{
 "schema_version": "0.1",
 "site": "www.cms.gov",
 "scan_week": "2026-W33",
 "generated_at": "2026-09-30T18:09:02.560Z",
 "source_files": [
  "docs/reports/www.cms.gov/2026-W33/",
  "data/www.cms.gov/findings.json",
  "data/www.cms.gov/2026-W33/summary.json"
 ],
 "summary": {
  "pages_known": 59115,
  "pages_scanned_this_week": 6702,
  "pages_with_known_issues": 36959,
  "findings": 55,
  "clusters": 48,
  "new_findings": 0,
  "persistent_findings": 42,
  "high_priority_findings": 28
 },
 "top_risks": [
  {
   "finding_id": "VS-8ade3360",
   "rule_id": "link-in-text-block",
   "rule_label": "Links must be distinguishable without relying on color",
   "severity": "Serious",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 669,
   "rationale": "Serious severity; affects 669 pages; worsening trend",
   "top_url": "https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?++=&bc=ABAAAAAAIAAA&NCAId=299&NCDId=281&ncdver=5&type=Open"
  },
  {
   "finding_id": "VS-a0bdbdf6",
   "rule_id": "list",
   "rule_label": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements",
   "severity": "Serious",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 378,
   "rationale": "Serious severity; affects 378 pages; worsening trend",
   "top_url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33624&lcdStatus=all&sortBy=title&ver=33"
  },
  {
   "finding_id": "VS-c126b6a6",
   "rule_id": "html-has-lang",
   "rule_label": "<html> element must have a lang attribute",
   "severity": "Serious",
   "priority": "p1",
   "trend": "improving",
   "pages_affected": 127,
   "rationale": "Serious severity; affects 127 pages",
   "top_url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html"
  },
  {
   "finding_id": "VS-9074b4dd",
   "rule_id": "image-alt",
   "rule_label": "Images must have alternative text",
   "severity": "Critical",
   "priority": "p1",
   "trend": "improving",
   "pages_affected": 99,
   "rationale": "Critical severity",
   "top_url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html"
  },
  {
   "finding_id": "VS-bd13f00a",
   "rule_id": "accesskeys",
   "rule_label": "accesskey attribute value should be unique",
   "severity": "Serious",
   "priority": "p1",
   "trend": "improving",
   "pages_affected": 39,
   "rationale": "Serious severity",
   "top_url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html"
  },
  {
   "finding_id": "VS-be8d563e",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 36,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33624&lcdStatus=all&sortBy=title&ver=33"
  },
  {
   "finding_id": "VS-fafffee0",
   "rule_id": "label",
   "rule_label": "Form elements must have labels",
   "severity": "Critical",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 29,
   "rationale": "Critical severity; persistent across weeks",
   "top_url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html"
  },
  {
   "finding_id": "VS-6175596b",
   "rule_id": "listitem",
   "rule_label": "<li> elements must be contained in a <ul> or <ol>",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 5,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=246"
  },
  {
   "finding_id": "VS-e9fe47ac",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 3,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://www.cms.gov/medicare/medicare-contracting/medicare-administrative-contractors/archive-j11-now-known-as-jurisdiction-m"
  },
  {
   "finding_id": "VS-07ba3b17",
   "rule_id": "td-headers-attr",
   "rule_label": "Table cell headers attributes must refer to other <th> elements in the same tabl",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 2,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc"
  }
 ],
 "findings": [
  {
   "finding_id": "VS-8ade3360",
   "fingerprint": "8bf51706",
   "rule_id": "link-in-text-block",
   "rule_label": "Links must be distinguishable without relying on color",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 669 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 669,
    "affected_pages_previous": 366
   },
   "frequency": {
    "instances": 1526,
    "pages_affected": 669,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Links must be distinguishable without relying on color (WCAG 1.4.1)",
   "description": "Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 669 of 6702 scanned pages (1526 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule link-in-text-block (WCAG 1.4.1).",
   "actual_behavior": "Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 669 of 6702 scanned pages (1526 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?++=&bc=ABAAAAAAIAAA&NCAId=299&NCDId=281&ncdver=5&type=Open",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39857&sortBy=relevance&ver=7",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35906&lcdStatus=all&sortBy=title&ver=25"
   ],
   "html_fragments": [
    {
     "fingerprint": "18dc585b",
     "html": "<a href=\"https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=167&ncdver=1\">",
     "selectors": [
      "#lblCrossReference > a"
     ]
    },
    {
     "fingerprint": "514da189",
     "html": "<a href=\"https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39856&amp;ver=3\" target=\"_blank\" class=\"log-click system-link\" data-page-action=\"Clicked the Source Proposed LCD link\">DL398",
     "selectors": [
      "#lblProposedLcd > .system-link.log-click[target=\"_blank\"]"
     ]
    },
    {
     "fingerprint": "3f218bd9",
     "html": "<a href=\"https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/125360s073lbl.pdf\" target=\"_blank\" rel=\"noopener\">",
     "selectors": [
      "ol:nth-child(63) > li:nth-child(1) > a[rel=\"noopener\"][target=\"_blank\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 19
    },
    {
     "pattern": "/medicare-coverage-database/view/nca.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/details/ncd-details.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-a0bdbdf6",
   "fingerprint": "ca0fa40f",
   "rule_id": "list",
   "rule_label": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 378 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 378,
    "affected_pages_previous": 210
   },
   "frequency": {
    "instances": 1760,
    "pages_affected": 378,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements (WCAG 1.3.1)",
   "description": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 378 of 6702 scanned pages (1760 instances).",
   "remediation_tip": "Use <ul>/<ol> with only <li> children for lists; don't fake lists with <div>s.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule list (WCAG 1.3.1).",
   "actual_behavior": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 378 of 6702 scanned pages (1760 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33624&lcdStatus=all&sortBy=title&ver=33",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39857&sortBy=relevance&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28"
   ],
   "html_fragments": [
    {
     "fingerprint": "ef042962",
     "html": "<ul>10 Certification and Recertification by Physicians for Hospital Services - General</ul>",
     "selectors": [
      "#lblCmsNationalCoveragePolicy > ul:nth-child(2)"
     ]
    },
    {
     "fingerprint": "83f46a19",
     "html": "<ul>10.1 Failure to Certify or Recertify for Hospital Services</ul>",
     "selectors": [
      "#lblCmsNationalCoveragePolicy > ul:nth-child(3)"
     ]
    },
    {
     "fingerprint": "6a7a85ec",
     "html": "<ul>10.2 Who May Sign Certification or Recertification</ul>",
     "selectors": [
      "ul:nth-child(4)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 17
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 7
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-c126b6a6",
   "fingerprint": "b6dc10f1",
   "rule_id": "html-has-lang",
   "rule_label": "<html> element must have a lang attribute",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "3.1.1",
   "wcag_name": "Language of Page",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 127 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 127,
    "affected_pages_previous": 256
   },
   "frequency": {
    "instances": 127,
    "pages_affected": 127,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "<html> element must have a lang attribute (WCAG 3.1.1)",
   "description": "<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 127 of 6702 scanned pages (127 instances).",
   "remediation_tip": "Add a lang attribute to <html> (e.g. lang=\"en\").",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule html-has-lang (WCAG 3.1.1).",
   "actual_behavior": "<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 127 of 6702 scanned pages (127 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0056.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "3e866d4c",
     "html": "<html>",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version38-fullcode-cms/fullcode_cms/P0056.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-9074b4dd",
   "fingerprint": "f1846b41",
   "rule_id": "image-alt",
   "rule_label": "Images must have alternative text",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Critical severity",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 9,
    "affected_pages_current": 99,
    "affected_pages_previous": 248
   },
   "frequency": {
    "instances": 99,
    "pages_affected": 99,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Images must have alternative text (WCAG 1.1.1)",
   "description": "Images must have alternative text. Detected by axe-core rule image-alt on 99 of 6702 scanned pages (99 instances).",
   "remediation_tip": "Give every <img> a meaningful alt attribute. Use alt=\"\" only for decorative images so screen readers skip them.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule image-alt (WCAG 1.1.1).",
   "actual_behavior": "Images must have alternative text. Detected by axe-core rule image-alt on 99 of 6702 scanned pages (99 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0056.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0005.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "6f85ea95",
     "html": "<img src=\"cms-site-logo.png\">",
     "selectors": [
      "img[src$=\"cms-site-logo.png\"]"
     ]
    },
    {
     "fingerprint": "227d6ced",
     "html": "<img src=\"https://static-assets.qualtrics.com/static/prototype-ui-modules/SharedGraphics/siteintercept/svg-close-btn-white-1.svg\">",
     "selectors": [
      "div > img"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version38-fullcode-cms/fullcode_cms/P0056.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version39.0-fullcode-cms/fullcode_cms/P0005.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-bd13f00a",
   "fingerprint": "952edfaf",
   "rule_id": "accesskeys",
   "rule_label": "accesskey attribute value should be unique",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W25",
    "last_observed": "2026-W33",
    "weeks_observed": 7,
    "affected_pages_current": 39,
    "affected_pages_previous": 87
   },
   "frequency": {
    "instances": 113,
    "pages_affected": 39,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "accesskey attribute value should be unique (WCAG criterion undetermined)",
