&ver=26",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=34008&lcdStatus=all&sortBy=title",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59868&articleStatus=all&bc=3&sortBy=title&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57837",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56034&ver=39",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57663&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57873&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=31",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59714&ver=8",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53252&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=236",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57804&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=41",
    "http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=33813&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60276&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=3"
   ],
   "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/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html.",
    "Locate the element: <h1>",
    "Confirm the Siteimprove Alfa finding for rule sia-r78."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r78.csv"
  },
  {
   "instance_id": "VS-7fc8d4e2",
   "pattern_id": "VS-04a9d28c",
   "a11y_pattern_fingerprint": "4f689336d4c75d6ed473a6d2535809e06211e62fe72c1273f1ce24c280bb0a10",
   "a11y_pattern_display_id": "A11Y-PAT-4F689336D4C7",
   "a11y_occurrence_fingerprint": "16ccdb0e7ea357c1255b5ff57d3dfa7f069306c5db13e1b6834dc13d487460f3",
   "a11y_occurrence_display_id": "A11Y-OCC-16CCDB0E7EA3",
   "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52521&ver=55",
   "xpath": "table",
   "html_snippet": "<table style=\"width: 515.583px;\" border=\"1\" cellspacing=\"3\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td style=\"width: 81px; background: gray none repeat scroll 0% 0%; padding: 0.75pt;\">\n<p style=\"line-height: n",
   "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": 1189,
    "pages_affected": 34,
    "total_pages_scanned": 6846
   },
   "likely_source": "template",
   "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)",
   "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 34 of 6846 scanned pages (1189 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52521&ver=55",
     "xpath": "table",
     "html_snippet": "<table style=\"width: 515.583px;\" border=\"1\" cellspacing=\"3\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td style=\"width: 81px; background: gray none repeat scroll 0% 0%; padding: 0.75pt;\">\n<p style=\"line-height: n"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34859&ver=34",
     "xpath": "table",
     "html_snippet": "<table style=\"background: white; border-collapse: collapse;\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td style=\"width: 2.4in; border: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5."
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
     "xpath": "img",
     "html_snippet": "<img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
     "xpath": "img",
     "html_snippet": "<img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
     "xpath": "img",
     "html_snippet": "<img src=\"fwdpg.png\" alt=\"Next Page [Alt-n]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52521&ver=55",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34859&ver=34",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52521&ver=55",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34859&ver=34",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0001.html",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39684&lcdStatus=all&sortBy=title&ver=7",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36947&lcdStatus=all&sortBy=title&ver=21",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0098.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.html",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34823&lcdStatus=all&sortBy=title&ver=27",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0255.html",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37054&lcdStatus=all&sortBy=title&stateRegion=all&ver=21",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0008.html",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33445&lcdStatus=all&sortBy=title&stateRegion=all&ver=71",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0031.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1180.html",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37608&lcdStatus=all&sortBy=title&ver=21",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38051&lcdStatus=all&sortBy=title&ver=17",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=21&doctype=all&ncaid=313&proposed=N&sortBy=updated&timeframe=30",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58318&ver=60",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=176&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35000&lcdStatus=all&sortBy=title&ver=155",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0949.html",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37199&lcdStatus=all&sortBy=title&stateRegion=all&ver=14",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1364.html",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39529&ver=5"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52521&ver=55.",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/deprecated-html__presentational-attr.csv"
  },
  {
   "instance_id": "VS-0fbdc6b2",
   "pattern_id": "VS-7fbb8b20",
   "a11y_pattern_fingerprint": "77c6216fbd4e8110bb8f6de50772332d9f730709a2342d5799081c44df2e4371",
   "a11y_pattern_display_id": "A11Y-PAT-77C6216FBD4E",
   "a11y_occurrence_fingerprint": "6e263cb333d9c2faa5eae3f3dc6c7a15f68bf840633240307a59c58d1612617f",
