{
 "domain": "www.cms.gov",
 "week": "2026-W33",
 "generatedAt": "2026-08-16T13:13:21.789Z",
 "reports": [
  {
   "instance_id": "VS-0df4355f",
   "pattern_id": "VS-179ad9b3",
   "a11y_pattern_fingerprint": "ea71551d6ae44d748b51cab19b7cac31800ce698217896487087267d2299716d",
   "a11y_pattern_display_id": "A11Y-PAT-EA71551D6AE4",
   "a11y_occurrence_fingerprint": "e6c87c24c5e0eaa42cf22b46d3e5bad109156cc1ff8dc0a4008ba0b6c8375b00",
   "a11y_occurrence_display_id": "A11Y-OCC-E6C87C24C5E0",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
   "xpath": "<a href=\"http://www.cms.gov/\" title=\"CMS Home Page\">",
   "html_snippet": null,
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "frequency": {
    "instances": 300,
    "pages_affected": 140,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)",
   "description": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 140 of 6702 scanned pages (300 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "xpath": "<a href=\"http://www.cms.gov/\" title=\"CMS Home Page\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "xpath": "<a href=\"http://www.cms.gov/home/medicare.asp\" title=\"For Healthcare Professionals\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "xpath": "<a href=\"http://www.cms.gov/home/medicaid.asp\" title=\"People With Medicaid and Healthcare Professionals\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": "<a href=\"http://www.hhs.gov\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": "<a href=\"http://www.medicare.gov\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52490&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=25",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57718&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57482&articleStatus=all&bc=3&sortBy=title&ver=23",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
    "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",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57207&articleStatus=all&bc=3&sortBy=title&ver=33",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57037&articleStatus=all&bc=3&sortBy=title&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54418&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=25",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53017&articleStatus=all&bc=3&sortBy=title&ver=34",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58503&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58116&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56793&articleStatus=all&bc=3&sortBy=title&ver=35",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57972&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10",
    "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://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56503&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=12",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0407.html",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57972&articleStatus=all&bc=3&sortBy=title&ver=12",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59620&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=5",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0005.html",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58344&ver=3"
   ],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html.",
    "Locate the element: <a href=\"http://www.cms.gov/\" title=\"CMS Home Page\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/alfa__sia-r113.csv"
  },
  {
   "instance_id": "VS-6a00fdbe",
   "pattern_id": "VS-f7dba940",
   "a11y_pattern_fingerprint": "714cfa2672abec642b191ae001c2d17ec37f8b0583bb71ecc7b42f9c7d1949ae",
   "a11y_pattern_display_id": "A11Y-PAT-714CFA2672AB",
   "a11y_occurrence_fingerprint": "3b0ffa540e7d44cd0d1d66257a0d78a9270a9a12856d092daf564f31765a7553",
   "a11y_occurrence_display_id": "A11Y-OCC-3B0FFA540E7D",
   "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
   "xpath": "<a id=\"aBasketManuButton\" class=\"basket-icon log-click \" title=\"View documents in your Basket\" data-page-action=\"Clicked the Basket navbar link.\">",
   "html_snippet": null,
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "frequency": {
    "instances": 1084,
    "pages_affected": 451,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "description": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 451 of 6702 scanned pages (1084 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
     "xpath": "<a id=\"aBasketManuButton\" class=\"basket-icon log-click \" title=\"View documents in your Basket\" data-page-action=\"Clicked the Basket navbar link.\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
     "xpath": "<a href=\"#\" data-bs-toggle=\"collapse\" id=\"aCollapseNavigation\" aria-label=\"Collapse Document Navigation\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
     "xpath": "<a id=\"aBasketManuButton\" class=\"basket-icon log-click \" title=\"View documents in your Basket\" data-page-action=\"Clicked the Basket navbar link.\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
     "xpath": "<a href=\"#\" data-bs-toggle=\"collapse\" id=\"aCollapseNavigation\" aria-label=\"Collapse Document Navigation\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=136",
     "xpath": "<a id=\"aBasketManuButton\" class=\"basket-icon log-click \" title=\"View documents in your Basket\" data-page-action=\"Clicked the Basket navbar link.\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=40333&proposedStatus=all&sortBy=title&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36859&lcdStatus=all&sortBy=title&stateRegion=all&ver=27",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35050&lcdStatus=all&sortBy=title&stateRegion=all&ver=55",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37535&lcdStatus=all&sortBy=title&stateRegion=all&ver=19",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
    "http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=334&ncdver=1&sortBy=title",
    "https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=292&ncdver=1&sortBy=title",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54899&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39385&lcdStatus=all&sortBy=title&ver=6",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38904&lcdStatus=all&sortBy=title&stateRegion=all&ver=11",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52490&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=25",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55757&ver=5",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39270&lcdStatus=all&sortBy=title&ver=8",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56865&ver=28",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37598&lcdStatus=all&sortBy=title&ver=21",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40198&proposedStatus=all&sortBy=title&stateRegion=all&ver=5",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&ver=32",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57718&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60348&articleStatus=all&bc=3&sortBy=title&ver=4",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57482&articleStatus=all&bc=3&sortBy=title&ver=23",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33575&lcdStatus=all&sortBy=title&stateRegion=all&ver=43",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56802&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19.",
    "Locate the element: <a id=\"aBasketManuButton\" class=\"basket-icon log-click \" title=\"View documents in your Basket\" data-page-action=\"Clicked the Basket navbar link.\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/alfa__sia-r14.csv"
  },
  {
   "instance_id": "VS-633db298",
   "pattern_id": "VS-9074b4dd",
   "a11y_pattern_fingerprint": "a978dea41024ecf3c2edc0da00aac9058166a8299fabb3a47324cc4a04812e96",
   "a11y_pattern_display_id": "A11Y-PAT-A978DEA41024",
   "a11y_occurrence_fingerprint": "c6274894b0b5b82f47675ac64c69528de46439b20b15bcc203b7c16fddeb9ef1",
   "a11y_occurrence_display_id": "A11Y-OCC-C6274894B0B5",
   "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
   "xpath": "img[src$=\"cms-site-logo.png\"]",
   "html_snippet": "<img src=\"cms-site-logo.png\">",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "image-alt",
   "rule_label": "Images must have alternative text",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 99,
    "pages_affected": 99,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Images must have alternative text (WCAG 1.1.1)",
   "description": "Images must have alternative text. Detected by axe-core rule image-alt on 99 of 6702 scanned pages (99 instances).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": "img[src$=\"cms-site-logo.png\"]",
     "html_snippet": "<img src=\"cms-site-logo.png\">"
    },
    {
     "url": "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0056.html",
     "xpath": "img[src$=\"cms-site-logo.png\"]",
     "html_snippet": "<img src=\"cms-site-logo.png\">"
    },
    {
     "url": "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0005.html",
     "xpath": "img[src$=\"cms-site-logo.png\"]",
     "html_snippet": "<img src=\"cms-site-logo.png\">"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
     "xpath": "img[src$=\"cms-site-logo.png\"]",
     "html_snippet": "<img src=\"cms-site-logo.png\">"
    },
    {
     "url": "https://www.cms.gov/priorities/electronic-prior-authorization/overview",
     "xpath": "div > img",
     "html_snippet": "<img src=\"https://static-assets.qualtrics.com/static/prototype-ui-modules/SharedGraphics/siteintercept/svg-close-btn-white-1.svg\">"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
    "https://www.cms.gov/priorities/electronic-prior-authorization/overview",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1905.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0165.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0296.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0053.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0026.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0126.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0407.html",
    "http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0338.html",
    "http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0020.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0017.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0280.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0011.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0035.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0005.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0381.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0064.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0011.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0009.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0014.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0125.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html.",
    "Locate the element: img[src$=\"cms-site-logo.png\"]",
    "Confirm the axe-core finding for rule image-alt against WCAG 1.1.1 Non-text Content."
   ],
   "remediation_tip": "Give every <img> a meaningful alt attribute. Use alt=\"\" only for decorative images so screen readers skip them.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "In Drupal's Media Library, fill the \"Alternative text\" field when uploading or editing an image. For images in body fields, the CKEditor \"Image Properties\" dialog includes an Alt Text field.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__image-alt.csv"
  },
  {
   "instance_id": "VS-27220a16",
   "pattern_id": "VS-a24eaa8c",
   "a11y_pattern_fingerprint": "9706dec6d1fe236347283238777ae900c1508adec6284acb1378d2ccabf1a12d",
   "a11y_pattern_display_id": "A11Y-PAT-9706DEC6D1FE",
   "a11y_occurrence_fingerprint": "ad8b2856d0c012672b21a2c64145cbec6a9374142da689a751b83e1e904b0804",
   "a11y_occurrence_display_id": "A11Y-OCC-AD8B2856D0C0",
   "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
   "xpath": "<img src=\"cms-site-logo.png\">",
   "html_snippet": null,
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r2",
   "rule_label": "Image has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r2",
   "severity": "Moderate",
   "frequency": {
    "instances": 25,
    "pages_affected": 25,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Image has accessible name (WCAG 1.1.1)",
   "description": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 25 of 6702 scanned pages (25 instances).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": "<img src=\"cms-site-logo.png\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/priorities/electronic-prior-authorization/overview",
     "xpath": "<img src=\"https://static-assets.qualtrics.com/static/prototype-ui-modules/SharedGraphics/siteintercept/svg-close-btn-white-1.svg\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0407.html",
     "xpath": "<img src=\"cms-site-logo.png\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0005.html",
     "xpath": "<img src=\"cms-site-logo.png\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0125.html",
     "xpath": "<img src=\"cms-site-logo.png\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0005.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0125.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0027.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0131.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0253.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0432.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1920.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0221.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0028.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1890.html",
    "http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0001.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0197.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0953.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0087.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0307.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0195.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0409.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1746.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0340.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0052.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0098.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0288.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html.",
    "Locate the element: <img src=\"cms-site-logo.png\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r2 against WCAG 1.1.1 Non-text Content."
   ],
   "remediation_tip": "Give every <img> an accessible name (alt text), or alt=\"\" if purely decorative.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r2.csv"
  },
  {
   "instance_id": "VS-be245804",
   "pattern_id": "VS-a0bdbdf6",
   "a11y_pattern_fingerprint": "605ec69821f50c559137e8e11f957678ed80c313cc470c85626ea30cacedc218",
   "a11y_pattern_display_id": "A11Y-PAT-605EC69821F5",
   "a11y_occurrence_fingerprint": "ccdb6afe324bac299ee99a3ddef51e47f02e4ea0c19d91a477c36af16536bbcc",
   "a11y_occurrence_display_id": "A11Y-OCC-CCDB6AFE324B",
   "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33624&lcdStatus=all&sortBy=title&ver=33",
   "xpath": "#lblCmsNationalCoveragePolicy > ul:nth-child(2)",
   "html_snippet": "<ul>10 Certification and Recertification by Physicians for Hospital Services - General</ul>",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "list",
   "rule_label": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1760,
    "pages_affected": 378,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements (WCAG 1.3.1)",
   "description": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 378 of 6702 scanned pages (1760 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33624&lcdStatus=all&sortBy=title&ver=33",
     "xpath": "#lblCmsNationalCoveragePolicy > ul:nth-child(2)",
     "html_snippet": "<ul>10 Certification and Recertification by Physicians for Hospital Services - General</ul>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33624&lcdStatus=all&sortBy=title&ver=33",
     "xpath": "#lblCmsNationalCoveragePolicy > ul:nth-child(3)",
     "html_snippet": "<ul>10.1 Failure to Certify or Recertify for Hospital Services</ul>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33624&lcdStatus=all&sortBy=title&ver=33",
     "xpath": "ul:nth-child(4)",
     "html_snippet": "<ul>10.2 Who May Sign Certification or Recertification</ul>"
    },
    {
     "url": "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",
     "xpath": "ol[type=\"1\"][start=\"1\"]:nth-child(110)",
     "html_snippet": "<ol start=\"1\" type=\"1\">"
    },
    {
     "url": "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",
     "xpath": "ol[start=\"4\"][type=\"1\"]:nth-child(111)",
     "html_snippet": "<ol start=\"4\" type=\"1\">\n<ol start=\"1\" type=\"a\">\n<li>Nausea and/or vomiting</li>\n<li>Photophobia and Phonophobia</li>\n</ol>\n</ol>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33818&lcdStatus=all&sortBy=title&ver=15",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55265&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39726&lcdStatus=all&sortBy=title&stateRegion=all&ver=4",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58801&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=73",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37535&lcdStatus=all&sortBy=title&stateRegion=all&ver=19",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=11",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34399&lcdStatus=all&sortBy=title&ver=30",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33624&lcdStatus=all&sortBy=title&stateRegion=all&ver=34",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58993&articleStatus=all&bc=3&sortBy=title&ver=16",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33967&lcdStatus=all&sortBy=title&ver=25",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38968&lcdStatus=all&sortBy=title&stateRegion=all&ver=5",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56865&ver=28",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33671&lcdStatus=all&sortBy=title&stateRegion=all&ver=48",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=311&proposed=Y",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56680&ver=44",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33583&lcdStatus=all&sortBy=title&ver=21",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57065&articleStatus=all&bc=3&sortBy=title&ver=32",
    "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=33396&lcdStatus=all&sortBy=title&ver=10",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56008&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33631&lcdStatus=all&sortBy=title&ver=51"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33624&lcdStatus=all&sortBy=title&ver=33.",
    "Locate the element: #lblCmsNationalCoveragePolicy > ul:nth-child(2)",
    "Confirm the axe-core finding for rule list against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "Use <ul>/<ol> with only <li> children for lists; don't fake lists with <div>s.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/axe-core__list.csv"
  },
  {
   "instance_id": "VS-53f5b307",
   "pattern_id": "VS-6175596b",
   "a11y_pattern_fingerprint": "3e27d6c40e1a453fe4e3cba50e78f2651fd2964548850a24d5e178de269d04a1",
   "a11y_pattern_display_id": "A11Y-PAT-3E27D6C40E1A",
   "a11y_occurrence_fingerprint": "b06b65545321b35bac2db57ffdffee8aacd332f42b044e5b20c4c1fffe03b701",
   "a11y_occurrence_display_id": "A11Y-OCC-B06B65545321",
   "url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=246",
   "xpath": "li:nth-child(5) > ul > em > li",
   "html_snippet": "<li>   Describe the capabilities of the study sites. </li>",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "listitem",
   "rule_label": "<li> elements must be contained in a <ul> or <ol>",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 15,
    "pages_affected": 5,
    "total_pages_scanned": 6702
   },
   "likely_source": "unknown",
   "summary": "<li> elements must be contained in a <ul> or <ol> (WCAG 1.3.1)",
   "description": "<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 5 of 6702 scanned pages (15 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=246",
     "xpath": "li:nth-child(5) > ul > em > li",
     "html_snippet": "<li>   Describe the capabilities of the study sites. </li>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=246",
     "xpath": "li:nth-child(7) > ul > em > li",
     "html_snippet": "<li>   Describe stopping rules.</li>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=246",
     "xpath": "li:nth-child(12) > ul > em > li:nth-child(1)",
     "html_snippet": "<li>   Inclusion of women and minorities. </li>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=296&proposed=N",
     "xpath": "em > li:nth-child(1)",
     "html_snippet": "<li>any cancer diagnosis; and,</li>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=296&proposed=N",
     "xpath": "em > li:nth-child(2)",
     "html_snippet": "<li>a clinical indication for germline (inherited) testing of hereditary cancers; and,</li>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=264",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=247&proposed=N"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=246.",
    "Locate the element: li:nth-child(5) > ul > em > li",
    "Confirm the axe-core finding for rule listitem against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "<li> must be inside a <ul> or <ol>.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/axe-core__listitem.csv"
  },
  {
   "instance_id": "VS-b5046566",
   "pattern_id": "VS-07ba3b17",
   "a11y_pattern_fingerprint": "78f59582c1f82c5203ddb8b3ce067fb8e29de0f36b7bcb4b37491b2e71c7fe11",
   "a11y_pattern_display_id": "A11Y-PAT-78F59582C1F8",
   "a11y_occurrence_fingerprint": "a4223b49dafb0a6cd71b8a759391f23d2f202978d2ddfdb1cf765372d679b9f5",
   "a11y_occurrence_display_id": "A11Y-OCC-A4223B49DAFB",
   "url": "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc",
   "xpath": ".MsoTableGrid",
   "html_snippet": "<table class=\"MsoTableGrid\">",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "td-headers-attr",
   "rule_label": "Table cell headers attributes must refer to other <th> elements in the same tabl",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 6702
   },
   "likely_source": "content",
   "summary": "Table cell headers attributes must refer to other <th> elements in the same tabl (WCAG 1.3.1)",
   "description": "Table cell headers attributes must refer to other <th> elements in the same tabl. Detected by axe-core rule td-headers-attr on 2 of 6702 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc",
     "xpath": ".MsoTableGrid",
     "html_snippet": "<table class=\"MsoTableGrid\">"
    },
    {
     "url": "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_subject_formatted&sort=desc",
     "xpath": ".MsoTableGrid",
     "html_snippet": "<table class=\"MsoTableGrid\">"
    }
   ],
   "example_pages": [
    "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_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"
   ],
   "affected_pages": [
    "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"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc.",
    "Locate the element: .MsoTableGrid",