   "description": "accesskey attribute value should be unique. Detected by axe-core rule accesskeys on 39 of 6702 scanned pages (113 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule accesskeys.",
   "actual_behavior": "accesskey attribute value should be unique. Detected by axe-core rule accesskeys on 39 of 6702 scanned pages (113 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0026.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "b466f50e",
     "html": "<a accesskey=\"p\" id=\"prev_page\" href=\"P0364.html\"><img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>",
     "selectors": [
      "td[width=\"31\"]:nth-child(3) > a[accesskey=\"p\"][href$=\"P0364.html\"]"
     ]
    },
    {
     "fingerprint": "6a897016",
     "html": "<a accesskey=\"u\" id=\"up_level\" href=\"P0025.html\"><img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>",
     "selectors": [
      "td[width=\"31\"]:nth-child(4) > a[accesskey=\"u\"][href$=\"P0025.html\"]"
     ]
    },
    {
     "fingerprint": "a9a40eae",
     "html": "<a accesskey=\"n\" id=\"next_page\" href=\"P0950.html\"><img src=\"fwdpg.png\" alt=\"Next Page [Alt-n]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>",
     "selectors": [
      "td[width=\"31\"]:nth-child(5) > a[accesskey=\"n\"][href$=\"P0950.html\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0026.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-be8d563e",
   "fingerprint": "1820bc84",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 36,
    "affected_pages_previous": 43
   },
   "frequency": {
    "instances": 574,
    "pages_affected": 36,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)",
   "description": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 36 of 6702 scanned pages (574 instances).",
   "remediation_tip": "Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule color-contrast (WCAG 1.4.3).",
   "actual_behavior": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 36 of 6702 scanned pages (574 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33624&lcdStatus=all&sortBy=title&ver=33",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33624&lcdStatus=all&sortBy=title&stateRegion=all&ver=34",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=311&proposed=Y"
   ],
   "html_fragments": [
    {
     "fingerprint": "fdff6292",
     "html": "<span style=\"color: red;\"> (NCD) Manual</span>",
     "selectors": [
      "em > span"
     ]
    },
    {
     "fingerprint": "09b68ef0",
     "html": "<td width=\"328\" valign=\"top\" style=\"width:245.7pt;border...\">",
     "selectors": [
      "tr:nth-child(1) > td[width=\"328\"][valign=\"top\"]:nth-child(1)",
      "tr:nth-child(1) > td[width=\"328\"][valign=\"top\"]:nth-child(2)"
     ]
    },
    {
     "fingerprint": "83706ee2",
     "html": "<em>",
     "selectors": [
      "font:nth-child(277) > p > em"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 15
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 5
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 4
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   }
  },
  {
   "finding_id": "VS-fafffee0",
   "fingerprint": "d5e15238",
   "rule_id": "label",
   "rule_label": "Form elements must have labels",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Critical severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W33",
    "weeks_observed": 8,
    "affected_pages_current": 29,
    "affected_pages_previous": 11
   },
   "frequency": {
    "instances": 29,
    "pages_affected": 29,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Form elements must have labels (WCAG 4.1.2)",
   "description": "Form elements must have labels. Detected by axe-core rule label on 29 of 6702 scanned pages (29 instances).",
   "remediation_tip": "Associate every form control with a <label> (via for/id) or an aria-label/aria-labelledby.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule label (WCAG 4.1.2).",
   "actual_behavior": "Form elements must have labels. Detected by axe-core rule label on 29 of 6702 scanned pages (29 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1137.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "b2d78865",
     "html": "<input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">",
     "selectors": [
      "#q"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1137.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-6175596b",
   "fingerprint": "7ac6b8df",
   "rule_id": "listitem",
   "rule_label": "<li> elements must be contained in a <ul> or <ol>",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "medium",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 5,
    "affected_pages_previous": 11
   },
   "frequency": {
    "instances": 15,
    "pages_affected": 5,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "<li> elements must be contained in a <ul> or <ol> (WCAG 1.3.1)",
   "description": "<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 5 of 6702 scanned pages (15 instances).",
   "remediation_tip": "<li> must be inside a <ul> or <ol>.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule listitem (WCAG 1.3.1).",
   "actual_behavior": "<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 5 of 6702 scanned pages (15 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=246",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=296&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/details/nca-view-public-comments.aspx?NCAId=295"
   ],
   "html_fragments": [
    {
     "fingerprint": "dc427690",
     "html": "<li>   Describe the capabilities of the study sites. </li>",
     "selectors": [
      "li:nth-child(5) > ul > em > li"
     ]
    },
    {
     "fingerprint": "f452be59",
     "html": "<li>   Describe stopping rules.</li>",
     "selectors": [
      "li:nth-child(7) > ul > em > li"
     ]
    },
    {
     "fingerprint": "b10ed50b",
     "html": "<li>   Inclusion of women and minorities. </li>",
     "selectors": [
      "li:nth-child(12) > ul > em > li:nth-child(1)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/details/nca-decision-memo.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/details/nca-view-public-comments.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-e9fe47ac",
   "fingerprint": "f85a6839",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "medium",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 3,
    "affected_pages_previous": 3
   },
   "frequency": {
    "instances": 6,
    "pages_affected": 3,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Links must have discernible text (WCAG 2.4.4)",
   "description": "Links must have discernible text. Detected by axe-core rule link-name on 3 of 6702 scanned pages (6 instances).",
   "remediation_tip": "Give the link discernible text. Avoid empty links and icon-only links without an aria-label.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule link-name (WCAG 2.4.4).",
   "actual_behavior": "Links must have discernible text. Detected by axe-core rule link-name on 3 of 6702 scanned pages (6 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare/medicare-contracting/medicare-administrative-contractors/archive-j11-now-known-as-jurisdiction-m",
    "https://www.cms.gov/cciio/resources/fact-sheets-and-faqs/aca_implementation_faqs10",
    "https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments"
   ],
   "html_fragments": [
    {
     "fingerprint": "7e31288c",
     "html": "<a href=\"/medicare/medicare-contracting/medicare-administrative-contractors/who-are-the-macs-a-b-mac-jurisdiction-m-jm\" data-entity-substitution=\"canonical\" data-entity-type=\"node\" data-entity-uuid=\"d",
     "selectors": [
      "a[data-entity-type=\"node\"][data-entity-substitution=\"canonical\"][data-once=\"linkMatch\"]:nth-child(1)"
     ]
    },
    {
     "fingerprint": "e5e4a0ad",
     "html": "<a data-entity-substitution=\"canonical\" data-entity-type=\"node\" data-entity-uuid=\"c843a5c8-a23c-4402-8b1c-93ba99dd0bf7\" href=\"/cciio/resources/fact-sheets-and-faqs/aca_implementation_faqs10\" data-once",
     "selectors": [
      "a[data-entity-substitution=\"canonical\"][data-entity-type=\"node\"][data-once=\"linkMatch\"]:nth-child(1)"
     ]
    },
    {
     "fingerprint": "2482ae65",
     "html": "<a data-entity-substitution=\"canonical\" data-entity-type=\"node\" data-entity-uuid=\"8b801b16-c5ef-4393-b3fd-088c3fe6bdbc\" href=\"/cciio/resources/fact-sheets-and-faqs/aca_implementation_faqs3\" data-once=",
     "selectors": [
      "a[data-entity-substitution=\"canonical\"][data-entity-type=\"node\"][data-once=\"linkMatch\"]:nth-child(3)",
      "a[data-entity-substitution=\"canonical\"][data-entity-type=\"node\"][data-once=\"linkMatch\"]:nth-child(4)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare/medicare-contracting/medicare-administrative-contractors/archive-j11-now-known-as-jurisdiction-m",
     "count": 1
    },
    {
     "pattern": "/cciio/resources/fact-sheets-and-faqs/aca_implementation_faqs10",
     "count": 1
    },
    {
     "pattern": "/medicare/quality/clinical-laboratory-improvement-amendments",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-07ba3b17",
   "fingerprint": "993f6ba8",
   "rule_id": "td-headers-attr",
   "rule_label": "Table cell headers attributes must refer to other <th> elements in the same tabl",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W33",
    "weeks_observed": 9,
    "affected_pages_current": 2,
    "affected_pages_previous": 3
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Table cell headers attributes must refer to other <th> elements in the same tabl (WCAG 1.3.1)",
   "description": "Table cell headers attributes must refer to other <th> elements in the same tabl. Detected by axe-core rule td-headers-attr on 2 of 6702 scanned pages (2 instances).",
   "remediation_tip": "Associate data cells with their headers correctly using headers/id or scope.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule td-headers-attr (WCAG 1.3.1).",
   "actual_behavior": "Table cell headers attributes must refer to other <th> elements in the same tabl. Detected by axe-core rule td-headers-attr on 2 of 6702 scanned pages (2 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_subject_formatted&sort=desc"
   ],
   "html_fragments": [
    {
     "fingerprint": "7e037dac",
     "html": "<table class=\"MsoTableGrid\">",
     "selectors": [
      ".MsoTableGrid"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-c613c153",
   "fingerprint": "364ee5cc",
   "rule_id": "scrollable-region-focusable",
   "rule_label": "Scrollable region must have keyboard access",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "2.1.1",
   "wcag_name": "Keyboard",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W33",
    "weeks_observed": 6,
    "affected_pages_current": 2,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "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 2 of 6702 scanned pages (2 instances).",
   "remediation_tip": "Make scrollable regions keyboard-focusable (tabindex=\"0\") so keyboard users can scroll them.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule scrollable-region-focusable (WCAG 2.1.1).",