   "a11y_occurrence_display_id": "A11Y-OCC-6E263CB333D9",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.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": 5,
    "pages_affected": 5,
    "total_pages_scanned": 6846
   },
   "likely_source": "unknown",
   "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 5 of 6846 scanned pages (5 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.html",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0323.html",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1463.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/P0161.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0365.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0365.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0323.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1463.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/P0161.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-W32",
   "weeks_seen": 7,
   "affected_pages_csv": "csv/alfa__sia-r59.csv"
  },
  {
   "instance_id": "VS-284cf53e",
   "pattern_id": "VS-e43903a1",
   "a11y_pattern_fingerprint": "b65b940fea6fe2881d9be490f491626db32eb1ea900ed16ae1fa6f1c8fe62cd6",
   "a11y_pattern_display_id": "A11Y-PAT-B65B940FEA6F",
   "a11y_occurrence_fingerprint": "59c728497cb993b70fe28b26371e39901f9e76dbfa9f62440e7092b80f162901",
   "a11y_occurrence_display_id": "A11Y-OCC-59C728497CB9",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.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": 10,
    "pages_affected": 5,
    "total_pages_scanned": 6846
   },
   "likely_source": "unknown",
   "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 5 of 6846 scanned pages (10 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.html",
     "xpath": "<ul id=\"globar\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.html",
     "xpath": "<ul id=\"supbar\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html",
     "xpath": "<ul id=\"globar\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html",
     "xpath": "<ul id=\"supbar\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": "<ul id=\"globar\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0365.html"
   ],
   "affected_pages": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0365.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0323.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1463.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/P0161.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-W32",
   "weeks_seen": 7,
   "affected_pages_csv": "csv/alfa__sia-r75.csv"
  },
  {
   "instance_id": "VS-c94ef289",
   "pattern_id": "VS-4c341c77",
   "a11y_pattern_fingerprint": "b20456eab70e820eb40dcabd3947e1dac3a3a60b8b053518aeaece4f0d5edabd",
   "a11y_pattern_display_id": "A11Y-PAT-B20456EAB70E",
   "a11y_occurrence_fingerprint": "53ce58e8529e5833acac0fb85b7f546396ff8decb14a1709bcbab2bb4e22e0b1",
   "a11y_occurrence_display_id": "A11Y-OCC-53CE58E8529E",
   "url": "https://www.cms.gov/medicare-coverage-database/details/nca-view-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": 3,
    "pages_affected": 2,
    "total_pages_scanned": 6846
   },
   "likely_source": "content",
   "summary": "Keyboard trap does not exist (WCAG criterion undetermined)",
   "description": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 2 of 6846 scanned pages (3 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/nca-view-public-comments.aspx?NCAId=289",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=all",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=all",
     "xpath": "<p>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/details/nca-view-public-comments.aspx?NCAId=289",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=all"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/details/nca-view-public-comments.aspx?NCAId=289",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=all"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/details/nca-view-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-W32",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r85.csv"
  },
  {
   "instance_id": "VS-1a51b137",
   "pattern_id": "VS-3d033717",
   "a11y_pattern_fingerprint": "02e366b4c298b491412ec27d0aa31fac798f5695a402a7d261c17d3135bb7025",
   "a11y_pattern_display_id": "A11Y-PAT-02E366B4C298",
   "a11y_occurrence_fingerprint": "5b4f3c193010ab882dd1304412af085d479148eece86e78cd959d3ef7b89310d",
   "a11y_occurrence_display_id": "A11Y-OCC-5B4F3C193010",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=Y",
   "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": 2,
    "pages_affected": 2,
    "total_pages_scanned": 6846
   },
   "likely_source": "content",
   "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 2 of 6846 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=Y",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33942&lcdStatus=all&sortBy=title&ver=50",
     "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=315&proposed=Y",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33942&lcdStatus=all&sortBy=title&ver=50"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=Y",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33942&lcdStatus=all&sortBy=title&ver=50"
   ],
   "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=315&proposed=Y.",
    "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-W32",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r70.csv"
  },
  {
   "instance_id": "VS-c07ebda2",
   "pattern_id": "VS-f2542d87",
   "a11y_pattern_fingerprint": "03e69dee9333d7e11cc03a3ed8ce4fd222caccb83cb87fed3b43425fb04123c7",
   "a11y_pattern_display_id": "A11Y-PAT-03E69DEE9333",
   "a11y_occurrence_fingerprint": "2ebc001faafdb4ad7c40dd5a5bdd8ef045123f879c5926eaa1b2f516355625f1",
   "a11y_occurrence_display_id": "A11Y-OCC-2EBC001FAAFD",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=all",