    "Confirm the axe-core finding for rule td-headers-attr against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "Associate data cells with their headers correctly using headers/id or scope.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W33",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__td-headers-attr.csv"
  },
  {
   "instance_id": "VS-febe0850",
   "pattern_id": "VS-d6097011",
   "a11y_pattern_fingerprint": "5ad33678396764cee8f636ca8a88af724d541147a829c1c4da2b2bd2bb8acc95",
   "a11y_pattern_display_id": "A11Y-PAT-5AD336783967",
   "a11y_occurrence_fingerprint": "52cb2faa6620ff05e0f6188e9dce2c3de0e977f346bba5872500da9930d46e73",
   "a11y_occurrence_display_id": "A11Y-OCC-52CB2FAA6620",
   "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
   "xpath": "<ul>",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "frequency": {
    "instances": 424,
    "pages_affected": 113,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 113 of 6702 scanned pages (424 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
     "xpath": "<ul>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
     "xpath": "<ul>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
     "xpath": "<ul>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=136",
     "xpath": "<ul class=\"nav nav-pills flex-column\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37535&lcdStatus=all&sortBy=title&stateRegion=all&ver=19",
     "xpath": "<ol>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56865&ver=28",
    "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=37166&lcdStatus=all&sortBy=title&ver=23",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=40249&lcdStatus=all&sortBy=title&stateRegion=all&ver=5",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33575&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33944&lcdStatus=all&sortBy=title&stateRegion=all&ver=26",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36920&lcdStatus=all&sortBy=title&ver=107",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34163&lcdStatus=all&sortBy=title&ver=33",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=34633&lcdStatus=all&sortBy=title",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33633&lcdStatus=all&sortBy=title&stateRegion=all&ver=49",
    "https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35006&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=35000&lcdStatus=all&sortBy=title",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39956&lcdStatus=all&sortBy=title&ver=5",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35130&lcdStatus=all&sortBy=title&ver=66",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=33733&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39464&sortBy=relevance",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0005.html",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34181&ver=28",
    "https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38745&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=39513&lcdStatus=all&sortBy=title&stateRegion=all",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38992&lcdStatus=all&sortBy=title&ver=14",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33399&lcdStatus=all&sortBy=title"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28.",
    "Locate the element: <ul>",
    "Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/alfa__sia-r68.csv"
  },
  {
   "instance_id": "VS-de399084",
   "pattern_id": "VS-4408605e",
   "a11y_pattern_fingerprint": "7ffa87e4deb23583b3dbd939e3827738682c8ae8fcd1df96b4508a5a69724e29",
   "a11y_pattern_display_id": "A11Y-PAT-7FFA87E4DEB2",
   "a11y_occurrence_fingerprint": "a99ac297ec493112a715bb095ac57ce94ddbfe8893309ceb825628d047530ea0",
   "a11y_occurrence_display_id": "A11Y-OCC-A99AC297EC49",
   "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57718&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20",
   "xpath": "<th scope=\"col\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r46",
   "rule_label": "Element has required aria-owns",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r46",
   "severity": "Moderate",
   "frequency": {
    "instances": 69,
    "pages_affected": 41,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Element has required aria-owns (WCAG 1.3.1)",
   "description": "Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 41 of 6702 scanned pages (69 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57718&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20",
     "xpath": "<th scope=\"col\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57718&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20",
     "xpath": "<th scope=\"col\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56802&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15",
     "xpath": "<th scope=\"col\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56802&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15",
     "xpath": "<th scope=\"col\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57690&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=39",
     "xpath": "<th scope=\"col\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57207&articleStatus=all&bc=3&sortBy=title&ver=33",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57037&articleStatus=all&bc=3&sortBy=title&ver=20",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53017&articleStatus=all&bc=3&sortBy=title&ver=34",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58116&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59620&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=5",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52432&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=14",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57614&articleStatus=all&bc=3&sortBy=title&ver=15",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58138&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57311&ver=32",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54117&ver=86",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57342&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=26",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56809&articleStatus=all&bc=3&sortBy=title&ver=20",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57306&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=36",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57069&ver=22",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52437&articleStatus=all&bc=3&sortBy=title&ver=17",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57682&articleStatus=all&bc=3&sortBy=title&ver=6",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59553&articleStatus=all&bc=3&sortBy=title&ver=3",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57284&ver=13",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56850&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=29",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57052&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57843&articleStatus=all&bc=3&sortBy=title&ver=11",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57804&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=41"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57718&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20.",
    "Locate the element: <th scope=\"col\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r46 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r46",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W33",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r46.csv"
  },
  {
   "instance_id": "VS-453b3336",
   "pattern_id": "VS-3c632d31",
   "a11y_pattern_fingerprint": "fd43f9066b55fe488b573f7661d22622ce1c31584e1d586cddc6855a03471662",
   "a11y_pattern_display_id": "A11Y-PAT-FD43F9066B55",
   "a11y_occurrence_fingerprint": "7a8995a081ea16152faddc1e7702db99ff1a67d34bb88b52cf910c227602b224",
   "a11y_occurrence_display_id": "A11Y-OCC-7A8995A081EA",
   "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
   "xpath": "<h1>",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r64",
   "rule_label": "Element has required owned roles",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r64",
   "severity": "Moderate",
   "frequency": {
    "instances": 32,
    "pages_affected": 30,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Element has required owned roles (WCAG 1.3.1)",
   "description": "Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 30 of 6702 scanned pages (32 instances).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": "<h1>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0407.html",
     "xpath": "<h1>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37578&lcdStatus=all&sortBy=title&stateRegion=all&ver=28",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0005.html",
     "xpath": "<h1>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37578&lcdStatus=all&sortBy=title&stateRegion=all&ver=28",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0005.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0125.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0027.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0131.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0253.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0432.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1920.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0221.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0028.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1890.html",
    "http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0001.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0197.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0953.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0087.html",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60152&bc=13&contractorName=all&contractorNumber=all&sortBy=updated&updatePeriod=1209&ver=4",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0307.html",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59487&ver=14",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0195.html",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=19",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0409.html",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37244&lcdStatus=all&sortBy=title&stateRegion=all&ver=39"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html.",
    "Locate the element: <h1>",
    "Confirm the Siteimprove Alfa finding for rule sia-r64 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r64",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/alfa__sia-r64.csv"
  },
  {
   "instance_id": "VS-f0137535",
   "pattern_id": "VS-3f067795",
   "a11y_pattern_fingerprint": "ec9428574337ae54473040a22596cd614ff7bce69f14379e52ecbfcadbaf7dcb",
   "a11y_pattern_display_id": "A11Y-PAT-EC9428574337",
   "a11y_occurrence_fingerprint": "08df481a88e17b71ad2d6c8e9f79be8c2a2bc0f6ce01543d1a609ccd9f4f8e25",
   "a11y_occurrence_display_id": "A11Y-OCC-08DF481A88E1",
   "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=90&proposed=Y",
   "xpath": "<td colspan=\"4\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r77",
   "rule_label": "Table cell has header",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r77",
   "severity": "Moderate",
   "frequency": {
    "instances": 9,
    "pages_affected": 2,
    "total_pages_scanned": 6702
   },
   "likely_source": "content",
   "summary": "Table cell has header (WCAG 1.3.1)",
   "description": "Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 2 of 6702 scanned pages (9 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=90&proposed=Y",
     "xpath": "<td colspan=\"4\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=76",
     "xpath": "<td>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=76",
     "xpath": "<td>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=76",
     "xpath": "<td>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=90&proposed=Y.",
    "Locate the element: <td colspan=\"4\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r77 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r77",
   "possible_duplicate_of": "VS-b5046566",
   "possible_duplicate_pattern": "VS-07ba3b17",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/alfa__sia-r77.csv"
  },
  {
   "instance_id": "VS-0be23131",
   "pattern_id": "VS-0ddc2ac6",
   "a11y_pattern_fingerprint": "9b38bb8c333b94d0f313f928215d0e977c538d3666e94b2b9585a507e261d279",
   "a11y_pattern_display_id": "A11Y-PAT-9B38BB8C333B",
   "a11y_occurrence_fingerprint": "923b49a5341a4b2d4332b888572c7cbd797311e1db6610669a8dc522dedadbf9",
   "a11y_occurrence_display_id": "A11Y-OCC-923B49A5341A",
   "url": "https://www.cms.gov/",
   "xpath": "<button type=\"button\" id=\"trigger-tabs-1343730814\" aria-expanded=\"false\" class=\"responsive-tabs__tab-button--mobile ds-u-display--flex\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r42",
   "rule_label": "Element in required WAI-ARIA context role",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r42",
   "severity": "Moderate",
   "frequency": {
    "instances": 5,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "likely_source": "content",
   "summary": "Element in required WAI-ARIA context role (WCAG 1.3.1)",
   "description": "Element in required WAI-ARIA context role. Detected by Siteimprove Alfa rule sia-r42 on 1 of 6702 scanned pages (5 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/",
     "xpath": "<button type=\"button\" id=\"trigger-tabs-1343730814\" aria-expanded=\"false\" class=\"responsive-tabs__tab-button--mobile ds-u-display--flex\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/",
     "xpath": "<button type=\"button\" id=\"trigger-tabs-1503905303\" aria-expanded=\"false\" class=\"responsive-tabs__tab-button--mobile ds-u-display--flex\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/",
     "xpath": "<button type=\"button\" id=\"trigger-tabs-939793113\" aria-expanded=\"false\" class=\"responsive-tabs__tab-button--mobile ds-u-display--flex\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/"
   ],
   "affected_pages": [
    "https://www.cms.gov/"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/.",
    "Locate the element: <button type=\"button\" id=\"trigger-tabs-1343730814\" aria-expanded=\"false\" class=\"responsive-tabs__tab-button--mobile ds-u-display--flex\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r42 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r42",
   "possible_duplicate_of": "VS-b5046566",
   "possible_duplicate_pattern": "VS-07ba3b17",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r42.csv"
  },
  {
   "instance_id": "VS-37b62026",
   "pattern_id": "VS-9207ed51",
   "a11y_pattern_fingerprint": "ab6764c9f3e1f1309001b7309f75a3aff2567748f92ca6b91f7252ef962c235a",
   "a11y_pattern_display_id": "A11Y-PAT-AB6764C9F3E1",
   "a11y_occurrence_fingerprint": "b6dca3237e70e66ce15fb61c38ce3fc62a78a974281940afc90f142d74e0cc06",
   "a11y_occurrence_display_id": "A11Y-OCC-B6DCA3237E70",
   "url": "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc",
   "xpath": "@headers=\"view-field-dyna-release-date-table-column\"",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r45",
   "rule_label": "aria-hidden element is not exposed to assistive technology",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r45",
   "severity": "Moderate",
   "frequency": {
    "instances": 13,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "likely_source": "content",
   "summary": "aria-hidden element is not exposed to assistive technology (WCAG 1.3.1)",
   "description": "aria-hidden element is not exposed to assistive technology. Detected by Siteimprove Alfa rule sia-r45 on 1 of 6702 scanned pages (13 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc",
     "xpath": "@headers=\"view-field-dyna-release-date-table-column\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc",
     "xpath": "@headers=\"view-field-dyna-revision-date-table-column\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc",
     "xpath": "@headers=\"view-field-dyna-implementation-date-table-column\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc"
   ],
   "affected_pages": [
    "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc.",
    "Locate the element: @headers=\"view-field-dyna-release-date-table-column\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r45 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r45",
   "possible_duplicate_of": "VS-b5046566",
   "possible_duplicate_pattern": "VS-07ba3b17",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W26",
   "last_seen": "2026-W33",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r45.csv"
  },
  {
   "instance_id": "VS-7e205bc5",
   "pattern_id": "VS-8ade3360",
   "a11y_pattern_fingerprint": "bb9beb93d9a4e0561ac1dd95818b62bce885f227076f3f29ad8c85d59389908c",
   "a11y_pattern_display_id": "A11Y-PAT-BB9BEB93D9A4",
   "a11y_occurrence_fingerprint": "44c2ce11b7597e1a606ff1fe3c181923b05434c2b59933f5f92a564d4ca20941",
   "a11y_occurrence_display_id": "A11Y-OCC-44C2CE11B759",
   "url": "https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?++=&bc=ABAAAAAAIAAA&NCAId=299&NCDId=281&ncdver=5&type=Open",
   "xpath": "#lblCrossReference > a",
   "html_snippet": "<a href=\"https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=167&ncdver=1\">",
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "link-in-text-block",
   "rule_label": "Links must be distinguishable without relying on color",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1526,
    "pages_affected": 669,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Links must be distinguishable without relying on color (WCAG 1.4.1)",
   "description": "Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 669 of 6702 scanned pages (1526 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?++=&bc=ABAAAAAAIAAA&NCAId=299&NCDId=281&ncdver=5&type=Open",
     "xpath": "#lblCrossReference > a",
     "html_snippet": "<a href=\"https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=167&ncdver=1\">"
    },
    {
     "url": "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",
     "xpath": "#lblProposedLcd > .system-link.log-click[target=\"_blank\"]",
     "html_snippet": "<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"
    },
    {
     "url": "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",
     "xpath": "ol:nth-child(63) > li:nth-child(1) > a[rel=\"noopener\"][target=\"_blank\"]",
     "html_snippet": "<a href=\"https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/125360s073lbl.pdf\" target=\"_blank\" rel=\"noopener\">"
    },
    {
     "url": "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",
     "xpath": "ol[type=\"1\"][start=\"1\"]:nth-child(97) > li:nth-child(1) > a[rel=\"noopener\"][target=\"_blank\"]",
     "html_snippet": "<a href=\"https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/125274s115lbl.pdf\" target=\"_blank\" rel=\"noopener\">"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35906&lcdStatus=all&sortBy=title&ver=25",
     "xpath": "#lblProposedLcd > .system-link.log-click[target=\"_blank\"]",
     "html_snippet": "<a href=\"https://localcoverage.cms.gov/mcd_archive/view/lcd.aspx?lcdInfo=35907:3\" target=\"_blank\" class=\"log-click system-link\" data-page-action=\"Clicked the Source Proposed LCD link\">DL35906</a>"
    }
   ],
   "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"
   ],
   "affected_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",
    "http://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=281",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59529&ver=9",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38613&lcdStatus=all&sortBy=title&ver=14",
    "https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=136",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34211&lcdStatus=all&sortBy=title&ver=37",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38176&lcdStatus=all&sortBy=title&ver=11",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=40333&proposedStatus=all&sortBy=title&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36859&lcdStatus=all&sortBy=title&stateRegion=all&ver=27",
    "http://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=263",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39726&lcdStatus=all&sortBy=title&stateRegion=all&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37535&lcdStatus=all&sortBy=title&stateRegion=all&ver=19",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39284&lcdStatus=all&sortBy=title&ver=11",
    "http://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=71",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39840&lcdStatus=all&sortBy=title&ver=14",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39080&lcdStatus=all&sortBy=title&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39385&lcdStatus=all&sortBy=title&ver=6",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38904&lcdStatus=all&sortBy=title&stateRegion=all&ver=11",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39270&lcdStatus=all&sortBy=title&ver=8",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38968&lcdStatus=all&sortBy=title&stateRegion=all&ver=5",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39060&lcdStatus=all&sortBy=title&ver=15"
   ],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?++=&bc=ABAAAAAAIAAA&NCAId=299&NCDId=281&ncdver=5&type=Open.",
    "Locate the element: #lblCrossReference > a",
    "Confirm the axe-core finding for rule link-in-text-block against WCAG 1.4.1 Use of Color."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/axe-core__link-in-text-block.csv"
  },
  {
   "instance_id": "VS-2c656955",
   "pattern_id": "VS-efd91fdd",
   "a11y_pattern_fingerprint": "4de5ba4dbb23095845021d527ac4c9e27dcf3074f9971ad6d8e5b199ff163fb9",
   "a11y_pattern_display_id": "A11Y-PAT-4DE5BA4DBB23",
   "a11y_occurrence_fingerprint": "3cc09a66ae91b69083dd1c28e8b553431ebc276ae244b552ee6f2d9535fe3852",
   "a11y_occurrence_display_id": "A11Y-OCC-3CC09A66AE91",
   "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35936&lcdStatus=all&sortBy=title&ver=46",
   "xpath": "<a href=\"#\" data-bs-toggle=\"modal\" data-bs-target=\"#MCDNoticeBoadModal\" id=\"aBoardItemLink_2\">",
   "html_snippet": null,
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r62",
   "rule_label": "Link in text block is visually distinguishable without color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r62",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "likely_source": "content",
   "summary": "Link in text block is visually distinguishable without color (WCAG 1.4.1)",
   "description": "Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 1 of 6702 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35936&lcdStatus=all&sortBy=title&ver=46",
     "xpath": "<a href=\"#\" data-bs-toggle=\"modal\" data-bs-target=\"#MCDNoticeBoadModal\" id=\"aBoardItemLink_2\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35936&lcdStatus=all&sortBy=title&ver=46"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35936&lcdStatus=all&sortBy=title&ver=46"
   ],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35936&lcdStatus=all&sortBy=title&ver=46.",
    "Locate the element: <a href=\"#\" data-bs-toggle=\"modal\" data-bs-target=\"#MCDNoticeBoadModal\" id=\"aBoardItemLink_2\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r62 against WCAG 1.4.1 Use of Color."