   "actual_behavior": "Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 2 of 6702 scanned pages (2 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=311&proposed=Y",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=Y&sortBy=status&status=all"
   ],
   "html_fragments": [
    {
     "fingerprint": "6a7cbd8a",
     "html": "<pre>TO: \t\t Administrative File: &nbsp;CAG-00085R8 \n\nFROM:\t\tCoverage and Analysis Group (CAG)\n\nSUBJECT: \tProposed National Coverage Determination for Percutaneous Transluminal Angioplasty (PTA) of the",
     "selectors": [
      "pre"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-1467ea8a",
   "fingerprint": "fc8886ab",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Critical severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W33",
    "weeks_observed": 5,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 4,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Elements must only use supported ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 1 of 6702 scanned pages (4 instances).",
   "remediation_tip": "Remove ARIA attributes that aren't allowed on this role/element.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-allowed-attr (WCAG 4.1.2).",
   "actual_behavior": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 1 of 6702 scanned pages (4 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/files/linked-video-files/new-features-medicare-gov"
   ],
   "html_fragments": [
    {
     "fingerprint": "fbbb872c",
     "html": "<a id=\"endpoint\" class=\"yt-simple-endpoint style-scope ytd-mini-guide-entry-renderer\" aria-selected=\"false\" aria-label=\"Home\" title=\"Home\" href=\"/\">",
     "selectors": [
      "a[title=\"Home\"]"
     ]
    },
    {
     "fingerprint": "16ee8d87",
     "html": "<a id=\"endpoint\" class=\"yt-simple-endpoint style-scope ytd-mini-guide-entry-renderer\" aria-selected=\"false\" aria-label=\"Shorts\" title=\"Shorts\" href=\"/shorts/\">",
     "selectors": [
      "a[title=\"Shorts\"]"
     ]
    },
    {
     "fingerprint": "cd4bdedd",
     "html": "<a id=\"endpoint\" class=\"yt-simple-endpoint style-scope ytd-mini-guide-entry-renderer\" aria-selected=\"false\" aria-label=\"Subscriptions\" title=\"Subscriptions\" href=\"/feed/subscriptions\">",
     "selectors": [
      "a[title=\"Subscriptions\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/files/linked-video-files/new-features-medicare-gov",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-58301a87",
   "fingerprint": "345a6415",
   "rule_id": "nested-interactive",
   "rule_label": "Interactive controls must not be nested",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/nested-interactive?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W33",
    "last_observed": "2026-W33",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Interactive controls must not be nested (WCAG 4.1.2)",
   "description": "Interactive controls must not be nested. Detected by axe-core rule nested-interactive on 1 of 6702 scanned pages (1 instances).",
   "remediation_tip": "Don't nest interactive controls (e.g. a button inside a link); split them apart.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/nested-interactive?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule nested-interactive (WCAG 4.1.2).",
   "actual_behavior": "Interactive controls must not be nested. Detected by axe-core rule nested-interactive on 1 of 6702 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/files/linked-video-files/new-features-medicare-gov"
   ],
   "html_fragments": [
    {
     "fingerprint": "5b98a019",
     "html": "<yt-avatar-stack-view-model class=\"ytAvatarStackViewModelHost ytContentMetadataViewModelAvatarStack ytAvatarStackViewModelTappable ytAvatarStackViewModelIsOverlay\" tabindex=\"0\" role=\"button\" aria-labe",
     "selectors": [
      ".ytPageHeaderViewModelScrollContainer > .ytPageHeaderViewModelContent > .ytPageHeaderViewModelHeadline > .ytPageHeaderViewModelHeadlineInfo > .ytPageHeaderViewModelContentMetadata.ytPageHeaderViewModelContentMetadataOverlay > .ytContentMetadataViewModelMetadataRow[role=\"group\"]:nth-child(1) > yt-avatar-stack-view-model"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/files/linked-video-files/new-features-medicare-gov",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-dd1c019f",
   "fingerprint": "dec2d038",
   "rule_id": "valid-lang",
   "rule_label": "lang attribute must have a valid value",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "3.1.2",
   "wcag_name": "Language of Parts",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 1,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "lang attribute must have a valid value (WCAG 3.1.2)",
   "description": "lang attribute must have a valid value. Detected by axe-core rule valid-lang on 1 of 6702 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule valid-lang (WCAG 3.1.2).",
   "actual_behavior": "lang attribute must have a valid value. Detected by axe-core rule valid-lang on 1 of 6702 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings"
   ],
   "html_fragments": [
    {
     "fingerprint": "f05b811b",
     "html": "<span lang=\"X-NONE\">[1]</span>",
     "selectors": [
      "a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-cb53cc4d",
   "fingerprint": "1738fa81",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 838 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 838,
    "affected_pages_previous": 377
   },
   "frequency": {
    "instances": 26567,
    "pages_affected": 838,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 838 of 6702 scanned pages (26567 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r111 (WCAG 2.5.5).",
   "actual_behavior": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 838 of 6702 scanned pages (26567 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
    "https://www.cms.gov/priorities/innovation-center/value-based-care-spotlight/patient-provider-voices/whole-person-care-stories/improving-health-access-care-rural-areas-one-pennsylvania-couples-story"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 8
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 2
    },
    {
     "pattern": "/priorities/innovation-center/value-based-care-spotlight/patient-provider-voices/whole-person-care-stories/improving-health-access-care-rural-areas-one-pennsylvania-couples-story",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-2208081b",
   "fingerprint": "40bbca09",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 829 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 829,
    "affected_pages_previous": 367
   },
   "frequency": {
    "instances": 11341,
    "pages_affected": 829,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 829 of 6702 scanned pages (11341 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r73 (WCAG 1.4.8).",
   "actual_behavior": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 829 of 6702 scanned pages (11341 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
    "https://www.cms.gov/priorities/innovation-center/value-based-care-spotlight/patient-provider-voices/whole-person-care-stories/improving-health-access-care-rural-areas-one-pennsylvania-couples-story"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 9
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 2
    },
    {
     "pattern": "/priorities/innovation-center/value-based-care-spotlight/patient-provider-voices/whole-person-care-stories/improving-health-access-care-rural-areas-one-pennsylvania-couples-story",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-7118fead",
   "fingerprint": "0d932ac9",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 809 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 809,
    "affected_pages_previous": 346
   },
   "frequency": {
    "instances": 809,
    "pages_affected": 809,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 809 of 6702 scanned pages (809 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r61.",
   "actual_behavior": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 809 of 6702 scanned pages (809 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
    "https://www.cms.gov/priorities/innovation-center/value-based-care-spotlight/patient-provider-voices/whole-person-care-stories/improving-health-access-care-rural-areas-one-pennsylvania-couples-story"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 9
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-646b1e0b",
   "fingerprint": "afad441e",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 453 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 453,
    "affected_pages_previous": 182
   },
   "frequency": {
    "instances": 2917,
    "pages_affected": 453,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 453 of 6702 scanned pages (2917 instances).",
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r66 (WCAG 1.4.6).",
   "actual_behavior": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 453 of 6702 scanned pages (2917 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
    "https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=136"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 14
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 8
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [
    {
     "technology": "jsDelivr",
     "lift": 1.87,
     "pages_with_both": 53
    },
    {
     "technology": "Bootstrap",
     "lift": 1.87,
     "pages_with_both": 53
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 1.87,
     "pages_with_both": 53
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-fbf54eba",
   "fingerprint": "773d6316",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 452 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 452,
    "affected_pages_previous": 181
   },
   "frequency": {
    "instances": 32275,
    "pages_affected": 452,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Link is distinguishable without relying on color (WCAG 1.4.8)",
   "description": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 452 of 6702 scanned pages (32275 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r74 (WCAG 1.4.8).",
   "actual_behavior": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 452 of 6702 scanned pages (32275 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
    "https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=136"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 14
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 8
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [
    {
     "technology": "jsDelivr",
     "lift": 1.87,
     "pages_with_both": 53
    },
    {
     "technology": "Bootstrap",
     "lift": 1.87,
     "pages_with_both": 53
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 1.87,
     "pages_with_both": 53
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f7dba940",
   "fingerprint": "477d8088",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 451 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 451,
    "affected_pages_previous": 182
   },
   "frequency": {
    "instances": 1084,