   "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": 1,
    "pages_affected": 1,
    "total_pages_scanned": 6846
   },
   "likely_source": "content",
   "summary": "Duplicate role landmark is labeled (WCAG criterion undetermined)",
   "description": "Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 1 of 6846 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=all",
     "xpath": "<pre>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=all"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=all"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=all.",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r79.csv"
  },
  {
   "instance_id": "VS-66105998",
   "pattern_id": "VS-20060f39",
   "a11y_pattern_fingerprint": "37bf69b360dd3360c5ece2a3503512c7014e71f36ab3cb2a49bb258c63d700f5",
   "a11y_pattern_display_id": "A11Y-PAT-37BF69B360DD",
   "a11y_occurrence_fingerprint": "8efcf40d419e5b2c88021c4cedb1769a175d7f2131b4f3bc17b4ad5cb70ae56c",
   "a11y_occurrence_display_id": "A11Y-OCC-8EFCF40D419E",
   "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33942&lcdStatus=all&sortBy=title&ver=50",
   "xpath": "center",
   "html_snippet": "<center><strong> GENERAL THERAPY GUIDELINES</strong></center>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "center-element",
   "rule_label": "Obsolete <center> element (use CSS)",
   "engine_key": "deprecated-html",
   "tool": "deprecated-html",
   "rule_url": null,
   "severity": "Moderate",
   "frequency": {
    "instances": 4,
    "pages_affected": 1,
    "total_pages_scanned": 6846
   },
   "likely_source": "content",
   "summary": "Obsolete <center> element (use CSS) (WCAG criterion undetermined)",
   "description": "Obsolete <center> element (use CSS). Detected by deprecated-html rule center-element on 1 of 6846 scanned pages (4 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33942&lcdStatus=all&sortBy=title&ver=50",
     "xpath": "center",
     "html_snippet": "<center><strong> GENERAL THERAPY GUIDELINES</strong></center>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33942&lcdStatus=all&sortBy=title&ver=50",
     "xpath": "center",
     "html_snippet": "<center><strong> SPECIFIC PROCEDURES AND MODALITIES</strong></center>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33942&lcdStatus=all&sortBy=title&ver=50",
     "xpath": "center",
     "html_snippet": "<center>General Orthotics Guidelines</center>"
    }
   ],
   "example_pages": [
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33942&lcdStatus=all&sortBy=title&ver=50"
   ],
   "affected_pages": [
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33942&lcdStatus=all&sortBy=title&ver=50"
   ],
   "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=33942&lcdStatus=all&sortBy=title&ver=50.",
    "Locate the element: center",
    "Confirm the deprecated-html finding for rule center-element."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W28",
   "last_seen": "2026-W32",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/deprecated-html__center-element.csv"
  },
  {
   "instance_id": "VS-987e1817",
   "pattern_id": "VS-91d2294a",
   "a11y_pattern_fingerprint": "694557a2e6d5bc90eafe7b3a3c5b7b43bcc69e8bc86d88693bd71c134ecf0f0d",
   "a11y_pattern_display_id": "A11Y-PAT-694557A2E6D5",
   "a11y_occurrence_fingerprint": "c1b3f61f48b39f244fea6b0ba9849e96b2197a4982e4c3d092e0bd07198fbba5",
   "a11y_occurrence_display_id": "A11Y-OCC-C1B3F61F48B3",
   "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=N&sortBy=status&status=all",
   "xpath": "font",
   "html_snippet": "<font color=\"FF0000\"><p><em>Effective XXXX, the Centers for Medicare &amp; Medicaid Services (CMS) covers percutaneous transluminal angioplasty (PTA) of the carotid artery concurrent with stenting wit",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "font-element",
   "rule_label": "Obsolete <font> element (use CSS)",
   "engine_key": "deprecated-html",
   "tool": "deprecated-html",
   "rule_url": null,
   "severity": "Moderate",
   "frequency": {
    "instances": 4,
    "pages_affected": 1,
    "total_pages_scanned": 6846
   },
   "likely_source": "content",
   "summary": "Obsolete <font> element (use CSS) (WCAG criterion undetermined)",
   "description": "Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 1 of 6846 scanned pages (4 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=N&sortBy=status&status=all",
     "xpath": "font",
     "html_snippet": "<font color=\"FF0000\"><p><em>Effective XXXX, the Centers for Medicare &amp; Medicaid Services (CMS) covers percutaneous transluminal angioplasty (PTA) of the carotid artery concurrent with stenting wit"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=N&sortBy=status&status=all",
     "xpath": "font",
     "html_snippet": "<font color=\"FF0000\"><p><em>In addition to the national coverage described above, Medicare Administrative Contractors (MACs) may make reasonable and necessary determinations under section 1862(a)(1)(A"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=N&sortBy=status&status=all",
     "xpath": "font",
     "html_snippet": "<font color=\"FF0000\">the</font>"
    }
   ],
   "example_pages": [
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=N&sortBy=status&status=all"
   ],
   "affected_pages": [
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=N&sortBy=status&status=all"
   ],
   "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/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=N&sortBy=status&status=all.",
    "Locate the element: font",
    "Confirm the deprecated-html finding for rule font-element."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W32",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/deprecated-html__font-element.csv"
  }
 ],
 "policy": {
  "suppression": {
   "patterns": 0,
   "pages": 0,
   "occurrences": 0,
   "entries": []
  }
 }
}