   ],
   "remediation_tip": "Make links visually distinguishable from surrounding text (not by color alone).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r62.csv"
  },
  {
   "instance_id": "VS-51458e1b",
   "pattern_id": "VS-c613c153",
   "a11y_pattern_fingerprint": "c5dc98480035da248214117a8da33e9344f8dc8320600f229fd4acab0bed1699",
   "a11y_pattern_display_id": "A11Y-PAT-C5DC98480035",
   "a11y_occurrence_fingerprint": "270bd6d7d21877f7060662813db94144fd707a168915d97823898c6b98510fe4",
   "a11y_occurrence_display_id": "A11Y-OCC-270BD6D7D218",
   "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=311&proposed=Y",
   "xpath": "pre",
   "html_snippet": "<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",
   "wcag_sc": "2.1.1",
   "wcag_name": "Keyboard",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "scrollable-region-focusable",
   "rule_label": "Scrollable region must have keyboard access",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 6702
   },
   "likely_source": "content",
   "summary": "Scrollable region must have keyboard access (WCAG 2.1.1)",
   "description": "Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 2 of 6702 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=311&proposed=Y",
     "xpath": "pre",
     "html_snippet": "<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"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=Y&sortBy=status&status=all",
     "xpath": "pre",
     "html_snippet": "<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"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited manipulation/strength (13.0%), Limited reach (2.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=311&proposed=Y.",
    "Locate the element: pre",
    "Confirm the axe-core finding for rule scrollable-region-focusable against WCAG 2.1.1 Keyboard."
   ],
   "remediation_tip": "Make scrollable regions keyboard-focusable (tabindex=\"0\") so keyboard users can scroll them.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W33",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/axe-core__scrollable-region-focusable.csv"
  },
  {
   "instance_id": "VS-fa279db0",
   "pattern_id": "VS-e9fe47ac",
   "a11y_pattern_fingerprint": "38d4120b54fafcd8e47fc2288ba0161fddc0bf3866822f38ccee8a493f37317f",
   "a11y_pattern_display_id": "A11Y-PAT-38D4120B54FA",
   "a11y_occurrence_fingerprint": "f3e1c383524cd9f513512fb0ce1d191cbe8763c351defacdfedb9b5a8b161793",
   "a11y_occurrence_display_id": "A11Y-OCC-F3E1C383524C",
   "url": "https://www.cms.gov/medicare/medicare-contracting/medicare-administrative-contractors/archive-j11-now-known-as-jurisdiction-m",
   "xpath": "a[data-entity-type=\"node\"][data-entity-substitution=\"canonical\"][data-once=\"linkMatch\"]:nth-child(1)",
   "html_snippet": "<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",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 6,
    "pages_affected": 3,
    "total_pages_scanned": 6702
   },
   "likely_source": "unknown",
   "summary": "Links must have discernible text (WCAG 2.4.4)",
   "description": "Links must have discernible text. Detected by axe-core rule link-name on 3 of 6702 scanned pages (6 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare/medicare-contracting/medicare-administrative-contractors/archive-j11-now-known-as-jurisdiction-m",
     "xpath": "a[data-entity-type=\"node\"][data-entity-substitution=\"canonical\"][data-once=\"linkMatch\"]:nth-child(1)",
     "html_snippet": "<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"
    },
    {
     "url": "https://www.cms.gov/cciio/resources/fact-sheets-and-faqs/aca_implementation_faqs10",
     "xpath": "a[data-entity-substitution=\"canonical\"][data-entity-type=\"node\"][data-once=\"linkMatch\"]:nth-child(1)",
     "html_snippet": "<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"
    },
    {
     "url": "https://www.cms.gov/cciio/resources/fact-sheets-and-faqs/aca_implementation_faqs10",
     "xpath": "a[data-entity-substitution=\"canonical\"][data-entity-type=\"node\"][data-once=\"linkMatch\"]:nth-child(3)",
     "html_snippet": "<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="
    },
    {
     "url": "https://www.cms.gov/cciio/resources/fact-sheets-and-faqs/aca_implementation_faqs10",
     "xpath": "a[data-entity-substitution=\"canonical\"][data-entity-type=\"node\"][data-once=\"linkMatch\"]:nth-child(4)",
     "html_snippet": "<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="
    },
    {
     "url": "https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments",
     "xpath": "div > a[data-entity-type=\"media\"][data-entity-substitution=\"canonical\"][data-once=\"linkMatch\"]",
     "html_snippet": "<a href=\"/files/document/clia-cert-quick-start-guide.pdf\" data-entity-substitution=\"canonical\" data-entity-type=\"media\" data-entity-uuid=\"27ce5119-858b-44f2-bbc6-c5d2d56ce4f0\" data-once=\"linkMatch\"></"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare/medicare-contracting/medicare-administrative-contractors/archive-j11-now-known-as-jurisdiction-m.",
    "Locate the element: a[data-entity-type=\"node\"][data-entity-substitution=\"canonical\"][data-once=\"linkMatch\"]:nth-child(1)",
    "Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context)."
   ],
   "remediation_tip": "Give the link discernible text. Avoid empty links and icon-only links without an aria-label.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "\"Read more\" links from Drupal Views should use the \"Link text\" rewrite field to add context, or add aria-label via the Views rewrite output.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/axe-core__link-name.csv"
  },
  {
   "instance_id": "VS-17dca749",
   "pattern_id": "VS-c126b6a6",
   "a11y_pattern_fingerprint": "b7442ecec422c9ea5529350523f7782c182cdaa20f17a6b784c1a6cc960ebc51",
   "a11y_pattern_display_id": "A11Y-PAT-B7442ECEC422",
   "a11y_occurrence_fingerprint": "52be006fe0ca40a6281a9414aaabb67e681b43a1bffb97821e2622e52b3d33b3",
   "a11y_occurrence_display_id": "A11Y-OCC-52BE006FE0CA",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
   "xpath": "html",
   "html_snippet": "<html>",
   "wcag_sc": "3.1.1",
   "wcag_name": "Language of Page",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "html-has-lang",
   "rule_label": "<html> element must have a lang attribute",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 127,
    "pages_affected": 127,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "<html> element must have a lang attribute (WCAG 3.1.1)",
   "description": "<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 127 of 6702 scanned pages (127 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0056.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0005.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
     "xpath": "html",
     "html_snippet": "<html>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0005.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1137.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1905.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0165.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0296.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1245.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0395.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0053.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0026.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0126.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0407.html",
    "http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0338.html",
    "http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0020.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0017.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0280.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0011.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0035.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0005.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0381.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule html-has-lang against WCAG 3.1.1 Language of Page."
   ],
   "remediation_tip": "Add a lang attribute to <html> (e.g. lang=\"en\").",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Drupal sets the page lang attribute from Admin › Configuration › Regional and Language › Languages. Ensure the default language is configured.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/axe-core__html-has-lang.csv"
  },
  {
   "instance_id": "VS-73eea048",
   "pattern_id": "VS-7a0e5645",
   "a11y_pattern_fingerprint": "54500cbd05eb59c8569f8bd8ecb39fd022278602bbe3fafb15344d45cc2f686d",
   "a11y_pattern_display_id": "A11Y-PAT-54500CBD05EB",
   "a11y_occurrence_fingerprint": "a1608835559d0eadb155403a209ef8263a123ba2a1716e4e0b28e7800a9e5c39",
   "a11y_occurrence_display_id": "A11Y-OCC-A1608835559D",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
   "xpath": "<html>",
   "html_snippet": null,
   "wcag_sc": "3.1.1",
   "wcag_name": "Language of Page",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r4",
   "rule_label": "Document has a valid lang attribute",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r4",
   "severity": "Moderate",
   "frequency": {
    "instances": 28,
    "pages_affected": 28,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Document has a valid lang attribute (WCAG 3.1.1)",
   "description": "Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 28 of 6702 scanned pages (28 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "xpath": "<html>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": "<html>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
     "xpath": "<html>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html",
     "xpath": "<html>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0407.html",
     "xpath": "<html>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0407.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0005.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0125.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0027.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0131.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0253.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0432.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1920.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0221.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0028.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1890.html",
    "http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0001.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1070.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0197.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0953.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0087.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0307.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0195.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0409.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1746.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0340.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html.",
    "Locate the element: <html>",
    "Confirm the Siteimprove Alfa finding for rule sia-r4 against WCAG 3.1.1 Language of Page."