    "pages_affected": 451,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "description": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 451 of 6702 scanned pages (1084 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r14 (WCAG 2.5.3).",
   "actual_behavior": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 451 of 6702 scanned pages (1084 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
    "https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=136"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 14
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 8
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [
    {
     "technology": "jsDelivr",
     "lift": 1.87,
     "pages_with_both": 53
    },
    {
     "technology": "Bootstrap",
     "lift": 1.87,
     "pages_with_both": 53
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 1.87,
     "pages_with_both": 53
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   }
  },
  {
   "finding_id": "VS-f054f4a4",
   "fingerprint": "5fa3b5a6",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 422 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 422,
    "affected_pages_previous": 167
   },
   "frequency": {
    "instances": 423,
    "pages_affected": 422,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 422 of 6702 scanned pages (423 instances).",
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r53.",
   "actual_behavior": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 422 of 6702 scanned pages (423 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=40333&proposedStatus=all&sortBy=title&ver=7"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 15
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 10
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 1.88,
     "pages_with_both": 5
    },
    {
     "technology": "jsDelivr",
     "lift": 1.79,
     "pages_with_both": 46
    },
    {
     "technology": "Bootstrap",
     "lift": 1.79,
     "pages_with_both": 46
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d25f622d",
   "fingerprint": "98ff321a",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 290 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 290,
    "affected_pages_previous": 265
   },
   "frequency": {
    "instances": 294,
    "pages_affected": 290,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 290 of 6702 scanned pages (294 instances).",
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule heading-order.",
   "actual_behavior": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 290 of 6702 scanned pages (294 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=39905&lcdStatus=all&sortBy=title",
    "https://cms.gov/medicare/payment/fee-for-service-providers/shared-savings-program-ssp-acos/application-types-timeline",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37857&lcdStatus=all&sortBy=title&stateRegion=all"
   ],
   "html_fragments": [
    {
     "fingerprint": "2772e8cc",
     "html": "<h3 id=\"navStickyHeader\" class=\"bg-white d-inline expand-head-pad\">Report Information</h3>",
     "selectors": [
      "#navStickyHeader"
     ]
    },
    {
     "fingerprint": "6e9a7b48",
     "html": "<h3 class=\"field field--name-field-cms-card-title field--type-string field--label-hidden ds-u-margin-bottom--3\" data-once=\"trademark-symbol\">Key Application Actions and Deadlines</h3>",
     "selectors": [
      ".field--name-field-cms-card-title"
     ]
    },
    {
     "fingerprint": "f69f9390",
     "html": "<h6>LTC Awareness Campaign: Phase II Application</h6>",
     "selectors": [
      "h6"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx",
     "count": 6
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx",
     "count": 6
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx",
     "count": 4
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-c18be945",
   "fingerprint": "8634e2fd",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 248 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 248,
    "affected_pages_previous": 109
   },
   "frequency": {
    "instances": 249,
    "pages_affected": 248,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 248 of 6702 scanned pages (249 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r57.",
   "actual_behavior": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 248 of 6702 scanned pages (249 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/priorities/innovation-center/value-based-care-spotlight/patient-provider-voices/whole-person-care-stories/improving-health-access-care-rural-areas-one-pennsylvania-couples-story",
    "https://cms.gov/contacts/west-virginia-insurance-commission/general-beneficiary-contact/1562561",
    "http://www.cms.gov/ltch-webpricer"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 4
    },
    {
     "pattern": "/priorities/innovation-center/value-based-care-spotlight/patient-provider-voices/whole-person-care-stories/improving-health-access-care-rural-areas-one-pennsylvania-couples-story",
     "count": 1
    },
    {
     "pattern": "/contacts/west-virginia-insurance-commission/general-beneficiary-contact/{id}",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "Drupal",
     "lift": 2.43,
     "pages_with_both": 24
    },
    {
     "technology": "Acquia Cloud Platform",
     "lift": 2.43,
     "pages_with_both": 24
    },
    {
     "technology": "Amazon Web Services",
     "lift": 2.43,
     "pages_with_both": 24
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-2cd767ca",
   "fingerprint": "3123e4f3",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 173 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 173,
    "affected_pages_previous": 101
   },
   "frequency": {
    "instances": 245,
    "pages_affected": 173,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 173 of 6702 scanned pages (245 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r78.",
   "actual_behavior": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 173 of 6702 scanned pages (245 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56865&ver=28",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57718&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 16
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx",
     "count": 2
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 4.5,
     "pages_with_both": 5
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-179ad9b3",
   "fingerprint": "0e001fcc",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 140 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 140,
    "affected_pages_previous": 79
   },
   "frequency": {
    "instances": 300,
    "pages_affected": 140,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)",
   "description": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 140 of 6702 scanned pages (300 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r113 (WCAG 2.5.8).",
   "actual_behavior": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 140 of 6702 scanned pages (300 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
    "https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=292&ncdver=1&sortBy=title"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 18
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-f18df681",
   "fingerprint": "09987718",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 128 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 128,
    "affected_pages_previous": 256
   },
   "frequency": {
    "instances": 2279,
    "pages_affected": 128,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 128 of 6702 scanned pages (2279 instances).",
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule region.",
   "actual_behavior": "All page content should be contained by landmarks. Detected by axe-core rule region on 128 of 6702 scanned pages (2279 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0056.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "2c59e913",
     "html": "<table class=\"hhshead\" cellpadding=\"0\" cellspacing=\"0\" summary=\"HHS Header. Table for formatting only.\">",
     "selectors": [
      ".hhshead[cellpadding=\"0\"][cellspacing=\"0\"]:nth-child(1)"
     ]
    },
    {
     "fingerprint": "2f3c91a7",
     "html": "<a href=\"http://www.cms.gov/\" title=\"Centers for Medicare &amp; Medicaid Services\"> \n        <img class=\"hhsimg\" src=\"banner-text.jpg\" width=\"650\" height=\"60\" alt=\"Centers for Medicare &amp; Medicaid ",
     "selectors": [
      ".masthead > a[href$=\"cms.gov/\"]"
     ]
    },
    {
     "fingerprint": "d76e8320",
     "html": "<label for=\"q\" title=\"Search CMS.gov\">\n       <input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">&nbsp;</label>",
     "selectors": [
      "label"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version38-fullcode-cms/fullcode_cms/P0056.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d5d82446",
   "fingerprint": "3627341e",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 127 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 127,
    "affected_pages_previous": 256
   },
   "frequency": {
    "instances": 127,
    "pages_affected": 127,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Document should have one main landmark (WCAG criterion undetermined)",
   "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 127 of 6702 scanned pages (127 instances).",
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-one-main.",
   "actual_behavior": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 127 of 6702 scanned pages (127 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0056.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "3e866d4c",
     "html": "<html>",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version38-fullcode-cms/fullcode_cms/P0056.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d6097011",
   "fingerprint": "b46c5395",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 113 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 113,
    "affected_pages_previous": 45
   },
   "frequency": {
    "instances": 424,
    "pages_affected": 113,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 113 of 6702 scanned pages (424 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r68 (WCAG 1.3.1).",
   "actual_behavior": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 113 of 6702 scanned pages (424 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
    "https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=136",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37535&lcdStatus=all&sortBy=title&stateRegion=all&ver=19"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 13
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 5.29,
     "pages_with_both": 5
    },
    {
     "technology": "jsDelivr",
     "lift": 1.76,
     "pages_with_both": 16
    },
    {
     "technology": "Bootstrap",
     "lift": 1.76,
     "pages_with_both": 16
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-0066c67d",
   "fingerprint": "67db3700",
   "rule_id": "empty-heading",
   "rule_label": "Headings should not be empty",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "severity": "Minor",
   "priority": "p3",
   "confidence": "high",
   "rationale": "affects 109 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 109,
    "affected_pages_previous": 247