   ],
   "remediation_tip": "Add a valid lang attribute to <html>.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r4",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/alfa__sia-r4.csv"
  },
  {
   "instance_id": "VS-6287d1e8",
   "pattern_id": "VS-fafffee0",
   "a11y_pattern_fingerprint": "55d019f5d10bd994cd8723d95b7b051b17c038a1fa605b765999d78f39974789",
   "a11y_pattern_display_id": "A11Y-PAT-55D019F5D10B",
   "a11y_occurrence_fingerprint": "1d05c3ff9008f37ab2e6716f519a71bb7ac7127739c0ca878b56ba1af6d57c9f",
   "a11y_occurrence_display_id": "A11Y-OCC-1D05C3FF9008",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
   "xpath": "#q",
   "html_snippet": "<input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "label",
   "rule_label": "Form elements must have labels",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 29,
    "pages_affected": 29,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Form elements must have labels (WCAG 4.1.2)",
   "description": "Form elements must have labels. Detected by axe-core rule label on 29 of 6702 scanned pages (29 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "xpath": "#q",
     "html_snippet": "<input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1137.html",
     "xpath": "#q",
     "html_snippet": "<input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
     "xpath": "#q",
     "html_snippet": "<input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1245.html",
     "xpath": "#q",
     "html_snippet": "<input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html",
     "xpath": "#q",
     "html_snippet": "<input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1245.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0395.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0725.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0600.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0708.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1126.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1140.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1486.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1070.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0200.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0184.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1215.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1163.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1193.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0401.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1184.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0358.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0381.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0143.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1170.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0078.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html.",
    "Locate the element: #q",
    "Confirm the axe-core finding for rule label against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Associate every form control with a <label> (via for/id) or an aria-label/aria-labelledby.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Use Drupal's form element \"Label\" setting. In Webform, every element has a Label field — ensure it's not empty or hidden. Check that twig templates don't strip <label> elements from form fields.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W26",
   "last_seen": "2026-W33",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__label.csv"
  },
  {
   "instance_id": "VS-f6b01f33",
   "pattern_id": "VS-1467ea8a",
   "a11y_pattern_fingerprint": "c658515f3efea6ff6c1341f6737fc02ec44e31a2c6f35b4ce37fba98cc8e517f",
   "a11y_pattern_display_id": "A11Y-PAT-C658515F3EFE",
   "a11y_occurrence_fingerprint": "aa562498236ea317345e2928af191612eb74b65cc00f180d909ff79b3092579d",
   "a11y_occurrence_display_id": "A11Y-OCC-AA562498236E",
   "url": "http://cms.gov/files/linked-video-files/new-features-medicare-gov",
   "xpath": "a[title=\"Home\"]",
   "html_snippet": "<a id=\"endpoint\" class=\"yt-simple-endpoint style-scope ytd-mini-guide-entry-renderer\" aria-selected=\"false\" aria-label=\"Home\" title=\"Home\" href=\"/\">",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 4,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "http://cms.gov/files/linked-video-files/new-features-medicare-gov",
     "xpath": "a[title=\"Home\"]",
     "html_snippet": "<a id=\"endpoint\" class=\"yt-simple-endpoint style-scope ytd-mini-guide-entry-renderer\" aria-selected=\"false\" aria-label=\"Home\" title=\"Home\" href=\"/\">"
    },
    {
     "url": "http://cms.gov/files/linked-video-files/new-features-medicare-gov",
     "xpath": "a[title=\"Shorts\"]",
     "html_snippet": "<a id=\"endpoint\" class=\"yt-simple-endpoint style-scope ytd-mini-guide-entry-renderer\" aria-selected=\"false\" aria-label=\"Shorts\" title=\"Shorts\" href=\"/shorts/\">"
    },
    {
     "url": "http://cms.gov/files/linked-video-files/new-features-medicare-gov",
     "xpath": "a[title=\"Subscriptions\"]",
     "html_snippet": "<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\">"
    }
   ],
   "example_pages": [
    "http://cms.gov/files/linked-video-files/new-features-medicare-gov"
   ],
   "affected_pages": [
    "http://cms.gov/files/linked-video-files/new-features-medicare-gov"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://cms.gov/files/linked-video-files/new-features-medicare-gov.",
    "Locate the element: a[title=\"Home\"]",
    "Confirm the axe-core finding for rule aria-allowed-attr against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Remove ARIA attributes that aren't allowed on this role/element.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W33",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/axe-core__aria-allowed-attr.csv"
  },
  {
   "instance_id": "VS-100743f3",
   "pattern_id": "VS-58301a87",
   "a11y_pattern_fingerprint": "e607dfae7fb5b713105a79bf1a75666c10cf63eac8a6fe82bf75263cbe8de705",
   "a11y_pattern_display_id": "A11Y-PAT-E607DFAE7FB5",
   "a11y_occurrence_fingerprint": "6b452b98bbe3bcb30bd098db80a7ba896b2543b0b3f3f5eed4932c231404735c",
   "a11y_occurrence_display_id": "A11Y-OCC-6B452B98BBE3",
   "url": "http://cms.gov/files/linked-video-files/new-features-medicare-gov",
   "xpath": ".ytPageHeaderViewModelScrollContainer > .ytPageHeaderViewModelContent > .ytPageHeaderViewModelHeadline > .ytPageHeaderViewModelHeadlineInfo > .ytPageHeaderViewModelContentMetadata.ytPageHeaderViewModelContentMetadataOverlay > .ytContentMetadataViewModelMetadataRow[role=\"group\"]:nth-child(1) > yt-avatar-stack-view-model",
   "html_snippet": "<yt-avatar-stack-view-model class=\"ytAvatarStackViewModelHost ytContentMetadataViewModelAvatarStack ytAvatarStackViewModelTappable ytAvatarStackViewModelIsOverlay\" tabindex=\"0\" role=\"button\" aria-labe",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "nested-interactive",
   "rule_label": "Interactive controls must not be nested",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/nested-interactive?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "http://cms.gov/files/linked-video-files/new-features-medicare-gov",
     "xpath": ".ytPageHeaderViewModelScrollContainer > .ytPageHeaderViewModelContent > .ytPageHeaderViewModelHeadline > .ytPageHeaderViewModelHeadlineInfo > .ytPageHeaderViewModelContentMetadata.ytPageHeaderViewModelContentMetadataOverlay > .ytContentMetadataViewModelMetadataRow[role=\"group\"]:nth-child(1) > yt-avatar-stack-view-model",
     "html_snippet": "<yt-avatar-stack-view-model class=\"ytAvatarStackViewModelHost ytContentMetadataViewModelAvatarStack ytAvatarStackViewModelTappable ytAvatarStackViewModelIsOverlay\" tabindex=\"0\" role=\"button\" aria-labe"
    }
   ],
   "example_pages": [
    "http://cms.gov/files/linked-video-files/new-features-medicare-gov"
   ],
   "affected_pages": [
    "http://cms.gov/files/linked-video-files/new-features-medicare-gov"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://cms.gov/files/linked-video-files/new-features-medicare-gov.",
    "Locate the element: .ytPageHeaderViewModelScrollContainer > .ytPageHeaderViewModelContent > .ytPageHeaderViewModelHeadline > .ytPageHeaderViewModelHeadlineInfo > .ytPageHeaderViewModelContentMetadata.ytPageHeaderViewModelContentMetadataOverlay > .ytContentMetadataViewModelMetadataRow[role=\"group\"]:nth-child(1) > yt-avatar-stack-view-model",
    "Confirm the axe-core finding for rule nested-interactive against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Don't nest interactive controls (e.g. a button inside a link); split them apart.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/nested-interactive?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W33",
   "last_seen": "2026-W33",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__nested-interactive.csv"
  },
  {
   "instance_id": "VS-d05344c9",
   "pattern_id": "VS-be8d563e",
   "a11y_pattern_fingerprint": "5ed07b6c97c201ebd15379a9f8dd6856dfa22a81d77c118bb1b9efe525e4e253",
   "a11y_pattern_display_id": "A11Y-PAT-5ED07B6C97C2",
   "a11y_occurrence_fingerprint": "b76cb153956312d1b2fb02c6fa4c0cdd60ae7fcf0052e1ba25ee383974a39c95",
   "a11y_occurrence_display_id": "A11Y-OCC-B76CB1539563",
   "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33624&lcdStatus=all&sortBy=title&ver=33",
   "xpath": "em > span",
   "html_snippet": "<span style=\"color: red;\"> (NCD) Manual</span>",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 574,
    "pages_affected": 36,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)",
   "description": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 36 of 6702 scanned pages (574 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33624&lcdStatus=all&sortBy=title&ver=33",
     "xpath": "em > span",
     "html_snippet": "<span style=\"color: red;\"> (NCD) Manual</span>"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33624&lcdStatus=all&sortBy=title&stateRegion=all&ver=34",
     "xpath": "em > span",
     "html_snippet": "<span style=\"color: red;\"> (NCD) Manual</span>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=311&proposed=Y",
     "xpath": "tr:nth-child(1) > td[width=\"328\"][valign=\"top\"]:nth-child(1)",
     "html_snippet": "<td width=\"328\" valign=\"top\" style=\"width:245.7pt;border...\">"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=311&proposed=Y",
     "xpath": "tr:nth-child(1) > td[width=\"328\"][valign=\"top\"]:nth-child(2)",
     "html_snippet": "<td width=\"328\" valign=\"top\" style=\"width:245.7pt;border...\">"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=311&proposed=Y",
     "xpath": "font:nth-child(277) > p > em",
     "html_snippet": "<em>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&stateRegion=all&ver=10",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33611&lcdStatus=all&sortBy=title&ver=25",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52487&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=27",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39462&lcdStatus=all&sortBy=title&ver=9",
    "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/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=Y&sortBy=status&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=37897&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=296&proposed=N",
    "https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=381&ncdver=1&sortBy=title",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=39936&proposedStatus=all&sortBy=title&stateRegion=all&ver=14",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=279&proposed=N&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=33803&proposedStatus=all&sortBy=title&stateRegion=all&ver=57",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=40269&proposedStatus=all&sortBy=title&ver=12",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36706&lcdStatus=all&sortBy=title&stateRegion=all&ver=23",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52508&ver=39",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36706&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=60",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40270&proposedStatus=all&sortBy=title&stateRegion=all&ver=19",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=283&proposed=N",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33393&lcdStatus=all&sortBy=title&ver=10",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37921&lcdStatus=all&sortBy=title&stateRegion=all&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33611&lcdStatus=all&sortBy=title&stateRegion=all&ver=25"
   ],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33624&lcdStatus=all&sortBy=title&ver=33.",
    "Locate the element: em > span",
    "Confirm the axe-core finding for rule color-contrast against WCAG 1.4.3 Contrast (Minimum)."
   ],
   "remediation_tip": "Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Check your Drupal theme's base CSS. Themes like Olivero and Bartik have contrast issues in default color schemes — override failing color pairs in your subtheme's style.css.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/axe-core__color-contrast.csv"
  },
  {
   "instance_id": "VS-b192767c",
   "pattern_id": "VS-f7e99f4b",
   "a11y_pattern_fingerprint": "bf51b0e6e0e929da8aa502d79f6ca7f8e6741618786e6d1b52d7ccc1a79ba144",
   "a11y_pattern_display_id": "A11Y-PAT-BF51B0E6E0E9",
   "a11y_occurrence_fingerprint": "f0685df47063c7d5c9381e416d98e00c39d424a4ba328c025552dc85778e4f94",
   "a11y_occurrence_display_id": "A11Y-OCC-F0685DF47063",
   "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52487&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=27",
   "xpath": "text: \"Column I\"",
   "html_snippet": null,
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r69",
   "rule_label": "Text has sufficient color contrast (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r69",
   "severity": "Moderate",
   "frequency": {
    "instances": 50,
    "pages_affected": 9,
    "total_pages_scanned": 6702
   },
   "likely_source": "unknown",
   "summary": "Text has sufficient color contrast (Enhanced) (WCAG 1.4.3)",
   "description": "Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 9 of 6702 scanned pages (50 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52487&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=27",
     "xpath": "text: \"Column I\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52487&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=27",
     "xpath": "text: \"Column II\"",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=65",
     "xpath": "text: \"Base Code\"",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=65",
     "xpath": "text: \"Addition Codes - Not Separately Payable\"",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=65",
     "xpath": "text: \"Base Code\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39475&lcdStatus=all&sortBy=title&ver=7",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40270&proposedStatus=all&sortBy=title&stateRegion=all&ver=19",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33611&lcdStatus=all&sortBy=title&stateRegion=all&ver=25",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33828&lcdStatus=all&sortBy=title&stateRegion=all&ver=27",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=72",
    "https://www.cms.gov/priorities/innovation/innovation-models/Bundled-Payments"
   ],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52487&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=27.",
    "Locate the element: text: \"Column I\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r69 against WCAG 1.4.3 Contrast (Minimum)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/alfa__sia-r69.csv"
  },
  {
   "instance_id": "VS-8f470a84",
   "pattern_id": "VS-dd1c019f",
   "a11y_pattern_fingerprint": "36981749f76afd2aa8eb88b4f42546daec5ce98b2510f5ffde3e3d64a81412a9",
   "a11y_pattern_display_id": "A11Y-PAT-36981749F76A",
   "a11y_occurrence_fingerprint": "b23bca43cc2d2907c2ad33344e9a49342de1720c0dac9102c58d4ca363554d8a",
   "a11y_occurrence_display_id": "A11Y-OCC-B23BCA43CC2D",
   "url": "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
   "xpath": "a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]",
   "html_snippet": "<span lang=\"X-NONE\">[1]</span>",
   "wcag_sc": "3.1.2",
   "wcag_name": "Language of Parts",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "valid-lang",
   "rule_label": "lang attribute must have a valid value",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "likely_source": "content",
   "summary": "lang attribute must have a valid value (WCAG 3.1.2)",
   "description": "lang attribute must have a valid value. Detected by axe-core rule valid-lang on 1 of 6702 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
     "xpath": "a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]",
     "html_snippet": "<span lang=\"X-NONE\">[1]</span>"
    }
   ],
   "example_pages": [
    "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings"
   ],
   "affected_pages": [
    "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings.",
    "Locate the element: a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]",
    "Confirm the axe-core finding for rule valid-lang against WCAG 3.1.2 Language of Parts."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/axe-core__valid-lang.csv"
  },
  {
   "instance_id": "VS-48e7b48f",
   "pattern_id": "VS-646b1e0b",
   "a11y_pattern_fingerprint": "5929371356b55a1fba56b949ddad597773c25422956e52c78cd24c553029d68b",
   "a11y_pattern_display_id": "A11Y-PAT-5929371356B5",
   "a11y_occurrence_fingerprint": "df4d0e873788a8bc825670d1bc03713fe9d68dd40c2449466d55f4f75fd87b53",
   "a11y_occurrence_display_id": "A11Y-OCC-DF4D0E873788",
   "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
   "xpath": "text: \"Here's how you know\"",
   "html_snippet": null,
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "frequency": {
    "instances": 2917,
    "pages_affected": 453,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 453 of 6702 scanned pages (2917 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
     "xpath": "text: \"Here's how you know\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
     "xpath": "text: \"Centers for Medicare & Medicaid Services\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
     "xpath": "text: \" Subscribe\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
     "xpath": "text: \"Here's how you know\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
     "xpath": "text: \"Centers for Medicare & Medicaid Services\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=40333&proposedStatus=all&sortBy=title&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36859&lcdStatus=all&sortBy=title&stateRegion=all&ver=27",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35050&lcdStatus=all&sortBy=title&stateRegion=all&ver=55",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37535&lcdStatus=all&sortBy=title&stateRegion=all&ver=19",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
    "http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=334&ncdver=1&sortBy=title",
    "https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=292&ncdver=1&sortBy=title",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54899&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39385&lcdStatus=all&sortBy=title&ver=6",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38904&lcdStatus=all&sortBy=title&stateRegion=all&ver=11",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52490&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=25",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55757&ver=5",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39270&lcdStatus=all&sortBy=title&ver=8",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56865&ver=28",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37598&lcdStatus=all&sortBy=title&ver=21",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40198&proposedStatus=all&sortBy=title&stateRegion=all&ver=5",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&ver=32",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57718&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60348&articleStatus=all&bc=3&sortBy=title&ver=4",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57482&articleStatus=all&bc=3&sortBy=title&ver=23",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33575&lcdStatus=all&sortBy=title&stateRegion=all&ver=43",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56802&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19.",
    "Locate the element: text: \"Here's how you know\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/alfa__sia-r66.csv"
  },
  {
   "instance_id": "VS-f53ec98f",
   "pattern_id": "VS-2208081b",
   "a11y_pattern_fingerprint": "f528bc8b3c66c05cad0cde3db1c52739bdd799238fd6c9d1bb9cae2a059fb694",
   "a11y_pattern_display_id": "A11Y-PAT-F528BC8B3C66",
   "a11y_occurrence_fingerprint": "7172a07f1d8309ea20c63ecbe53d6af39605be04cd4d7c622735b9b56c2ae157",
   "a11y_occurrence_display_id": "A11Y-OCC-7172A07F1D83",
   "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
   "xpath": "<p class=\"usa-banner__header-text\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "frequency": {
    "instances": 11341,
    "pages_affected": 829,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 829 of 6702 scanned pages (11341 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
     "xpath": "<p class=\"usa-banner__header-text\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
     "xpath": "<p class=\"usa-banner__header-text\">",
     "html_snippet": null
    },
    {
     "url": "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",
     "xpath": "<p class=\"ds-c-usa-banner__header-text\">",
     "html_snippet": null
    },
    {
     "url": "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",
     "xpath": "<p class=\"ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/priorities/innovation-center/value-based-care-spotlight/patient-provider-voices/whole-person-care-stories/improving-health-access-care-rural-areas-one-pennsylvania-couples-story",
     "xpath": "<p>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=136",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=40333&proposedStatus=all&sortBy=title&ver=7",
    "https://cms.gov/contacts/west-virginia-insurance-commission/general-beneficiary-contact/1562561",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36859&lcdStatus=all&sortBy=title&stateRegion=all&ver=27",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35050&lcdStatus=all&sortBy=title&stateRegion=all&ver=55",
    "http://www.cms.gov/ltch-webpricer",
    "http://www.cms.gov/newsroom/press-releases/proposed-medicare-rule-would-modernize-end-stage-renal-disease-conditions-coverage",
    "http://cms.gov/training-education/medicare-learning-networkr-mln/resources-training/mln-publications-multimedia",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37535&lcdStatus=all&sortBy=title&stateRegion=all&ver=19",
    "http://www.cms.gov/health-tech-ecosystem/early-adopters/conversational-ai-assistants",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
    "http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=334&ncdver=1&sortBy=title",
    "https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=292&ncdver=1&sortBy=title",
    "https://www.cms.gov/medicare/payment/part-b-drugs/discarded-drugs",
    "http://cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2026-ipps-proposed-rule-home-page",
    "https://cms.gov/glossary?items_per_page=10&order=title&page=97&sort=asc&term=&viewmode=grid",