   },
   "frequency": {
    "instances": 113,
    "pages_affected": 109,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Headings should not be empty (WCAG criterion undetermined)",
   "description": "Headings should not be empty. Detected by axe-core rule empty-heading on 109 of 6702 scanned pages (113 instances).",
   "remediation_tip": "Remove empty headings or give them text. Don't use heading tags for spacing.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule empty-heading.",
   "actual_behavior": "Headings should not be empty. Detected by axe-core rule empty-heading on 109 of 6702 scanned pages (113 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0056.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0005.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "c6c37699",
     "html": "<h1></h1>",
     "selectors": [
      "h1:nth-child(2)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version38-fullcode-cms/fullcode_cms/P0056.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version39.0-fullcode-cms/fullcode_cms/P0005.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-388b5438",
   "fingerprint": "e21585c3",
   "rule_id": "sia-r80",
   "rule_label": "Scrollable element is keyboard accessible",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r80",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W25",
    "last_observed": "2026-W33",
    "weeks_observed": 9,
    "affected_pages_current": 42,
    "affected_pages_previous": 8
   },
   "frequency": {
    "instances": 786,
    "pages_affected": 42,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Scrollable element is keyboard accessible (WCAG 1.4.8)",
   "description": "Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 42 of 6702 scanned pages (786 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r80",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r80 (WCAG 1.4.8).",
   "actual_behavior": "Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 42 of 6702 scanned pages (786 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
    "https://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=7&contractorName=all&contractorNumber=all&lcdid=37475&lcdStatus=all&sortBy=title&ver=18"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 17
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 8
    }
   ],
   "associated_technologies": [
    {
     "technology": "reCAPTCHA",
     "lift": 2.17,
     "pages_with_both": 5
    },
    {
     "technology": "jsDelivr",
     "lift": 1.87,
     "pages_with_both": 5
    },
    {
     "technology": "Bootstrap",
     "lift": 1.87,
     "pages_with_both": 5
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-fa44f293",
   "fingerprint": "a01b2a6c",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 42,
    "affected_pages_previous": 17
   },
   "frequency": {
    "instances": 42,
    "pages_affected": 42,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Page should contain a level-one heading (WCAG criterion undetermined)",
   "description": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 42 of 6702 scanned pages (42 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule page-has-heading-one.",
   "actual_behavior": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 42 of 6702 scanned pages (42 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1137.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "3e866d4c",
     "html": "<html>",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1137.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-4408605e",
   "fingerprint": "265d5c76",
   "rule_id": "sia-r46",
   "rule_label": "Element has required aria-owns",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r46",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W33",
    "weeks_observed": 9,
    "affected_pages_current": 41,
    "affected_pages_previous": 20
   },
   "frequency": {
    "instances": 69,
    "pages_affected": 41,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Element has required aria-owns (WCAG 1.3.1)",
   "description": "Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 41 of 6702 scanned pages (69 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r46",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r46 (WCAG 1.3.1).",
   "actual_behavior": "Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 41 of 6702 scanned pages (69 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57718&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56802&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57690&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=39"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 25
    }
   ],
   "associated_technologies": [
    {
     "technology": "reCAPTCHA",
     "lift": 2.17,
     "pages_with_both": 6
    },
    {
     "technology": "jsDelivr",
     "lift": 1.87,
     "pages_with_both": 6
    },
    {
     "technology": "Bootstrap",
     "lift": 1.87,
     "pages_with_both": 6
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-3c632d31",
   "fingerprint": "7d010b8c",
   "rule_id": "sia-r64",
   "rule_label": "Element has required owned roles",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r64",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "Moderate severity on 30 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 30,
    "affected_pages_previous": 30
   },
   "frequency": {
    "instances": 32,
    "pages_affected": 30,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Element has required owned roles (WCAG 1.3.1)",
   "description": "Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 30 of 6702 scanned pages (32 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r64",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r64 (WCAG 1.3.1).",
   "actual_behavior": "Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 30 of 6702 scanned pages (32 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0407.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 2
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-48291402",
   "fingerprint": "50880f5a",
   "rule_id": "sia-r71",
   "rule_label": "iframe element is not empty",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r71",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W33",
    "weeks_observed": 9,
    "affected_pages_current": 29,
    "affected_pages_previous": 8
   },
   "frequency": {
    "instances": 673,
    "pages_affected": 29,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "iframe element is not empty (WCAG 1.4.8)",
   "description": "iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 29 of 6702 scanned pages (673 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r71",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r71 (WCAG 1.4.8).",
   "actual_behavior": "iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 29 of 6702 scanned pages (673 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
    "https://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=6&lcdid=38994&lcdStatus=all&sortBy=title&ver=20"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 18
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 7
    }
   ],
   "associated_technologies": [
    {
     "technology": "reCAPTCHA",
     "lift": 2.17,
     "pages_with_both": 5
    },
    {
     "technology": "jsDelivr",
     "lift": 1.87,
     "pages_with_both": 5
    },
    {
     "technology": "Bootstrap",
     "lift": 1.87,
     "pages_with_both": 5
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-7a0e5645",
   "fingerprint": "15da996e",
   "rule_id": "sia-r4",
   "rule_label": "Document has a valid lang attribute",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "3.1.1",
   "wcag_name": "Language of Page",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r4",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "Moderate severity on 28 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 28,
    "affected_pages_previous": 32
   },
   "frequency": {
    "instances": 28,
    "pages_affected": 28,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Document has a valid lang attribute (WCAG 3.1.1)",
   "description": "Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 28 of 6702 scanned pages (28 instances).",
   "remediation_tip": "Add a valid lang attribute to <html>.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r4",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r4 (WCAG 3.1.1).",
   "actual_behavior": "Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 28 of 6702 scanned pages (28 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-a24eaa8c",
   "fingerprint": "8d462fe1",
   "rule_id": "sia-r2",
   "rule_label": "Image has accessible name",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r2",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "Moderate severity on 25 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 9,
    "affected_pages_current": 25,
    "affected_pages_previous": 31
   },
   "frequency": {
    "instances": 25,
    "pages_affected": 25,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Image has accessible name (WCAG 1.1.1)",
   "description": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 25 of 6702 scanned pages (25 instances).",
   "remediation_tip": "Give every <img> an accessible name (alt text), or alt=\"\" if purely decorative.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r2 (WCAG 1.1.1).",
   "actual_behavior": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 25 of 6702 scanned pages (25 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
    "https://www.cms.gov/priorities/electronic-prior-authorization/overview",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0407.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "count": 1
    },
    {
     "pattern": "/priorities/electronic-prior-authorization/overview",
     "count": 1
    },
    {
     "pattern": "/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0407.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-04a9d28c",
   "fingerprint": "02cfba82",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine": "deprecated-html",
   "tool": "deprecated-html",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": null,
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "Moderate severity on 25 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 25,
    "affected_pages_previous": 40
   },
   "frequency": {
    "instances": 441,
    "pages_affected": 25,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)",
   "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 25 of 6702 scanned pages (441 instances).",
   "remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "expected_behavior": "Element passes deprecated-html rule presentational-attr.",
   "actual_behavior": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 25 of 6702 scanned pages (441 instances).",
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39462&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=9&lcdid=40334&proposedStatus=all&sortBy=title&ver=2"
   ],
   "html_fragments": [
    {
     "fingerprint": "9c73fd4b",
     "html": "<img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">",
     "selectors": [
      "img"
     ]
    },
    {
     "fingerprint": "f9ef1f44",
     "html": "<img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">",
     "selectors": [
      "img"
     ]
    },
    {
     "fingerprint": "1cc6b28a",
     "html": "<img src=\"fwdpg.png\" alt=\"Next Page [Alt-n]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">",
     "selectors": [
      "img"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 11
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-0ba8ce9d",
   "fingerprint": "1b1ae391",
   "rule_id": "scope-attr-valid",
   "rule_label": "scope attribute should be used correctly",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 22,
    "affected_pages_previous": 38
   },
   "frequency": {
    "instances": 428,
    "pages_affected": 22,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "scope attribute should be used correctly (WCAG criterion undetermined)",
   "description": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 22 of 6702 scanned pages (428 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule scope-attr-valid.",
   "actual_behavior": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 22 of 6702 scanned pages (428 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=246",
    "https://cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=16",
    "https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=364&ncdver=1&sortBy=title"
   ],
   "html_fragments": [
    {
     "fingerprint": "20c428ba",
     "html": "<td scope=\"row\">June 28, 2010</td>",
     "selectors": [
      "table[cellpadding=\"5\"] > tbody > tr[valign=\"top\"]:nth-child(2) > td[scope=\"row\"]"
     ]
    },
    {
     "fingerprint": "1fe87b01",
     "html": "<td scope=\"row\">July 28, 2010</td>",
     "selectors": [
      "tr[valign=\"top\"]:nth-child(3) > td[scope=\"row\"]"
     ]
    },
    {
     "fingerprint": "0d852f61",
     "html": "<td scope=\"row\">December 1, 2010</td>",
     "selectors": [
      "table[cellpadding=\"5\"] > tbody > tr[valign=\"top\"]:nth-child(4) > td[scope=\"row\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 12
    },
    {
     "pattern": "/medicare-coverage-database/details/nca-decision-memo.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f7e99f4b",
   "fingerprint": "863d1000",
   "rule_id": "sia-r69",
   "rule_label": "Text has sufficient color contrast (Enhanced)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r69",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 9,
    "affected_pages_previous": 5
   },
   "frequency": {
    "instances": 50,
    "pages_affected": 9,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Text has sufficient color contrast (Enhanced) (WCAG 1.4.3)",
   "description": "Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 9 of 6702 scanned pages (50 instances).",
   "remediation_tip": "Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r69 (WCAG 1.4.3).",
   "actual_behavior": "Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 9 of 6702 scanned pages (50 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52487&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=27",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=65",
    "https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 3
    },
    {
     "pattern": "/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   }
  },
  {
   "finding_id": "VS-f2542d87",
   "fingerprint": "9cf75a1e",
   "rule_id": "sia-r79",
   "rule_label": "Duplicate role landmark is labeled",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r79",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 5,
    "affected_pages_previous": 5
   },
   "frequency": {
    "instances": 5,
    "pages_affected": 5,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Duplicate role landmark is labeled (WCAG criterion undetermined)",
   "description": "Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 5 of 6702 scanned pages (5 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r79",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r79.",
   "actual_behavior": "Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 5 of 6702 scanned pages (5 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=210&proposed=Y",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=90&proposed=Y",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=258"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/details/nca-decision-memo.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/details/cal-decision-memo.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-7fbb8b20",
   "fingerprint": "79bb1ee9",
   "rule_id": "sia-r59",
   "rule_label": "Element with orientation is not locked",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r59",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W33",
    "weeks_observed": 8,
    "affected_pages_current": 4,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 4,
    "pages_affected": 4,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Element with orientation is not locked (WCAG criterion undetermined)",
   "description": "Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 4 of 6702 scanned pages (4 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r59",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r59.",
   "actual_behavior": "Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 4 of 6702 scanned pages (4 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-e43903a1",
   "fingerprint": "49842005",
   "rule_id": "sia-r75",
   "rule_label": "Form field error is identified and described",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r75",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W33",
    "weeks_observed": 8,
    "affected_pages_current": 4,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 8,
    "pages_affected": 4,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Form field error is identified and described (WCAG criterion undetermined)",
   "description": "Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 4 of 6702 scanned pages (8 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r75",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r75.",
   "actual_behavior": "Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 4 of 6702 scanned pages (8 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-3d033717",
   "fingerprint": "1718042b",
   "rule_id": "sia-r70",
   "rule_label": "No obsolete or deprecated elements are used",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r70",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W33",
    "weeks_observed": 9,
    "affected_pages_current": 3,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 3,
    "pages_affected": 3,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "No obsolete or deprecated elements are used (WCAG criterion undetermined)",
   "description": "No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 3 of 6702 scanned pages (3 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r70",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r70.",
   "actual_behavior": "No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 3 of 6702 scanned pages (3 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33942&lcdStatus=all&sortBy=title&stateRegion=all&ver=47",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=90&proposed=Y",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=283&proposed=Y"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-91d2294a",
   "fingerprint": "648c7ef8",
   "rule_id": "font-element",
   "rule_label": "Obsolete <font> element (use CSS)",
   "engine": "deprecated-html",
   "tool": "deprecated-html",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": null,
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 9,
    "affected_pages_current": 3,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 87,
    "pages_affected": 3,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Obsolete <font> element (use CSS) (WCAG criterion undetermined)",
   "description": "Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 3 of 6702 scanned pages (87 instances).",
   "remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "expected_behavior": "Element passes deprecated-html rule font-element.",
   "actual_behavior": "Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 3 of 6702 scanned pages (87 instances).",
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AAgAAAAACAAA&NCAId=297",
    "http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=380&ncdver=1&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=283&proposed=Y"
   ],
   "html_fragments": [
    {
     "fingerprint": "376e251f",
     "html": "<font color=\"FF0000\">- Transcatheter Edge-to-Edge Repair (TEER) for Mitral Valve Regurgitation</font>",
     "selectors": [
      "font"
     ]
    },
    {
     "fingerprint": "c7102154",
     "html": "<font color=\"FF0000\">Transcatheter Edge-to-Edge Repair (TEER) of the mitral valve</font>",
     "selectors": [
      "font"
     ]
    },
    {
     "fingerprint": "5c544141",
     "html": "<font color=\"FF0000\">TEER approximates the anterior and posterior</font>",
     "selectors": [
      "font"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/details/nca-decision-memo.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-3f067795",
   "fingerprint": "f9bf7824",
   "rule_id": "sia-r77",
   "rule_label": "Table cell has header",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r77",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 2,
    "affected_pages_previous": 5
   },
   "frequency": {
    "instances": 9,
    "pages_affected": 2,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Table cell has header (WCAG 1.3.1)",
   "description": "Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 2 of 6702 scanned pages (9 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r77",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r77 (WCAG 1.3.1).",
   "actual_behavior": "Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 2 of 6702 scanned pages (9 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=90&proposed=Y",
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=76"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-30db094d",
   "fingerprint": "c8a85210",
   "rule_id": "landmark-banner-is-top-level",
   "rule_label": "Banner landmark should not be contained in another landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 7,
    "affected_pages_current": 2,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Banner landmark should not be contained in another landmark (WCAG criterion undetermined)",
   "description": "Banner landmark should not be contained in another landmark. Detected by axe-core rule landmark-banner-is-top-level on 2 of 6702 scanned pages (2 instances).",
   "remediation_tip": "Put the banner landmark (<header>) at the top level, not nested inside another landmark.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-banner-is-top-level.",
   "actual_behavior": "Banner landmark should not be contained in another landmark. Detected by axe-core rule landmark-banner-is-top-level on 2 of 6702 scanned pages (2 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation",