    "https://www.cms.gov/newsroom/press-releases/new-drug-coverage-south-carolina-include-options-additional-benefits-and-saving-money",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54899&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39385&lcdStatus=all&sortBy=title&ver=6",
    "https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2017-transmittals-items/r171soma",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38904&lcdStatus=all&sortBy=title&stateRegion=all&ver=11"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19.",
    "Locate the element: <p class=\"usa-banner__header-text\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/alfa__sia-r73.csv"
  },
  {
   "instance_id": "VS-71afe19a",
   "pattern_id": "VS-fbf54eba",
   "a11y_pattern_fingerprint": "06187d5871c4d5b866696cee5c220c752cae063cb09d2b9c3b165c92b96f8d30",
   "a11y_pattern_display_id": "A11Y-PAT-06187D5871C4",
   "a11y_occurrence_fingerprint": "d38f7232386cd21702963fe5198871312f723de5377c7e39b124ba235e4d38dc",
   "a11y_occurrence_display_id": "A11Y-OCC-D38F7232386C",
   "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
   "xpath": "<p class=\"mb-2\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "frequency": {
    "instances": 32275,
    "pages_affected": 452,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Link is distinguishable without relying on color (WCAG 1.4.8)",
   "description": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 452 of 6702 scanned pages (32275 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
     "xpath": "<p class=\"mb-2\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
     "xpath": "<p class=\"mb-2\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
     "xpath": "<p>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=40333&proposedStatus=all&sortBy=title&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36859&lcdStatus=all&sortBy=title&stateRegion=all&ver=27",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35050&lcdStatus=all&sortBy=title&stateRegion=all&ver=55",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37535&lcdStatus=all&sortBy=title&stateRegion=all&ver=19",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
    "http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=334&ncdver=1&sortBy=title",
    "https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=292&ncdver=1&sortBy=title",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54899&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39385&lcdStatus=all&sortBy=title&ver=6",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38904&lcdStatus=all&sortBy=title&stateRegion=all&ver=11",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52490&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=25",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55757&ver=5",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39270&lcdStatus=all&sortBy=title&ver=8",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56865&ver=28",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37598&lcdStatus=all&sortBy=title&ver=21",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40198&proposedStatus=all&sortBy=title&stateRegion=all&ver=5",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&ver=32",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57718&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60348&articleStatus=all&bc=3&sortBy=title&ver=4",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57482&articleStatus=all&bc=3&sortBy=title&ver=23",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33575&lcdStatus=all&sortBy=title&stateRegion=all&ver=43",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56802&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19.",
    "Locate the element: <p class=\"mb-2\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/alfa__sia-r74.csv"
  },
  {
   "instance_id": "VS-d67cd18a",
   "pattern_id": "VS-388b5438",
   "a11y_pattern_fingerprint": "e6867e69bd726ad96df42070a7714d66648d94475206324baa3580dffdcb0ff6",
   "a11y_pattern_display_id": "A11Y-PAT-E6867E69BD72",
   "a11y_occurrence_fingerprint": "95be43dcf2469acb4c200c2f20da110594f98d409ca9eaf7d7148ca4a4705a1e",
   "a11y_occurrence_display_id": "A11Y-OCC-95BE43DCF246",
   "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
   "xpath": "<p style=\"line-height: 11.55pt;\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r80",
   "rule_label": "Scrollable element is keyboard accessible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r80",
   "severity": "Moderate",
   "frequency": {
    "instances": 786,
    "pages_affected": 42,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Scrollable element is keyboard accessible (WCAG 1.4.8)",
   "description": "Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 42 of 6702 scanned pages (786 instances).",
   "examples": [
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
     "xpath": "<p style=\"line-height: 11.55pt;\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&ver=32",
     "xpath": "<p style=\"line-height: 14.15pt;\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&ver=32",
     "xpath": "<p style=\"line-height: 13.6pt;\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&ver=32",
     "xpath": "<p style=\"line-height: 14.2pt;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37475&lcdStatus=all&sortBy=title&ver=18",
     "xpath": "<p style=\"background: white; line-height: 14.4pt;\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37608&lcdStatus=all&sortBy=title&ver=22",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38994&lcdStatus=all&sortBy=title&ver=20",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=65",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=68",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57868&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38992&lcdStatus=all&sortBy=title&ver=14",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38992&lcdStatus=all&sortBy=title&ver=14",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34372&lcdStatus=all&sortBy=title&stateRegion=all&ver=22",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38566&ver=11",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38339&lcdStatus=all&sortBy=title&stateRegion=all&ver=17",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52481&articleStatus=all&bc=3&sortBy=title&ver=30",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39575&lcdStatus=all&sortBy=title&stateRegion=all&ver=4",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37295&lcdStatus=all&sortBy=title&ver=22",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38111&lcdStatus=all&sortBy=title&stateRegion=all&ver=10",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58713&ver=13",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38584&lcdStatus=all&sortBy=title&ver=15",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&stateRegion=all&ver=26",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58185&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38745&lcdStatus=all&sortBy=title&stateRegion=all&ver=17",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58343&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56231&articleStatus=all&bc=3&sortBy=title&ver=3"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20.",
    "Locate the element: <p style=\"line-height: 11.55pt;\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r80 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r80",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W33",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r80.csv"
  },
  {
   "instance_id": "VS-e8ca617d",
   "pattern_id": "VS-48291402",
   "a11y_pattern_fingerprint": "3e4e79331c3a65603496091bf53f3a23e5f1ab908f4e970a777b2a028356c4d2",
   "a11y_pattern_display_id": "A11Y-PAT-3E4E79331C3A",
   "a11y_occurrence_fingerprint": "7310782a3a49a9ee1a1a81e32153904a70b98bffe3fc2b86b61da73a44ea8a00",
   "a11y_occurrence_display_id": "A11Y-OCC-7310782A3A49",
   "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
   "xpath": "<p style=\"text-align: justify;\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r71",
   "rule_label": "iframe element is not empty",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r71",
   "severity": "Moderate",
   "frequency": {
    "instances": 673,
    "pages_affected": 29,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "iframe element is not empty (WCAG 1.4.8)",
   "description": "iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 29 of 6702 scanned pages (673 instances).",
   "examples": [
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
     "xpath": "<p style=\"text-align: justify;\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
     "xpath": "<p style=\"text-align: justify;\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
     "xpath": "<p style=\"text-align: justify;\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&ver=32",
     "xpath": "<p style=\"text-align: justify; line-height: 14.15pt;\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&ver=32",
     "xpath": "<p style=\"text-align: justify; line-height: 14.15pt;\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56240&articleStatus=all&bc=3&sortBy=title&ver=8",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57868&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36044&lcdStatus=all&sortBy=title&ver=58",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38649&lcdStatus=all&sortBy=title&ver=13",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38339&lcdStatus=all&sortBy=title&stateRegion=all&ver=17",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39276&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38111&lcdStatus=all&sortBy=title&stateRegion=all&ver=10",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&stateRegion=all&ver=26",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56239&articleStatus=all&bc=3&sortBy=title&ver=3",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58185&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=9&lcdid=33794&proposedStatus=all&sortBy=title&ver=157",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56231&articleStatus=all&bc=3&sortBy=title&ver=3",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=39835&proposedStatus=all&sortBy=title&stateRegion=all&ver=10",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38920&lcdStatus=all&sortBy=title&ver=16",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39799&ver=15",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38026&lcdStatus=all&sortBy=title&stateRegion=all&ver=28",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&stateRegion=all&ver=27",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60152&bc=13&contractorName=all&contractorNumber=all&sortBy=updated&updatePeriod=1209&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58181&ver=23",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39741&lcdStatus=all&sortBy=title&ver=8",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38803&lcdStatus=all&sortBy=title&ver=17",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39005&lcdStatus=all&sortBy=title&stateRegion=all&ver=9"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20.",
    "Locate the element: <p style=\"text-align: justify;\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r71 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r71",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W33",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r71.csv"
  },
  {
   "instance_id": "VS-df141fc5",
   "pattern_id": "VS-cb53cc4d",
   "a11y_pattern_fingerprint": "49bab89d280bc08dda0585d932eb77140f36d729977d3b2db724feb2fb90d712",
   "a11y_pattern_display_id": "A11Y-PAT-49BAB89D280B",
   "a11y_occurrence_fingerprint": "08ba27c49799a5db16a0eafc388db63b9c17decf1ceea4e1be445007dd695084",
   "a11y_occurrence_display_id": "A11Y-OCC-08BA27C49799",
   "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
   "xpath": "<a href=\"#h3LcdGuidanceHeader\" data-href=\"h3LcdGuidanceHeader\" class=\"nav-link toc-link no-link log-click\" title=\"Jump to Coverage Guidance\">",
   "html_snippet": null,
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "frequency": {
    "instances": 26567,
    "pages_affected": 838,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 838 of 6702 scanned pages (26567 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
     "xpath": "<a href=\"#h3LcdGuidanceHeader\" data-href=\"h3LcdGuidanceHeader\" class=\"nav-link toc-link no-link log-click\" title=\"Jump to Coverage Guidance\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
     "xpath": "<a href=\"#lblAnalysisOfEvidenceSubheader\" data-href=\"lblAnalysisOfEvidenceSubheader\" class=\"nav-link toc-link no-link log-click\" title=\"Jump to Analysis of Evidence\">",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
     "xpath": "<a href=\"#\" title=\"Submit User Feedback\" data-bs-toggle=\"modal\" data-bs-target=\"#submitFeedbackModal\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
     "xpath": "<a href=\"#h3LcdGuidanceHeader\" data-href=\"h3LcdGuidanceHeader\" class=\"nav-link toc-link no-link log-click\" title=\"Jump to Coverage Guidance\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
     "xpath": "<a href=\"#lblAnalysisOfEvidenceSubheader\" data-href=\"lblAnalysisOfEvidenceSubheader\" class=\"nav-link toc-link no-link log-click\" title=\"Jump to Analysis of Evidence\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=136",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=40333&proposedStatus=all&sortBy=title&ver=7",
    "https://cms.gov/contacts/west-virginia-insurance-commission/general-beneficiary-contact/1562561",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36859&lcdStatus=all&sortBy=title&stateRegion=all&ver=27",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35050&lcdStatus=all&sortBy=title&stateRegion=all&ver=55",
    "http://www.cms.gov/ltch-webpricer",
    "http://www.cms.gov/newsroom/press-releases/proposed-medicare-rule-would-modernize-end-stage-renal-disease-conditions-coverage",
    "http://cms.gov/training-education/medicare-learning-networkr-mln/resources-training/mln-publications-multimedia",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37535&lcdStatus=all&sortBy=title&stateRegion=all&ver=19",
    "http://www.cms.gov/health-tech-ecosystem/early-adopters/conversational-ai-assistants",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
    "http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=334&ncdver=1&sortBy=title",
    "https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=292&ncdver=1&sortBy=title",
    "https://www.cms.gov/medicare/payment/part-b-drugs/discarded-drugs",
    "http://cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2026-ipps-proposed-rule-home-page",
    "https://cms.gov/glossary?items_per_page=10&order=title&page=97&sort=asc&term=&viewmode=grid",
    "https://www.cms.gov/newsroom/press-releases/new-drug-coverage-south-carolina-include-options-additional-benefits-and-saving-money",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54899&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39385&lcdStatus=all&sortBy=title&ver=6",
    "https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2017-transmittals-items/r171soma"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19.",
    "Locate the element: <a href=\"#h3LcdGuidanceHeader\" data-href=\"h3LcdGuidanceHeader\" class=\"nav-link toc-link no-link log-click\" title=\"Jump to Coverage Guidance\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/alfa__sia-r111.csv"
  },
  {
   "instance_id": "VS-9e10d04e",
   "pattern_id": "VS-bd13f00a",
   "a11y_pattern_fingerprint": "37facc91e9d08f05c3f0812b15d6d68da79bd54d1be318a5e30a764d1b9cdcef",
   "a11y_pattern_display_id": "A11Y-PAT-37FACC91E9D0",
   "a11y_occurrence_fingerprint": "07676cd3020fefd6fc80efe3773a2e8df70bc7cb296c46509769ed39436f30a0",
   "a11y_occurrence_display_id": "A11Y-OCC-07676CD3020F",
   "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
   "xpath": "td[width=\"31\"]:nth-child(3) > a[accesskey=\"p\"][href$=\"P0364.html\"]",
   "html_snippet": "<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>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "accesskeys",
   "rule_label": "accesskey attribute value should be unique",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 113,
    "pages_affected": 39,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": "td[width=\"31\"]:nth-child(3) > a[accesskey=\"p\"][href$=\"P0364.html\"]",
     "html_snippet": "<a accesskey=\"p\" id=\"prev_page\" href=\"P0364.html\"><img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": "td[width=\"31\"]:nth-child(4) > a[accesskey=\"u\"][href$=\"P0025.html\"]",
     "html_snippet": "<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>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": "td[width=\"31\"]:nth-child(5) > a[accesskey=\"n\"][href$=\"P0950.html\"]",
     "html_snippet": "<a accesskey=\"n\" id=\"next_page\" href=\"P0950.html\"><img src=\"fwdpg.png\" alt=\"Next Page [Alt-n]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
     "xpath": "td[width=\"31\"]:nth-child(3) > a[accesskey=\"p\"][href$=\"P0594.html\"]",
     "html_snippet": "<a accesskey=\"p\" id=\"prev_page\" href=\"P0594.html\"><img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
     "xpath": "td[width=\"31\"]:nth-child(4) > a[accesskey=\"u\"][href$=\"P0011.html\"]",
     "html_snippet": "<a accesskey=\"u\" id=\"up_level\" href=\"P0011.html\"><img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>"
    }
   ],
   "example_pages": [
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0126.html",
    "http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0338.html",
    "http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0020.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0017.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0011.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0035.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0005.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0011.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0009.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0125.html",
    "http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0029.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0221.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0563.html",
    "http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0001.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0568.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0183.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0306.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0487.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0188.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0197.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0578.html",
    "http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0030.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html.",
    "Locate the element: td[width=\"31\"]:nth-child(3) > a[accesskey=\"p\"][href$=\"P0364.html\"]",
    "Confirm the axe-core finding for rule accesskeys."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W33",
   "weeks_seen": 7,
   "affected_pages_csv": "csv/axe-core__accesskeys.csv"
  },
  {
   "instance_id": "VS-0813c0bb",
   "pattern_id": "VS-d25f622d",
   "a11y_pattern_fingerprint": "22a84f9148f9ba759ca68b692eded2eaaa55f7667f1d7d17e8d8353fbb6c3057",
   "a11y_pattern_display_id": "A11Y-PAT-22A84F9148F9",
   "a11y_occurrence_fingerprint": "55a8228fcd9086283fa5dce48fe809dc18ac0e625fe65815a32336fcfe894cb5",
   "a11y_occurrence_display_id": "A11Y-OCC-55A8228FCD90",
   "url": "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=39905&lcdStatus=all&sortBy=title",
   "xpath": "#navStickyHeader",
   "html_snippet": "<h3 id=\"navStickyHeader\" class=\"bg-white d-inline expand-head-pad\">Report Information</h3>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 294,
    "pages_affected": 290,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 290 of 6702 scanned pages (294 instances).",
   "examples": [
    {
     "url": "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=39905&lcdStatus=all&sortBy=title",
     "xpath": "#navStickyHeader",
     "html_snippet": "<h3 id=\"navStickyHeader\" class=\"bg-white d-inline expand-head-pad\">Report Information</h3>"
    },
    {
     "url": "https://cms.gov/medicare/payment/fee-for-service-providers/shared-savings-program-ssp-acos/application-types-timeline",
     "xpath": ".field--name-field-cms-card-title",
     "html_snippet": "<h3 class=\"field field--name-field-cms-card-title field--type-string field--label-hidden ds-u-margin-bottom--3\" data-once=\"trademark-symbol\">Key Application Actions and Deadlines</h3>"
    },
    {
     "url": "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",
     "xpath": "#navStickyHeader",
     "html_snippet": "<h3 id=\"navStickyHeader\" class=\"bg-white d-inline expand-head-pad\">Report Information</h3>"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37870&lcdStatus=all&sortBy=title&stateRegion=all",
     "xpath": "#navStickyHeader",
     "html_snippet": "<h3 id=\"navStickyHeader\" class=\"bg-white d-inline expand-head-pad\">Report Information</h3>"
    },
    {
     "url": "https://cms.gov/newsroom/press-releases/cms-launches-second-phase-consumer-education-long-term-care",
     "xpath": "h6",
     "html_snippet": "<h6>LTC Awareness Campaign: Phase II Application</h6>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37870&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://cms.gov/newsroom/press-releases/cms-launches-second-phase-consumer-education-long-term-care",
    "https://cms.gov/priorities/innovation/innovation-models/tmah",
    "https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=1&mcdid=27&sortBy=title&status=all",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38331&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=311&proposed=Y",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=40048&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=36951&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33941&lcdStatus=all&sortBy=title",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35702&lcdStatus=all&sortBy=title",
    "http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=33563&lcdStatus=all&sortBy=title",
    "https://www.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-alphabetical-report.aspx?lcdid=35175&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=36362&sortBy=relevance",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34434&lcdStatus=all&sortBy=title",
    "https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39995&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/apps/ama/license.asp?file=%2FResearch-Statistics-Data-and-Systems%2FDownloadable-Public-Use-Files%2FPart-B-Carrier-Summary-Data-File%2FDownloads%2F2005AllCarriers.zip",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33575&lcdStatus=all&sortBy=title&stateRegion=all",
    "http://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-state-report.aspx?contractorNumber=all&lcdid=40139&proposedStatus=all&sortBy=title&stateRegion=all",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=38288&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=38972&lcdStatus=all&sortBy=title"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=39905&lcdStatus=all&sortBy=title.",
    "Locate the element: #navStickyHeader",
    "Confirm the axe-core finding for rule heading-order."