    "http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Physician-and-Other-Supplier.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "469795af",
     "html": "<header class=\"Header\" style=\"position: sticky;\">",
     "selectors": [
      ".Header"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation",
     "count": 1
    },
    {
     "pattern": "/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Physician-and-Other-Supplier.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-aa242c2d",
   "fingerprint": "9bf7674d",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W33",
    "weeks_observed": 6,
    "affected_pages_current": 2,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "First focusable element is link to main content (WCAG criterion undetermined)",
   "description": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 2 of 6702 scanned pages (2 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r87.",
   "actual_behavior": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 2 of 6702 scanned pages (2 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/priorities/electronic-prior-authorization/overview",
    "https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/priorities/electronic-prior-authorization/overview",
     "count": 1
    },
    {
     "pattern": "/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-0ddc2ac6",
   "fingerprint": "04fff361",
   "rule_id": "sia-r42",
   "rule_label": "Element in required WAI-ARIA context role",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r42",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 5,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 5,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Element in required WAI-ARIA context role (WCAG 1.3.1)",
   "description": "Element in required WAI-ARIA context role. Detected by Siteimprove Alfa rule sia-r42 on 1 of 6702 scanned pages (5 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r42",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r42 (WCAG 1.3.1).",
   "actual_behavior": "Element in required WAI-ARIA context role. Detected by Siteimprove Alfa rule sia-r42 on 1 of 6702 scanned pages (5 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-9207ed51",
   "fingerprint": "6cdd8dba",
   "rule_id": "sia-r45",
   "rule_label": "aria-hidden element is not exposed to assistive technology",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r45",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W33",
    "weeks_observed": 6,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 13,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "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 1 of 6702 scanned pages (13 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r45",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r45 (WCAG 1.3.1).",
   "actual_behavior": "aria-hidden element is not exposed to assistive technology. Detected by Siteimprove Alfa rule sia-r45 on 1 of 6702 scanned pages (13 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-efd91fdd",
   "fingerprint": "12434796",
   "rule_id": "sia-r62",
   "rule_label": "Link in text block is visually distinguishable without color",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r62",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 9,
    "affected_pages_current": 1,
    "affected_pages_previous": 6
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Link in text block is visually distinguishable without color (WCAG 1.4.1)",
   "description": "Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 1 of 6702 scanned pages (1 instances).",
   "remediation_tip": "Make links visually distinguishable from surrounding text (not by color alone).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r62 (WCAG 1.4.1).",
   "actual_behavior": "Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 1 of 6702 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35936&lcdStatus=all&sortBy=title&ver=46"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-8806389c",
   "fingerprint": "ffb2ae06",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W33",
    "weeks_observed": 9,
    "affected_pages_current": 1,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)",
   "description": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 1 of 6702 scanned pages (1 instances).",
   "remediation_tip": "When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. \"Primary\" and \"Footer\" navigation) so screen-reader users can tell them apart.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-unique.",
   "actual_behavior": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 1 of 6702 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars"
   ],
   "html_fragments": [
    {
     "fingerprint": "e57225b8",
     "html": "<div role=\"region\">",
     "selectors": [
      ".ds-u-lg-padding--0.ds-u-margin-y--2.ds-u-lg-margin-y--4:nth-child(8) > .ds-u-lg-padding-right--2.ds-l-lg-col--4.ds-u-padding-x--0 > div[role=\"region\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-e05344b9",
   "fingerprint": "9d7a222a",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W33",
    "weeks_observed": 6,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 3,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)",
   "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 1 of 6702 scanned pages (3 instances).",
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r18.",
   "actual_behavior": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 1 of 6702 scanned pages (3 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-4c341c77",
   "fingerprint": "aada626a",
   "rule_id": "sia-r85",
   "rule_label": "Keyboard trap does not exist",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r85",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W33",
    "weeks_observed": 9,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 3,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Keyboard trap does not exist (WCAG criterion undetermined)",
   "description": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 1 of 6702 scanned pages (3 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r85.",
   "actual_behavior": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 1 of 6702 scanned pages (3 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=258"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/details/nca-decision-memo.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-20060f39",
   "fingerprint": "488b5ac8",
   "rule_id": "center-element",
   "rule_label": "Obsolete <center> element (use CSS)",
   "engine": "deprecated-html",
   "tool": "deprecated-html",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": null,
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W28",
    "last_observed": "2026-W33",
    "weeks_observed": 3,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 4,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "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 6702 scanned pages (4 instances).",
   "remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "expected_behavior": "Element passes deprecated-html rule center-element.",
   "actual_behavior": "Obsolete <center> element (use CSS). Detected by deprecated-html rule center-element on 1 of 6702 scanned pages (4 instances).",
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33942&lcdStatus=all&sortBy=title&stateRegion=all&ver=47"
   ],
   "html_fragments": [
    {
     "fingerprint": "81825708",
     "html": "<center><strong> GENERAL THERAPY GUIDELINES</strong></center>",
     "selectors": [
      "center"
     ]
    },
    {
     "fingerprint": "db4c3cf8",
     "html": "<center><strong> SPECIFIC PROCEDURES AND MODALITIES</strong></center>",
     "selectors": [
      "center"
     ]
    },
    {
     "fingerprint": "870335e6",
     "html": "<center>General Orthotics Guidelines</center>",
     "selectors": [
      "center"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d69fc059",
   "fingerprint": "c827d812",
   "rule_id": "empty-table-header",
   "rule_label": "Table header text should not be empty",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "severity": "Minor",
   "priority": "p4",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W33",
    "weeks_observed": 10,
    "affected_pages_current": 16,
    "affected_pages_previous": 28
   },
   "frequency": {
    "instances": 21,
    "pages_affected": 16,
    "total_pages_scanned": 6702
   },
   "on_key_page": false,
   "summary": "Table header text should not be empty (WCAG criterion undetermined)",
   "description": "Table header text should not be empty. Detected by axe-core rule empty-table-header on 16 of 6702 scanned pages (21 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule empty-table-header.",
   "actual_behavior": "Table header text should not be empty. Detected by axe-core rule empty-table-header on 16 of 6702 scanned pages (21 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36889&lcdStatus=all&sortBy=title&ver=24",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=294",
    "https://cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=16"
   ],
   "html_fragments": [
    {
     "fingerprint": "bcaef498",
     "html": "<th>&nbsp;</th>",
     "selectors": [
      "tbody > tr > th"
     ]
    },
    {
     "fingerprint": "0624a1db",
     "html": "<th> </th>",
     "selectors": [
      "table[border=\"1\"]:nth-child(205) > tbody > tr:nth-child(2) > th:nth-child(1)",
      "table[border=\"1\"]:nth-child(205) > tbody > tr:nth-child(2) > th:nth-child(2)"
     ]
    },
    {
     "fingerprint": "a7f27f20",
     "html": "<th valign=\"top\" width=\"25%\" scope=\"col\">&nbsp;</th>",
     "selectors": [
      "tbody > tr:nth-child(1) > th:nth-child(1)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/details/nca-decision-memo.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  }
 ],
 "clusters": {
  "by_wcag_criterion": [
   {
    "cluster_id": "140fec0b",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.8",
    "wcag_name": "Visual Presentation",
    "wcag_level": "AAA",
    "findings": [
     "VS-2208081b",
     "VS-fbf54eba",
     "VS-388b5438",
     "VS-48291402"
    ],
    "total_pages_affected": 1352,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b393058c",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.5",
    "wcag_name": "Target Size (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-cb53cc4d"
    ],
    "total_pages_affected": 838,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "75cf28e4",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-7118fead"
    ],
    "total_pages_affected": 809,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "77bde739",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.1",
    "wcag_name": "Use of Color",
    "wcag_level": "A",
    "findings": [
     "VS-8ade3360",
     "VS-efd91fdd"
    ],
    "total_pages_affected": 670,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "423bd52e",
    "type": "wcag_criterion",
    "wcag_sc": "1.3.1",
    "wcag_name": "Info and Relationships",
    "wcag_level": "A",
    "findings": [
     "VS-a0bdbdf6",
     "VS-6175596b",
     "VS-07ba3b17",
     "VS-d6097011",
     "VS-4408605e",
     "VS-3c632d31",
     "VS-3f067795",
     "VS-0ddc2ac6",
     "VS-9207ed51"
    ],
    "total_pages_affected": 573,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "71f257a8",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.6",
    "wcag_name": "Contrast (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-646b1e0b"
    ],
    "total_pages_affected": 453,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "fd9ed1c5",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.3",
    "wcag_name": "Label in Name",
    "wcag_level": "A",
    "findings": [
     "VS-f7dba940"
    ],
    "total_pages_affected": 451,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b05da4e9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f054f4a4"
    ],
    "total_pages_affected": 422,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "e08c8d69",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d25f622d"
    ],
    "total_pages_affected": 290,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "36ac08de",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-c18be945"
    ],
    "total_pages_affected": 248,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "4b43ba23",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-2cd767ca"
    ],
    "total_pages_affected": 173,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "8af1f05d",
    "type": "wcag_criterion",
    "wcag_sc": "3.1.1",
    "wcag_name": "Language of Page",
    "wcag_level": "A",
    "findings": [
     "VS-c126b6a6",
     "VS-7a0e5645"
    ],
    "total_pages_affected": 155,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "24c4a455",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.8",
    "wcag_name": "Target Size (Minimum)",
    "wcag_level": "AA",
    "findings": [
     "VS-179ad9b3"
    ],
    "total_pages_affected": 140,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "0649d9b9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f18df681"
    ],
    "total_pages_affected": 128,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "91fd3b4c",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d5d82446"
    ],
    "total_pages_affected": 127,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "945c7205",
    "type": "wcag_criterion",
    "wcag_sc": "1.1.1",
    "wcag_name": "Non-text Content",
    "wcag_level": "A",
    "findings": [
     "VS-9074b4dd",
     "VS-a24eaa8c"
    ],
    "total_pages_affected": 124,
    "max_severity": "Critical"
   },
   {
    "cluster_id": "7774d667",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-0066c67d"
    ],
    "total_pages_affected": 109,
    "max_severity": "Minor"
   },
   {
    "cluster_id": "d68f5631",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.3",
    "wcag_name": "Contrast (Minimum)",
    "wcag_level": "AA",
    "findings": [
     "VS-be8d563e",
     "VS-f7e99f4b"
    ],
    "total_pages_affected": 45,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "b8f97020",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-fa44f293"
    ],
    "total_pages_affected": 42,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "05fbc261",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-bd13f00a"
    ],
    "total_pages_affected": 39,
    "max_severity": "Serious"
   }
  ],
  "by_url_pattern": [
   {
    "cluster_id": "7d8c5ddc",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/lcd.aspx",
    "findings": [
     "VS-be8d563e",
     "VS-388b5438",
     "VS-48291402",
     "VS-04a9d28c",
     "VS-f7e99f4b",
     "VS-3d033717",
     "VS-efd91fdd",
     "VS-20060f39"
    ],
    "total_pages": 68
   },
   {
    "cluster_id": "64453d83",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/article.aspx",
    "findings": [
     "VS-4408605e",
     "VS-48291402",
     "VS-f7e99f4b"
    ],
    "total_pages": 35
   },
   {
    "cluster_id": "034daebc",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
    "findings": [
     "VS-6175596b",
     "VS-c613c153",
     "VS-0ba8ce9d",
     "VS-f2542d87",
     "VS-3d033717",
     "VS-91d2294a",
     "VS-3f067795"
    ],
    "total_pages": 23
   },
   {
    "cluster_id": "ac0064c3",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/details/nca-decision-memo.aspx",
    "findings": [
     "VS-6175596b",
     "VS-f2542d87",
     "VS-91d2294a",
     "VS-4c341c77"
    ],
    "total_pages": 5
   },
   {
    "cluster_id": "1eb18466",
    "type": "url_pattern",
    "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
    "findings": [
     "VS-07ba3b17",
     "VS-9207ed51"
    ],
    "total_pages": 3
   },
   {
    "cluster_id": "49f4615b",
    "type": "url_pattern",
    "pattern": "/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation",
    "findings": [
     "VS-30db094d",
     "VS-aa242c2d",
     "VS-e05344b9"
    ],
    "total_pages": 3
   },
   {
    "cluster_id": "88c8e651",
    "type": "url_pattern",
    "pattern": "/files/linked-video-files/new-features-medicare-gov",
    "findings": [
     "VS-1467ea8a",
     "VS-58301a87"
    ],
    "total_pages": 2
   },
   {
    "cluster_id": "bc7e64f8",
    "type": "url_pattern",
    "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
    "findings": [
     "VS-7fbb8b20",
     "VS-e43903a1"
    ],
    "total_pages": 2
   },
   {
    "cluster_id": "926e19f6",
    "type": "url_pattern",
    "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
    "findings": [
     "VS-7fbb8b20",
     "VS-e43903a1"
    ],
    "total_pages": 2
   },
   {
    "cluster_id": "1722b359",
    "type": "url_pattern",
    "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html",
    "findings": [
     "VS-7fbb8b20",
     "VS-e43903a1"
    ],
    "total_pages": 2
   }
  ]
 },
 "technology_findings": [
  {
   "technology": "jQuery UI",
   "finding": "axe:heading-order",
   "lift": 10.91,
   "pages_with_both": 20,
   "technology_pages": 20,
   "interpretation": "Pages using jQuery UI are 10.91× more likely to have finding axe:heading-order."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r68",
   "lift": 5.29,
   "pages_with_both": 5,
   "technology_pages": 20,
   "interpretation": "Pages using jQuery UI are 5.29× more likely to have finding alfa:sia-r68."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r78",
   "lift": 4.5,
   "pages_with_both": 5,
   "technology_pages": 20,
   "interpretation": "Pages using jQuery UI are 4.5× more likely to have finding alfa:sia-r78."
  },
  {
   "technology": "Drupal",
   "finding": "alfa:sia-r57",
   "lift": 2.43,
   "pages_with_both": 24,
   "technology_pages": 148,
   "interpretation": "Pages using Drupal are 2.43× more likely to have finding alfa:sia-r57."
  },
  {
   "technology": "Acquia Cloud Platform",
   "finding": "alfa:sia-r57",
   "lift": 2.43,
   "pages_with_both": 24,
   "technology_pages": 148,
   "interpretation": "Pages using Acquia Cloud Platform are 2.43× more likely to have finding alfa:sia-r57."
  },
  {
   "technology": "Amazon Web Services",
   "finding": "alfa:sia-r57",
   "lift": 2.43,
   "pages_with_both": 24,
   "technology_pages": 148,
   "interpretation": "Pages using Amazon Web Services are 2.43× more likely to have finding alfa:sia-r57."
  },
  {
   "technology": "PHP",
   "finding": "alfa:sia-r57",
   "lift": 2.43,
   "pages_with_both": 24,
   "technology_pages": 148,
   "interpretation": "Pages using PHP are 2.43× more likely to have finding alfa:sia-r57."
  },
  {
   "technology": "Qualtrics",
   "finding": "alfa:sia-r57",
   "lift": 2.43,
   "pages_with_both": 24,
   "technology_pages": 148,
   "interpretation": "Pages using Qualtrics are 2.43× more likely to have finding alfa:sia-r57."
  },
  {
   "technology": "Tealium",
   "finding": "alfa:sia-r57",
   "lift": 2.43,
   "pages_with_both": 24,
   "technology_pages": 148,
   "interpretation": "Pages using Tealium are 2.43× more likely to have finding alfa:sia-r57."
  },
  {
   "technology": "YouTube",
   "finding": "alfa:sia-r57",
   "lift": 2.43,
   "pages_with_both": 24,
   "technology_pages": 148,
   "interpretation": "Pages using YouTube are 2.43× more likely to have finding alfa:sia-r57."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "alfa:sia-r46",
   "lift": 2.17,
   "pages_with_both": 6,
   "technology_pages": 166,
   "interpretation": "Pages using reCAPTCHA are 2.17× more likely to have finding alfa:sia-r46."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "alfa:sia-r80",
   "lift": 2.17,
   "pages_with_both": 5,
   "technology_pages": 166,
   "interpretation": "Pages using reCAPTCHA are 2.17× more likely to have finding alfa:sia-r80."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "alfa:sia-r71",
   "lift": 2.17,
   "pages_with_both": 5,
   "technology_pages": 166,
   "interpretation": "Pages using reCAPTCHA are 2.17× more likely to have finding alfa:sia-r71."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "axe:link-in-text-block",
   "lift": 2.11,
   "pages_with_both": 76,
   "technology_pages": 166,
   "interpretation": "Pages using reCAPTCHA are 2.11× more likely to have finding axe:link-in-text-block."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "axe:list",
   "lift": 2.07,
   "pages_with_both": 40,
   "technology_pages": 166,
   "interpretation": "Pages using reCAPTCHA are 2.07× more likely to have finding axe:list."
  }
 ],
 "third_party_findings": [
  {
   "origin": "jsdelivr.net",
   "pages_served": 456,
   "pages_with_findings": 317,
   "finding_co_occurrence_rate": 0.7,
   "median_bytes": 8320,
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?++=&bc=ABAAAAAAIAAA&NCAId=299&NCDId=281&ncdver=5&type=Open",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39857&sortBy=relevance&ver=7",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35906&lcdStatus=all&sortBy=title&ver=25"
   ]
  },
  {
   "origin": "gstatic.com",
   "pages_served": 399,
   "pages_with_findings": 264,
   "finding_co_occurrence_rate": 0.66,
   "median_bytes": 1514380,
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?++=&bc=ABAAAAAAIAAA&NCAId=299&NCDId=281&ncdver=5&type=Open",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39857&sortBy=relevance&ver=7",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35906&lcdStatus=all&sortBy=title&ver=25"
   ]
  },
  {
   "origin": "google.com",
   "pages_served": 399,
   "pages_with_findings": 264,
   "finding_co_occurrence_rate": 0.66,
   "median_bytes": 42079,
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?++=&bc=ABAAAAAAIAAA&NCAId=299&NCDId=281&ncdver=5&type=Open",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39857&sortBy=relevance&ver=7",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35906&lcdStatus=all&sortBy=title&ver=25"
   ]
  }
 ],
 "metadata": {
  "generator": "vital-core",
  "schema_version": "0.1",
  "total_pages_scanned": 6702,
  "notes": [
   "Healthy pages (no known issues) are intentionally excluded.",
   "Representative examples are used instead of complete occurrence lists.",
   "Fingerprints are stable hashes for tracking recurring patterns over time.",
   "Fragment fingerprints normalize volatile attributes (id, style, data-*) before hashing.",
   "Technology lift values indicate association, not causation.",
   "Confidence reflects sample size: high=10+ affected pages, medium=3-9, low=1-2."
  ]
 }
}