   ],
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Drupal Views and blocks can insert headings at arbitrary levels. In the Views UI, set \"Title tag\" for each display. For block titles, configure the heading level in the block's layout settings.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/axe-core__heading-order.csv"
  },
  {
   "instance_id": "VS-846ac887",
   "pattern_id": "VS-f18df681",
   "a11y_pattern_fingerprint": "61333abe9aaf55cfc0c624cc89a73c2fe8aead770a2392b07e140a2c74146157",
   "a11y_pattern_display_id": "A11Y-PAT-61333ABE9AAF",
   "a11y_occurrence_fingerprint": "eca9d72ab440525eb7409c03653b341fcf8d1594484bb9e92c0329a3e28fd016",
   "a11y_occurrence_display_id": "A11Y-OCC-ECA9D72AB440",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
   "xpath": ".hhshead[cellpadding=\"0\"][cellspacing=\"0\"]:nth-child(1)",
   "html_snippet": "<table class=\"hhshead\" cellpadding=\"0\" cellspacing=\"0\" summary=\"HHS Header. Table for formatting only.\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 2279,
    "pages_affected": 128,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 128 of 6702 scanned pages (2279 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "xpath": ".hhshead[cellpadding=\"0\"][cellspacing=\"0\"]:nth-child(1)",
     "html_snippet": "<table class=\"hhshead\" cellpadding=\"0\" cellspacing=\"0\" summary=\"HHS Header. Table for formatting only.\">"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "xpath": ".masthead > a[href$=\"cms.gov/\"]",
     "html_snippet": "<a href=\"http://www.cms.gov/\" title=\"Centers for Medicare &amp; Medicaid Services\"> \n        <img class=\"hhsimg\" src=\"banner-text.jpg\" width=\"650\" height=\"60\" alt=\"Centers for Medicare &amp; Medicaid "
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "xpath": "label",
     "html_snippet": "<label for=\"q\" title=\"Search CMS.gov\">\n       <input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">&nbsp;</label>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": ".arrows:nth-child(1) > tbody > tr:nth-child(1)",
     "html_snippet": "<tr>\n\t\t<td><img src=\"cms-site-logo.png\"></td>\n\t\t<td style=\"text-align:center;\"><h1>ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual</h1><h1></h1></td>\n\t\t<td></td>\n\t\t<td></td>\n\t\t<td></td>\n\t</tr>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": "tr:nth-child(2) > td[width=\"31\"]:nth-child(3)",
     "html_snippet": "<td width=\"31\"><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></td>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0005.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
    "https://www.cms.gov/priorities/electronic-prior-authorization/overview",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1137.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1905.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0165.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0296.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1245.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0395.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0053.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0026.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0126.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0407.html",
    "http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0338.html",
    "http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0020.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0017.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0280.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0011.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0035.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0005.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html.",
    "Locate the element: .hhshead[cellpadding=\"0\"][cellspacing=\"0\"]:nth-child(1)",
    "Confirm the axe-core finding for rule region."
   ],
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Use Drupal's region system (header, navigation, main, sidebar, footer) and map each to an HTML5 landmark element in your theme's page.html.twig.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/axe-core__region.csv"
  },
  {
   "instance_id": "VS-41df8942",
   "pattern_id": "VS-d5d82446",
   "a11y_pattern_fingerprint": "52a7c3a9a1882fc2863a3420d1896e0b93df91a4d98a8dd156f924d061887f61",
   "a11y_pattern_display_id": "A11Y-PAT-52A7C3A9A188",
   "a11y_occurrence_fingerprint": "d0fe5553fd75b77e01f295e7d6948c9316534f4ababb3456025ec8702aa90f3a",
   "a11y_occurrence_display_id": "A11Y-OCC-D0FE5553FD75",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
   "xpath": "html",
   "html_snippet": "<html>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 127,
    "pages_affected": 127,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Document should have one main landmark (WCAG criterion undetermined)",
   "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 127 of 6702 scanned pages (127 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0056.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0005.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
     "xpath": "html",
     "html_snippet": "<html>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0005.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1137.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1905.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0165.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0296.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1245.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0395.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0053.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0026.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0126.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0407.html",
    "http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0338.html",
    "http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0020.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0017.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0280.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0011.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0035.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0005.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0381.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule landmark-one-main."
   ],
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/axe-core__landmark-one-main.csv"
  },
  {
   "instance_id": "VS-a90d129c",
   "pattern_id": "VS-fa44f293",
   "a11y_pattern_fingerprint": "153387593f99913345b282b0ea387f236c6a129942c41d961f0ed36776eb998d",
   "a11y_pattern_display_id": "A11Y-PAT-153387593F99",
   "a11y_occurrence_fingerprint": "4a672920cbd82862605eebe92ce7b9d3de80ac54cf6288e64bfe00d0d9eeded5",
   "a11y_occurrence_display_id": "A11Y-OCC-4A672920CBD8",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
   "xpath": "html",
   "html_snippet": "<html>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 42,
    "pages_affected": 42,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Page should contain a level-one heading (WCAG criterion undetermined)",
   "description": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 42 of 6702 scanned pages (42 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1137.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1245.html",
     "xpath": "html",
     "html_snippet": "<html>"
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html",
     "xpath": "html",
     "html_snippet": "<html>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1245.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0395.html",
    "https://www.cms.gov/medicaid-chip/community-engagement-support/eligibility-made-easy",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0725.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0600.html",
    "https://www.cms.gov/derechos-facturas-medicas/ayuda/guias/explicacion-de-beneficios",
    "https://www.cms.gov/data-research/cms-information-technology/tlc",
    "https://cms.gov/priorities/medicare-prescription-drug-affordability/overview/medicare-drug-price-negotiation-program",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0708.html",
    "https://www.cms.gov/medical-bill-rights/help/guides/bill-errors",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1126.html",
    "https://www.cms.gov/medicare/medicaid-coordination/states/medicaid-integrity-program",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1140.html",
    "https://www.cms.gov/medical-bill-rights/help/guides/how-to-read-bill",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1486.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1070.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0200.html",
    "https://www.cms.gov/medical-bill-rights/help",
    "https://www.cms.gov/medical-bill-rights/help/guides",
    "https://www.cms.gov/medical-bill-rights",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0184.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule page-has-heading-one."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/axe-core__page-has-heading-one.csv"
  },
  {
   "instance_id": "VS-fba107ff",
   "pattern_id": "VS-0ba8ce9d",
   "a11y_pattern_fingerprint": "3bdc0d25d5a7fbf4ddb3431c8c2d66cebb446b55ccec9fe1536b094cd2e61887",
   "a11y_pattern_display_id": "A11Y-PAT-3BDC0D25D5A7",
   "a11y_occurrence_fingerprint": "cf8f5e00d794f53ad544bb96b64e082c4e60fecd5f65f1b96a29618384550620",
   "a11y_occurrence_display_id": "A11Y-OCC-CF8F5E00D794",
   "url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=246",
   "xpath": "table[cellpadding=\"5\"] > tbody > tr[valign=\"top\"]:nth-child(2) > td[scope=\"row\"]",
   "html_snippet": "<td scope=\"row\">June 28, 2010</td>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "scope-attr-valid",
   "rule_label": "scope attribute should be used correctly",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 428,
    "pages_affected": 22,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "scope attribute should be used correctly (WCAG criterion undetermined)",
   "description": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 22 of 6702 scanned pages (428 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=246",
     "xpath": "table[cellpadding=\"5\"] > tbody > tr[valign=\"top\"]:nth-child(2) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">June 28, 2010</td>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=246",
     "xpath": "tr[valign=\"top\"]:nth-child(3) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">July 28, 2010</td>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=246",
     "xpath": "table[cellpadding=\"5\"] > tbody > tr[valign=\"top\"]:nth-child(4) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">December 1, 2010</td>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=16",
     "xpath": "tr:nth-child(2) > td[scope=\"row\"]",
     "html_snippet": "<td valign=\"top\" width=\"25%\" scope=\"row\"><strong>Direct Current</strong></td>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=16",
     "xpath": "tr:nth-child(3) > td[scope=\"row\"]",
     "html_snippet": "<td valign=\"top\" width=\"25%\" scope=\"row\"><strong>Pulsed Direct Current</strong></td>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=160&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=79&proposed=N&sortBy=status&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38571&lcdStatus=all&sortBy=title&ver=9",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1126.html",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=77&proposed=N",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1070.html",
    "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=N",
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=160&proposed=N",
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=281&proposed=Y",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=264",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=195&proposed=Y&sortBy=status&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AiAAAAAAAAAA&ncaid=279&proposed=Y&type=Closed",
    "https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=331&ncdver=4&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=258",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=109&proposed=Y",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=260&proposed=Y&sortBy=status&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=211&ncdver=2",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=247&proposed=N"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=246.",
    "Locate the element: table[cellpadding=\"5\"] > tbody > tr[valign=\"top\"]:nth-child(2) > td[scope=\"row\"]",
    "Confirm the axe-core finding for rule scope-attr-valid."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/axe-core__scope-attr-valid.csv"
  },
  {
   "instance_id": "VS-e029d9da",
   "pattern_id": "VS-30db094d",
   "a11y_pattern_fingerprint": "208b1cbfe7cece445b721bf4864c978824ef0123bc2ffe8e7121c5d13ab27e12",
   "a11y_pattern_display_id": "A11Y-PAT-208B1CBFE7CE",
   "a11y_occurrence_fingerprint": "574c629c0e6f412b06b2ef065bcac184a15866f882909c664c5a2c00551761e9",
   "a11y_occurrence_display_id": "A11Y-OCC-574C629C0E6F",
   "url": "https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation",
   "xpath": ".Header",
   "html_snippet": "<header class=\"Header\" style=\"position: sticky;\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-banner-is-top-level",
   "rule_label": "Banner landmark should not be contained in another landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 6702
   },
   "likely_source": "content",
   "summary": "Banner landmark should not be contained in another landmark (WCAG criterion undetermined)",
   "description": "Banner landmark should not be contained in another landmark. Detected by axe-core rule landmark-banner-is-top-level on 2 of 6702 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation",
     "xpath": ".Header",
     "html_snippet": "<header class=\"Header\" style=\"position: sticky;\">"
    },
    {
     "url": "http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Physician-and-Other-Supplier.html",
     "xpath": ".Header",
     "html_snippet": "<header class=\"Header\" style=\"position: sticky;\">"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation.",
    "Locate the element: .Header",
    "Confirm the axe-core finding for rule landmark-banner-is-top-level."
   ],
   "remediation_tip": "Put the banner landmark (<header>) at the top level, not nested inside another landmark.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 7,
   "affected_pages_csv": "csv/axe-core__landmark-banner-is-top-level.csv"
  },
  {
   "instance_id": "VS-1275e590",
   "pattern_id": "VS-8806389c",
   "a11y_pattern_fingerprint": "0bb3d0056cbd37129e6491d0ab3e1b30aca756ec7db3f7225feca4246573e8db",
   "a11y_pattern_display_id": "A11Y-PAT-0BB3D0056CBD",
   "a11y_occurrence_fingerprint": "de3e001cc757d405a441ddf908e45bf3e8ee6b4b1eabe63a46f2caf21d38e6d9",
   "a11y_occurrence_display_id": "A11Y-OCC-DE3E001CC757",
   "url": "https://cms.gov/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars",
   "xpath": ".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\"]",
   "html_snippet": "<div role=\"region\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars",
     "xpath": ".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\"]",
     "html_snippet": "<div role=\"region\">"
    }
   ],
   "example_pages": [
    "https://cms.gov/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars"
   ],
   "affected_pages": [
    "https://cms.gov/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars.",
    "Locate the element: .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\"]",
    "Confirm the axe-core finding for rule landmark-unique."
   ],
   "remediation_tip": "When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. \"Primary\" and \"Footer\" navigation) so screen-reader users can tell them apart.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W33",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__landmark-unique.csv"
  },
  {
   "instance_id": "VS-e7dcc132",
   "pattern_id": "VS-0066c67d",
   "a11y_pattern_fingerprint": "9f609d48d7978e0dfca1cb28e48c77bff0a9f30ec81609f6d78da35fe80816ff",
   "a11y_pattern_display_id": "A11Y-PAT-9F609D48D797",
   "a11y_occurrence_fingerprint": "d2671b27e3ff3fbc70fbc85b863aa1f40361b727d73ecbdf36f5f19d5885f78f",
   "a11y_occurrence_display_id": "A11Y-OCC-D2671B27E3FF",
   "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
   "xpath": "h1:nth-child(2)",
   "html_snippet": "<h1></h1>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "empty-heading",
   "rule_label": "Headings should not be empty",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 113,
    "pages_affected": 109,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Headings should not be empty (WCAG criterion undetermined)",
   "description": "Headings should not be empty. Detected by axe-core rule empty-heading on 109 of 6702 scanned pages (113 instances).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": "h1:nth-child(2)",
     "html_snippet": "<h1></h1>"
    },
    {
     "url": "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0056.html",
     "xpath": "h1:nth-child(2)",
     "html_snippet": "<h1></h1>"
    },
    {
     "url": "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0005.html",
     "xpath": "h1:nth-child(2)",
     "html_snippet": "<h1></h1>"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
     "xpath": "h1:nth-child(2)",
     "html_snippet": "<h1></h1>"
    },
    {
     "url": "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1905.html",
     "xpath": "h1:nth-child(2)",
     "html_snippet": "<h1></h1>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1905.html",
    "https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0165.html",
    "https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0296.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0053.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0026.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/fy2025-version42.0-fullcode-cms/fullcode_cms/P0126.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0407.html",
    "http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0338.html",
    "http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0020.html",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37578&lcdStatus=all&sortBy=title&stateRegion=all&ver=28",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0017.html",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0280.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0011.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0035.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0005.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0381.html",
    "https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0064.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0011.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0009.html",
    "http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0014.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html.",
    "Locate the element: h1:nth-child(2)",
    "Confirm the axe-core finding for rule empty-heading."
   ],
   "remediation_tip": "Remove empty headings or give them text. Don't use heading tags for spacing.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/axe-core__empty-heading.csv"
  },
  {
   "instance_id": "VS-3a6ca9c2",
   "pattern_id": "VS-d69fc059",
   "a11y_pattern_fingerprint": "87cfed96535352510d59ff52c295aecafed1968cd3b6fcf8e58011d8b5623e3e",
   "a11y_pattern_display_id": "A11Y-PAT-87CFED965353",
   "a11y_occurrence_fingerprint": "94b5475c430400c653daf3cacd73f722bf50b2eaf4a8a62a6a1b47e10114c103",
   "a11y_occurrence_display_id": "A11Y-OCC-94B5475C4304",
   "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36889&lcdStatus=all&sortBy=title&ver=24",
   "xpath": "tbody > tr > th",
   "html_snippet": "<th>&nbsp;</th>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "empty-table-header",
   "rule_label": "Table header text should not be empty",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 21,
    "pages_affected": 16,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Table header text should not be empty (WCAG criterion undetermined)",
   "description": "Table header text should not be empty. Detected by axe-core rule empty-table-header on 16 of 6702 scanned pages (21 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36889&lcdStatus=all&sortBy=title&ver=24",
     "xpath": "tbody > tr > th",
     "html_snippet": "<th>&nbsp;</th>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=294",
     "xpath": "table[border=\"1\"]:nth-child(205) > tbody > tr:nth-child(2) > th:nth-child(1)",
     "html_snippet": "<th> </th>"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=294",
     "xpath": "table[border=\"1\"]:nth-child(205) > tbody > tr:nth-child(2) > th:nth-child(2)",
     "html_snippet": "<th> </th>"
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=16",
     "xpath": "tbody > tr:nth-child(1) > th:nth-child(1)",
     "html_snippet": "<th valign=\"top\" width=\"25%\" scope=\"col\">&nbsp;</th>"
    },
    {
     "url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/sharedsavingsprogram/application-information",
     "xpath": "th:nth-child(1)",
     "html_snippet": "<th><img src=\"/medicare/medicare-fee-for-service-payment/sharedsavingsprogram/other-content-types/for-acos-types-and-timeline.png\" alt=\"\" data-entity-type=\"media\" data-entity-uuid=\"9dd5a361-1bdf-40f4-"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare/medicare-fee-for-service-payment/sharedsavingsprogram/application-information",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=279&proposed=N&sortBy=status&status=all",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1126.html",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36889&lcdStatus=all&sortBy=title&ver=25",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=77&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/details/medcac-meeting-details.aspx?bc=AAAIAAAAAAAA&MEDCACId=76",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1070.html",
    "https://cms.gov/newsroom/fact-sheets/2025-medicare-parts-b-premiums-and-deductibles",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AiAAAAAAAAAA&ncaid=279&proposed=Y&type=Closed",
    "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AAgAAAAACAAA&NCAId=297",
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=76",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36889&lcdStatus=all&sortBy=title&stateRegion=all&ver=25",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=295"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36889&lcdStatus=all&sortBy=title&ver=24.",
    "Locate the element: tbody > tr > th",
    "Confirm the axe-core finding for rule empty-table-header."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/axe-core__empty-table-header.csv"
  },
  {
   "instance_id": "VS-a033b296",
   "pattern_id": "VS-7118fead",
   "a11y_pattern_fingerprint": "4146fc8bd9bfddcfe5276de4597709da9dd61e9e69f451ddb610e46163d649aa",
   "a11y_pattern_display_id": "A11Y-PAT-4146FC8BD9BF",
   "a11y_occurrence_fingerprint": "2664d4e5ece7c314bd86b616ece223d954163e09f7f611c01d9bb60d1427f864",
   "a11y_occurrence_display_id": "A11Y-OCC-2664D4E5ECE7",
   "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "frequency": {
    "instances": 809,
    "pages_affected": 809,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 809 of 6702 scanned pages (809 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "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",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=136",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=40333&proposedStatus=all&sortBy=title&ver=7",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=136",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=40333&proposedStatus=all&sortBy=title&ver=7",
    "https://cms.gov/contacts/west-virginia-insurance-commission/general-beneficiary-contact/1562561",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36859&lcdStatus=all&sortBy=title&stateRegion=all&ver=27",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35050&lcdStatus=all&sortBy=title&stateRegion=all&ver=55",
    "http://www.cms.gov/ltch-webpricer",
    "http://www.cms.gov/newsroom/press-releases/proposed-medicare-rule-would-modernize-end-stage-renal-disease-conditions-coverage",
    "http://cms.gov/training-education/medicare-learning-networkr-mln/resources-training/mln-publications-multimedia",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37535&lcdStatus=all&sortBy=title&stateRegion=all&ver=19",
    "http://www.cms.gov/health-tech-ecosystem/early-adopters/conversational-ai-assistants",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38994&lcdStatus=all&sortBy=title&stateRegion=all&ver=20",
    "http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=334&ncdver=1&sortBy=title",
    "https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=292&ncdver=1&sortBy=title",
    "https://www.cms.gov/medicare/payment/part-b-drugs/discarded-drugs",
    "http://cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2026-ipps-proposed-rule-home-page",
    "https://cms.gov/glossary?items_per_page=10&order=title&page=97&sort=asc&term=&viewmode=grid",
    "https://www.cms.gov/newsroom/press-releases/new-drug-coverage-south-carolina-include-options-additional-benefits-and-saving-money",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54899&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39385&lcdStatus=all&sortBy=title&ver=6",
    "https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2017-transmittals-items/r171soma",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38904&lcdStatus=all&sortBy=title&stateRegion=all&ver=11",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52490&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=25"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r61."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/alfa__sia-r61.csv"
  },
  {
   "instance_id": "VS-c4ca0898",
   "pattern_id": "VS-f054f4a4",
   "a11y_pattern_fingerprint": "dded9322badcc7057dfd1d8dae4bb814390142cbbae4a595518311a9c0d3b2d7",
   "a11y_pattern_display_id": "A11Y-PAT-DDED9322BADC",
   "a11y_occurrence_fingerprint": "4671ce745544aa51188a3bf1a6418820b5fc6cd04e18e064e244277808f9901d",
   "a11y_occurrence_display_id": "A11Y-OCC-4671CE745544",
   "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
   "xpath": "<h3 id=\"h3DocumentInformationHeader\" class=\"document-view-section-header\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "frequency": {
    "instances": 423,
    "pages_affected": 422,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19",
     "xpath": "<h3 id=\"h3DocumentInformationHeader\" class=\"document-view-section-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35098&lcdStatus=all&sortBy=title&ver=28",
     "xpath": "<h3 id=\"h3DocumentInformationHeader\" class=\"document-view-section-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=40333&proposedStatus=all&sortBy=title&ver=7",
     "xpath": "<h3 id=\"h3DocumentInformationHeader\" class=\"document-view-section-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36859&lcdStatus=all&sortBy=title&stateRegion=all&ver=27",
     "xpath": "<h3 id=\"h3DocumentInformationHeader\" class=\"document-view-section-header\">",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35050&lcdStatus=all&sortBy=title&stateRegion=all&ver=55",
     "xpath": "<h3 id=\"h3DocumentInformationHeader\" class=\"document-view-section-header\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36859&lcdStatus=all&sortBy=title&stateRegion=all&ver=27",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35050&lcdStatus=all&sortBy=title&stateRegion=all&ver=55",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37535&lcdStatus=all&sortBy=title&stateRegion=all&ver=19",
    "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/article.aspx?articleid=54899&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39385&lcdStatus=all&sortBy=title&ver=6",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38904&lcdStatus=all&sortBy=title&stateRegion=all&ver=11",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52490&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=25",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39270&lcdStatus=all&sortBy=title&ver=8",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56865&ver=28",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37598&lcdStatus=all&sortBy=title&ver=21",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40198&proposedStatus=all&sortBy=title&stateRegion=all&ver=5",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&ver=32",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57718&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60348&articleStatus=all&bc=3&sortBy=title&ver=4",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57482&articleStatus=all&bc=3&sortBy=title&ver=23",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33575&lcdStatus=all&sortBy=title&stateRegion=all&ver=43",
    "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",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57207&articleStatus=all&bc=3&sortBy=title&ver=33",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57037&articleStatus=all&bc=3&sortBy=title&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36351&lcdStatus=all&sortBy=title&ver=36"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38223&lcdStatus=all&sortBy=title&ver=19.",
    "Locate the element: <h3 id=\"h3DocumentInformationHeader\" class=\"document-view-section-header\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r53."
   ],
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/alfa__sia-r53.csv"
  },
  {
   "instance_id": "VS-8cdd5dcf",
   "pattern_id": "VS-c18be945",
   "a11y_pattern_fingerprint": "6f4836c6a670501b2b2ec4ef8720babc528ae6143bb2b672472287e13b3e9b0e",
   "a11y_pattern_display_id": "A11Y-PAT-6F4836C6A670",
   "a11y_occurrence_fingerprint": "b1859472e93f4d1a0f9f942be74e70e1f94e144f0f4b2d5c5aa444e6d3d955d3",
   "a11y_occurrence_display_id": "A11Y-OCC-B1859472E93F",
   "url": "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",
   "xpath": "text: \"Feedback\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "frequency": {
    "instances": 249,
    "pages_affected": 248,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 248 of 6702 scanned pages (249 instances).",
   "examples": [
    {
     "url": "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",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/contacts/west-virginia-insurance-commission/general-beneficiary-contact/1562561",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/ltch-webpricer",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    },
    {
     "url": "http://cms.gov/training-education/medicare-learning-networkr-mln/resources-training/mln-publications-multimedia",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    },
    {
     "url": "http://www.cms.gov/health-tech-ecosystem/early-adopters/conversational-ai-assistants",
     "xpath": "text: \"Feedback\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "http://cms.gov/training-education/medicare-learning-networkr-mln/resources-training/mln-publications-multimedia",
    "http://www.cms.gov/health-tech-ecosystem/early-adopters/conversational-ai-assistants",
    "https://www.cms.gov/medicare/payment/part-b-drugs/discarded-drugs",
    "http://cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2026-ipps-proposed-rule-home-page",
    "https://cms.gov/glossary?items_per_page=10&order=title&page=97&sort=asc&term=&viewmode=grid",
    "https://www.cms.gov/newsroom/press-releases/new-drug-coverage-south-carolina-include-options-additional-benefits-and-saving-money",
    "https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2017-transmittals-items/r171soma",
    "https://www.cms.gov/priorities/electronic-prior-authorization/overview",
    "https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11670cp",
    "https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_issue_date&page=3&sort=desc",
    "https://www.cms.gov/medicare/coverage/determination-process/local",
    "https://www.cms.gov/priorities/innovation/innovation-models/medicare-demonstrations/demonstration-project-for-medical-adult-day-care-services",
    "https://www.cms.gov/newsroom/press-releases/more-people-medicare-receiving-free-preventive-care",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=9&sort=desc",
    "https://cms.gov/training-education/partner-outreach-resources/american-indian-alaska-native/ltss-ta-center/information/ltss-models/home-and-community-based-services",
    "https://www.cms.gov/marketplace/about/exchange-coverage-maps",
    "http://www.cms.gov/medicare/regulations-guidance/transmittals/2015-transmittals?items_per_page=25&order=field_dyna_implementation_date&sort=asc",
    "https://cms.gov/regulations-and-guidanceguidancetransmittals2020-transmittals/r4532cp",
    "https://cms.gov/medicare/regulations-guidance/transmittals/2024-transmittals?items_per_page=25&order=field_dyna_issue_date&page=8&sort=desc",
    "http://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/mln-publications-items/cms1243319",
    "https://www.cms.gov/newsroom/press-releases/speech-remarks-administrator-seema-verma-blue-button-developer-conference",
    "https://cms.gov/newsroom/press-releases/obama-administration-offers-states-new-ways-improve-care-lower-costs-medicaid"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/priorities/innovation-center/value-based-care-spotlight/patient-provider-voices/whole-person-care-stories/improving-health-access-care-rural-areas-one-pennsylvania-couples-story.",
    "Locate the element: text: \"Feedback\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r57."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/alfa__sia-r57.csv"
  },
  {
   "instance_id": "VS-73f4fb49",
   "pattern_id": "VS-2cd767ca",
   "a11y_pattern_fingerprint": "06e5b7ad71ebe9131a8a899a0f6e61f876cb89b0b439779429e15ada89493ab3",
   "a11y_pattern_display_id": "A11Y-PAT-06E5B7AD71EB",
   "a11y_occurrence_fingerprint": "313c09792e83138f2c97b1c4b68c2d5242832996f4c767df1d4572ee949c93a1",
   "a11y_occurrence_display_id": "A11Y-OCC-313C09792E83",
   "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
   "xpath": "<h1>",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "frequency": {
    "instances": 245,
    "pages_affected": 173,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html",
     "xpath": "<h1>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56865&ver=28",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57718&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57718&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57718&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20",
     "xpath": "<h4>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57482&articleStatus=all&bc=3&sortBy=title&ver=23",
    "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",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57207&articleStatus=all&bc=3&sortBy=title&ver=33",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57037&articleStatus=all&bc=3&sortBy=title&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54418&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=25",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53017&articleStatus=all&bc=3&sortBy=title&ver=34",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58503&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12",
    "https://www.cms.gov/cms-l564-request-employment-information",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33575&lcdStatus=all&sortBy=title&stateRegion=all",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59060&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=3",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58116&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56793&articleStatus=all&bc=3&sortBy=title&ver=35",
    "https://www.cms.gov/",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=34633&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57972&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2025-transmittals/r13103cp",
    "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://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56503&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=12",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0407.html",
    "https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35006&lcdStatus=all&sortBy=title",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=35000&lcdStatus=all&sortBy=title"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0365.html.",
    "Locate the element: <h1>",
    "Confirm the Siteimprove Alfa finding for rule sia-r78."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/alfa__sia-r78.csv"
  },
  {
   "instance_id": "VS-a1d378eb",
   "pattern_id": "VS-04a9d28c",
   "a11y_pattern_fingerprint": "39370acc9d085fffa297dcb4926304bb08694b3c2ff86b8409dd859bb5404791",
   "a11y_pattern_display_id": "A11Y-PAT-39370ACC9D08",
   "a11y_occurrence_fingerprint": "a8af1fb75bd838a374e48a611fbceed88856b038c0e2d9b985acb88d1fe0027b",
   "a11y_occurrence_display_id": "A11Y-OCC-A8AF1FB75BD8",
   "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
   "xpath": "img",
   "html_snippet": "<img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine_key": "deprecated-html",
   "tool": "deprecated-html",
   "rule_url": null,
   "severity": "Moderate",
   "frequency": {
    "instances": 441,
    "pages_affected": 25,
    "total_pages_scanned": 6702
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
     "xpath": "img",
     "html_snippet": "<img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
     "xpath": "img",
     "html_snippet": "<img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">"
    },
    {
     "url": "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html",
     "xpath": "img",
     "html_snippet": "<img src=\"fwdpg.png\" alt=\"Next Page [Alt-n]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39462&lcdStatus=all&sortBy=title&ver=9",
     "xpath": "table",
     "html_snippet": "<table style=\"width: 100.0%; border-collapse: collapse;\" border=\"0\" width=\"100%\" cellspacing=\"0\" cellpadding=\"0\">\n<thead>\n<tr style=\"page-break-inside: avoid;\">\n<td style=\"padding: 3.75pt 3.75pt 3.75p"
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=9&lcdid=40334&proposedStatus=all&sortBy=title&ver=2",
     "xpath": "table",
     "html_snippet": "<table style=\"border-collapse: collapse; width: 59.4754%; height: 220px;\" border=\"1\">\n<tbody>\n<tr style=\"height: 22px;\">\n<td style=\"width: 19.2528%; height: 44px; text-align: center;\" rowspan=\"2\"><str"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0280.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0005.html",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37070&lcdStatus=all&sortBy=title&ver=26",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37887&lcdStatus=all&sortBy=title&ver=25",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1923.html",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38914&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=37905&ver=18",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37356&lcdStatus=all&sortBy=title&ver=17",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AiAAAAAAAAAA&ncaid=279&proposed=Y&type=Closed",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0401.html",
    "https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=331&ncdver=4&sortBy=title",
    "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AAgAAAAACAAA&NCAId=297",
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=76",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37919&lcdStatus=all&sortBy=title&ver=12",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58168&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=33",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55646&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39658&lcdStatus=all&sortBy=title&ver=4",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0317.html",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36707&lcdStatus=all&sortBy=title&ver=40",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39237&lcdStatus=all&sortBy=title&stateRegion=all&ver=10",
    "https://www.cms.gov/medicare-coverage-database/details/medcac-meeting-details.aspx?fromdb=true&MEDCACId=21",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=283&proposed=Y"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0595.html.",
    "Locate the element: img",
    "Confirm the deprecated-html finding for rule presentational-attr."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/deprecated-html__presentational-attr.csv"
  },
  {
   "instance_id": "VS-1b141c1d",
   "pattern_id": "VS-f2542d87",
   "a11y_pattern_fingerprint": "03e69dee9333d7e11cc03a3ed8ce4fd222caccb83cb87fed3b43425fb04123c7",
   "a11y_pattern_display_id": "A11Y-PAT-03E69DEE9333",
   "a11y_occurrence_fingerprint": "bf171ebc1fe05c9293281a04ed3c5b9c45d1d7869d64d74ae0aeef6d17c9b3bc",
   "a11y_occurrence_display_id": "A11Y-OCC-BF171EBC1FE0",
   "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=210&proposed=Y",
   "xpath": "<pre>",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r79",
   "rule_label": "Duplicate role landmark is labeled",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r79",
   "severity": "Moderate",
   "frequency": {
    "instances": 5,
    "pages_affected": 5,
    "total_pages_scanned": 6702
   },
   "likely_source": "unknown",
   "summary": "Duplicate role landmark is labeled (WCAG criterion undetermined)",
   "description": "Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 5 of 6702 scanned pages (5 instances).",
   "examples": [
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=210&proposed=Y",
     "xpath": "<pre>",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=90&proposed=Y",
     "xpath": "<pre>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=258",
     "xpath": "<pre>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/cal-decision-memo.aspx?bc=BAgAAAAAgAAA&CALId=173&CalName=Hepatitis+Panel%2FAcute+Hepatitis+Pane+%28Addition+of+ICD-9-CM+790.4%2C++Elevation+of+Levels+of+Transaminase+or+Lactic+Acid+Dehydrogenase%29&fromdb=true&ver=10",
     "xpath": "<pre>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=283&proposed=Y",
     "xpath": "<pre>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/medicare-coverage-database/details/cal-decision-memo.aspx?bc=BAgAAAAAgAAA&CALId=173&CalName=Hepatitis+Panel%2FAcute+Hepatitis+Pane+%28Addition+of+ICD-9-CM+790.4%2C++Elevation+of+Levels+of+Transaminase+or+Lactic+Acid+Dehydrogenase%29&fromdb=true&ver=10",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=283&proposed=Y"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=210&proposed=Y.",
    "Locate the element: <pre>",
    "Confirm the Siteimprove Alfa finding for rule sia-r79."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r79",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 10,
   "affected_pages_csv": "csv/alfa__sia-r79.csv"
  },
  {
   "instance_id": "VS-7b742ef1",
   "pattern_id": "VS-7fbb8b20",
   "a11y_pattern_fingerprint": "77c6216fbd4e8110bb8f6de50772332d9f730709a2342d5799081c44df2e4371",
   "a11y_pattern_display_id": "A11Y-PAT-77C6216FBD4E",
   "a11y_occurrence_fingerprint": "33768dddf656f9ff20ffe29cf006d2777836d364ad803d5e90bf2e4d3e572c1f",
   "a11y_occurrence_display_id": "A11Y-OCC-33768DDDF656",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r59",
   "rule_label": "Element with orientation is not locked",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r59",
   "severity": "Moderate",
   "frequency": {
    "instances": 4,
    "pages_affected": 4,
    "total_pages_scanned": 6702
   },
   "likely_source": "unknown",
   "summary": "Element with orientation is not locked (WCAG criterion undetermined)",
   "description": "Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 4 of 6702 scanned pages (4 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1070.html",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1070.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"element\",\"children\":[{\"type\":\"element\",\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r59."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r59",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W26",
   "last_seen": "2026-W33",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r59.csv"
  },
  {
   "instance_id": "VS-6bc59a90",
   "pattern_id": "VS-e43903a1",
   "a11y_pattern_fingerprint": "b65b940fea6fe2881d9be490f491626db32eb1ea900ed16ae1fa6f1c8fe62cd6",
   "a11y_pattern_display_id": "A11Y-PAT-B65B940FEA6F",
   "a11y_occurrence_fingerprint": "093ca2905524a7e32c3cf624bc87fea1dd0a2c4018d7a4f62b365b6b1a9fe613",
   "a11y_occurrence_display_id": "A11Y-OCC-093CA2905524",
   "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
   "xpath": "<ul id=\"globar\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r75",
   "rule_label": "Form field error is identified and described",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r75",
   "severity": "Moderate",
   "frequency": {
    "instances": 8,
    "pages_affected": 4,
    "total_pages_scanned": 6702
   },
   "likely_source": "unknown",
   "summary": "Form field error is identified and described (WCAG criterion undetermined)",
   "description": "Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 4 of 6702 scanned pages (8 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "xpath": "<ul id=\"globar\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html",
     "xpath": "<ul id=\"supbar\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
     "xpath": "<ul id=\"globar\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0017.html",
     "xpath": "<ul id=\"supbar\">",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0248.html",
     "xpath": "<ul id=\"globar\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1070.html"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0918.html.",
    "Locate the element: <ul id=\"globar\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r75."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r75",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W26",
   "last_seen": "2026-W33",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r75.csv"
  },
  {
   "instance_id": "VS-a2725611",
   "pattern_id": "VS-3d033717",
   "a11y_pattern_fingerprint": "02e366b4c298b491412ec27d0aa31fac798f5695a402a7d261c17d3135bb7025",
   "a11y_pattern_display_id": "A11Y-PAT-02E366B4C298",
   "a11y_occurrence_fingerprint": "3c2f977da4b2e5fba96ca982c0ab87b74c7dc3643a10a363435044c2a22fb78a",
   "a11y_occurrence_display_id": "A11Y-OCC-3C2F977DA4B2",
   "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33942&lcdStatus=all&sortBy=title&stateRegion=all&ver=47",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r70",
   "rule_label": "No obsolete or deprecated elements are used",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r70",
   "severity": "Moderate",
   "frequency": {
    "instances": 3,
    "pages_affected": 3,
    "total_pages_scanned": 6702
   },
   "likely_source": "unknown",
   "summary": "No obsolete or deprecated elements are used (WCAG criterion undetermined)",
   "description": "No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 3 of 6702 scanned pages (3 instances).",
   "examples": [
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33942&lcdStatus=all&sortBy=title&stateRegion=all&ver=47",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=90&proposed=Y",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=283&proposed=Y",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33942&lcdStatus=all&sortBy=title&stateRegion=all&ver=47.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r70."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r70",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W33",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r70.csv"
  },
  {
   "instance_id": "VS-7f87c74c",
   "pattern_id": "VS-91d2294a",
   "a11y_pattern_fingerprint": "694557a2e6d5bc90eafe7b3a3c5b7b43bcc69e8bc86d88693bd71c134ecf0f0d",
   "a11y_pattern_display_id": "A11Y-PAT-694557A2E6D5",
   "a11y_occurrence_fingerprint": "290cf5e869f850595cd2113400f878f95f035f09767e6759e7d53f9543d2b42e",
   "a11y_occurrence_display_id": "A11Y-OCC-290CF5E869F8",
   "url": "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AAgAAAAACAAA&NCAId=297",
   "xpath": "font",
   "html_snippet": "<font color=\"FF0000\">- Transcatheter Edge-to-Edge Repair (TEER) for Mitral Valve Regurgitation</font>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "font-element",
   "rule_label": "Obsolete <font> element (use CSS)",
   "engine_key": "deprecated-html",
   "tool": "deprecated-html",
   "rule_url": null,
   "severity": "Moderate",
   "frequency": {
    "instances": 87,
    "pages_affected": 3,
    "total_pages_scanned": 6702
   },
   "likely_source": "unknown",
   "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).",
   "examples": [
    {
     "url": "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AAgAAAAACAAA&NCAId=297",
     "xpath": "font",
     "html_snippet": "<font color=\"FF0000\">- Transcatheter Edge-to-Edge Repair (TEER) for Mitral Valve Regurgitation</font>"
    },
    {
     "url": "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AAgAAAAACAAA&NCAId=297",
     "xpath": "font",
     "html_snippet": "<font color=\"FF0000\">Transcatheter Edge-to-Edge Repair (TEER) of the mitral valve</font>"
    },
    {
     "url": "http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AAgAAAAACAAA&NCAId=297",
     "xpath": "font",
     "html_snippet": "<font color=\"FF0000\">TEER approximates the anterior and posterior</font>"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=380&ncdver=1&sortBy=title",
     "xpath": "font",
     "html_snippet": "<font color=\"FF0000\"><em>\n<p><strong>A. General</strong></p>\n\n<p>Respiratory Assist Devices (RADs) with bi-level capability, with or without a backup rate feature, are devices that use a non-invasive "
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=380&ncdver=1&sortBy=title",
     "xpath": "font",
     "html_snippet": "<font color=\"FF0000\">\n<em>\n<p><strong>B. &nbsp;&nbsp;&nbsp;Nationally Covered Indications</strong></p>\n\t\n<p>I.&nbsp;&nbsp;&nbsp; Respiratory Assist Devices (RADs)</p>\n\n\t<p><strong>(a) Initial Coverage"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AAgAAAAACAAA&NCAId=297.",
    "Locate the element: font",
    "Confirm the deprecated-html finding for rule font-element."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W33",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/deprecated-html__font-element.csv"
  },
  {
   "instance_id": "VS-6629c655",
   "pattern_id": "VS-aa242c2d",
   "a11y_pattern_fingerprint": "d3c0bd1ab62c73539ffd732c5242f82de13fea583f2ba6d1fd73e89a3275d35f",
   "a11y_pattern_display_id": "A11Y-PAT-D3C0BD1AB62C",
   "a11y_occurrence_fingerprint": "fc7245fc5c4aab8bd5db8868651536aa7206e2ccce326f37ed17554a4f5e9991",
   "a11y_occurrence_display_id": "A11Y-OCC-FC7245FC5C4A",
   "url": "https://www.cms.gov/priorities/electronic-prior-authorization/overview",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 6702
   },
   "likely_source": "content",
   "summary": "First focusable element is link to main content (WCAG criterion undetermined)",
   "description": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 2 of 6702 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/priorities/electronic-prior-authorization/overview",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/priorities/electronic-prior-authorization/overview",
    "https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation"
   ],
   "affected_pages": [
    "https://www.cms.gov/priorities/electronic-prior-authorization/overview",
    "https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/priorities/electronic-prior-authorization/overview.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r87."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W33",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r87.csv"
  },
  {
   "instance_id": "VS-c0deeae5",
   "pattern_id": "VS-e05344b9",
   "a11y_pattern_fingerprint": "12a798cc9fda07a5088d311631e6fb09739b47324b14a4fa6dab0f6d98b4f738",
   "a11y_pattern_display_id": "A11Y-PAT-12A798CC9FDA",
   "a11y_occurrence_fingerprint": "ca104c40f912202852f84ccf1faae483cb9ecd326a3384bddeef6052a5408547",
   "a11y_occurrence_display_id": "A11Y-OCC-CA104C40F912",
   "url": "https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation",
   "xpath": "@aria-label=\"Open Medicare Advantage Geographic Variation - National & State\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "frequency": {
    "instances": 3,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "likely_source": "content",
   "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)",
   "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 1 of 6702 scanned pages (3 instances).",
   "examples": [
    {
     "url": "https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation",
     "xpath": "@aria-label=\"Open Medicare Advantage Geographic Variation - National & State\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation",
     "xpath": "@aria-label=\"Open Medicare Geographic Variation - by National, State & County\"",
     "html_snippet": null
    },
    {
     "url": "https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation",
     "xpath": "@aria-label=\"Open Medicare Geographic Variation - by Hospital Referral Region\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation"
   ],
   "affected_pages": [
    "https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-geographic-variation.",
    "Locate the element: @aria-label=\"Open Medicare Advantage Geographic Variation - National & State\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r18."
   ],
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W33",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r18.csv"
  },
  {
   "instance_id": "VS-8e6b1162",
   "pattern_id": "VS-4c341c77",
   "a11y_pattern_fingerprint": "b20456eab70e820eb40dcabd3947e1dac3a3a60b8b053518aeaece4f0d5edabd",
   "a11y_pattern_display_id": "A11Y-PAT-B20456EAB70E",
   "a11y_occurrence_fingerprint": "397232290b2297b4735e3e09490894f1f0f545610ca383a22b8621c50c6e6d6a",
   "a11y_occurrence_display_id": "A11Y-OCC-397232290B22",
   "url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=258",
   "xpath": "<p>",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r85",
   "rule_label": "Keyboard trap does not exist",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r85",
   "severity": "Moderate",
   "frequency": {
    "instances": 3,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "likely_source": "content",
   "summary": "Keyboard trap does not exist (WCAG criterion undetermined)",
   "description": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 1 of 6702 scanned pages (3 instances).",
   "examples": [
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=258",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=258",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=258",
     "xpath": "<p>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=258"
   ],
   "affected_pages": [
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=258"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=258.",
    "Locate the element: <p>",
    "Confirm the Siteimprove Alfa finding for rule sia-r85."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W33",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r85.csv"
  },
  {
   "instance_id": "VS-2ebb5f66",
   "pattern_id": "VS-20060f39",
   "a11y_pattern_fingerprint": "37bf69b360dd3360c5ece2a3503512c7014e71f36ab3cb2a49bb258c63d700f5",
   "a11y_pattern_display_id": "A11Y-PAT-37BF69B360DD",
   "a11y_occurrence_fingerprint": "8b54c9c97ed1878227759d32df1d1d849d8c1f59f5b36daa9ab9b998a5342dd5",
   "a11y_occurrence_display_id": "A11Y-OCC-8B54C9C97ED1",
   "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33942&lcdStatus=all&sortBy=title&stateRegion=all&ver=47",
   "xpath": "center",
   "html_snippet": "<center><strong> GENERAL THERAPY GUIDELINES</strong></center>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "center-element",
   "rule_label": "Obsolete <center> element (use CSS)",
   "engine_key": "deprecated-html",
   "tool": "deprecated-html",
   "rule_url": null,
   "severity": "Moderate",
   "frequency": {
    "instances": 4,
    "pages_affected": 1,
    "total_pages_scanned": 6702
   },
   "likely_source": "content",
   "summary": "Obsolete <center> element (use CSS) (WCAG criterion undetermined)",
   "description": "Obsolete <center> element (use CSS). Detected by deprecated-html rule center-element on 1 of 6702 scanned pages (4 instances).",
   "examples": [
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33942&lcdStatus=all&sortBy=title&stateRegion=all&ver=47",
     "xpath": "center",
     "html_snippet": "<center><strong> GENERAL THERAPY GUIDELINES</strong></center>"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33942&lcdStatus=all&sortBy=title&stateRegion=all&ver=47",
     "xpath": "center",
     "html_snippet": "<center><strong> SPECIFIC PROCEDURES AND MODALITIES</strong></center>"
    },
    {
     "url": "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33942&lcdStatus=all&sortBy=title&stateRegion=all&ver=47",
     "xpath": "center",
     "html_snippet": "<center>General Orthotics Guidelines</center>"
    }
   ],
   "example_pages": [
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33942&lcdStatus=all&sortBy=title&stateRegion=all&ver=47"
   ],
   "affected_pages": [
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33942&lcdStatus=all&sortBy=title&stateRegion=all&ver=47"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33942&lcdStatus=all&sortBy=title&stateRegion=all&ver=47.",
    "Locate the element: center",
    "Confirm the deprecated-html finding for rule center-element."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W28",
   "last_seen": "2026-W33",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/deprecated-html__center-element.csv"
  }
 ],
 "policy": {
  "suppression": {
   "patterns": 0,
   "pages": 0,
   "occurrences": 0,
   "entries": []
  }
 }
}