{
 "schema_version": "0.1",
 "site": "www.cms.gov",
 "scan_week": "2026-W37",
 "generated_at": "2026-09-30T18:09:02.874Z",
 "source_files": [
  "docs/reports/www.cms.gov/2026-W37/",
  "data/www.cms.gov/findings.json",
  "data/www.cms.gov/2026-W37/summary.json"
 ],
 "summary": {
  "pages_known": 59115,
  "pages_scanned_this_week": 4636,
  "pages_with_known_issues": 36959,
  "findings": 55,
  "clusters": 46,
  "new_findings": 0,
  "persistent_findings": 50,
  "high_priority_findings": 30
 },
 "top_risks": [
  {
   "finding_id": "VS-8ade3360",
   "rule_id": "link-in-text-block",
   "rule_label": "Links must be distinguishable without relying on color",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 434,
   "rationale": "Serious severity; affects 434 pages; persistent across weeks",
   "top_url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36668&lcdStatus=all&sortBy=title&stateRegion=all&ver=45"
  },
  {
   "finding_id": "VS-a0bdbdf6",
   "rule_id": "list",
   "rule_label": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 256,
   "rationale": "Serious severity; affects 256 pages; persistent across weeks",
   "top_url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36668&lcdStatus=all&sortBy=title&stateRegion=all&ver=45"
  },
  {
   "finding_id": "VS-c126b6a6",
   "rule_id": "html-has-lang",
   "rule_label": "<html> element must have a lang attribute",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 253,
   "rationale": "Serious severity; affects 253 pages; persistent across weeks",
   "top_url": "http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html"
  },
  {
   "finding_id": "VS-9074b4dd",
   "rule_id": "image-alt",
   "rule_label": "Images must have alternative text",
   "severity": "Critical",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 235,
   "rationale": "Critical severity; affects 235 pages; persistent across weeks",
   "top_url": "http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html"
  },
  {
   "finding_id": "VS-bd13f00a",
   "rule_id": "accesskeys",
   "rule_label": "accesskey attribute value should be unique",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 58,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0188.html"
  },
  {
   "finding_id": "VS-be8d563e",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 31,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&NCDSect=280.1&ncdver=4"
  },
  {
   "finding_id": "VS-fafffee0",
   "rule_id": "label",
   "rule_label": "Form elements must have labels",
   "severity": "Critical",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 18,
   "rationale": "Critical severity; persistent across weeks",
   "top_url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1203.html"
  },
  {
   "finding_id": "VS-6175596b",
   "rule_id": "listitem",
   "rule_label": "<li> elements must be contained in a <ul> or <ol>",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 8,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "http://cms.gov/medicare-coverage-database/view/ncacal-tracking-sheet.aspx?ncaid=4"
  },
  {
   "finding_id": "VS-e9fe47ac",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 3,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "http://www.cms.gov/medicare/medicaid-coordination/about/dsnps"
  },
  {
   "finding_id": "VS-c613c153",
   "rule_id": "scrollable-region-focusable",
   "rule_label": "Scrollable region must have keyboard access",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 2,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=206&proposed=Y"
  }
 ],
 "findings": [
  {
   "finding_id": "VS-8ade3360",
   "fingerprint": "8bf51706",
   "rule_id": "link-in-text-block",
   "rule_label": "Links must be distinguishable without relying on color",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 434 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 434,
    "affected_pages_previous": 366
   },
   "frequency": {
    "instances": 962,
    "pages_affected": 434,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Links must be distinguishable without relying on color (WCAG 1.4.1)",
   "description": "Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 434 of 4636 scanned pages (962 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule link-in-text-block (WCAG 1.4.1).",
   "actual_behavior": "Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 434 of 4636 scanned pages (962 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36668&lcdStatus=all&sortBy=title&stateRegion=all&ver=45",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=40050&lcdStatus=all&sortBy=title&ver=5",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=196&sortBy=status&status=all"
   ],
   "html_fragments": [
    {
     "fingerprint": "0bd7972e",
     "html": "<a href=\"https://localcoverage.cms.gov/mcd_archive/view/lcd.aspx?lcdInfo=39981:4\" target=\"_blank\" class=\"log-click system-link\" data-page-action=\"Clicked the Source Proposed LCD link\">DL36668</a>",
     "selectors": [
      "#lblProposedLcd > .system-link.log-click[target=\"_blank\"]"
     ]
    },
    {
     "fingerprint": "9cfa9e28",
     "html": "<a href=\"https://doi.org/10.1373/jalm.2017.023341\">",
     "selectors": [
      "ol > li:nth-child(9) > a"
     ]
    },
    {
     "fingerprint": "4c02225e",
     "html": "<a href=\"https://localcoverage.cms.gov/mcd_archive/view/lcd.aspx?lcdInfo=40049:4\" target=\"_blank\" class=\"log-click system-link\" data-page-action=\"Clicked the Source Proposed LCD link\">DL40050</a>",
     "selectors": [
      "#lblProposedLcd > .system-link.log-click[target=\"_blank\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 21
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/nca.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-a0bdbdf6",
   "fingerprint": "ca0fa40f",
   "rule_id": "list",
   "rule_label": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 256 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 256,
    "affected_pages_previous": 210
   },
   "frequency": {
    "instances": 970,
    "pages_affected": 256,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements (WCAG 1.3.1)",
   "description": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 256 of 4636 scanned pages (970 instances).",
   "remediation_tip": "Use <ul>/<ol> with only <li> children for lists; don't fake lists with <div>s.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule list (WCAG 1.3.1).",
   "actual_behavior": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 256 of 4636 scanned pages (970 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36668&lcdStatus=all&sortBy=title&stateRegion=all&ver=45",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33960&lcdStatus=all&sortBy=title&ver=26",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57877&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4"
   ],
   "html_fragments": [
    {
     "fingerprint": "d5c7abab",
     "html": "<ol>",
     "selectors": [
      "ol:nth-child(7)",
      "ol:nth-child(7) > ol"
     ]
    },
    {
     "fingerprint": "27aa3c1e",
     "html": "<ul>70: Payment conditions for radiology services</ul>",
     "selectors": [
      "#lblCmsNationalCoveragePolicy > ul:nth-child(2)"
     ]
    },
    {
     "fingerprint": "d8a5d0d6",
     "html": "<ul>\n<ul>20: Payment conditions for radiology services</ul>\n</ul>",
     "selectors": [
      "#lblCmsNationalCoveragePolicy > ul:nth-child(4)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 14
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 9
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-public-comments.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-c126b6a6",
   "fingerprint": "b6dc10f1",
   "rule_id": "html-has-lang",
   "rule_label": "<html> element must have a lang attribute",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "3.1.1",
   "wcag_name": "Language of Page",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 253 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 253,
    "affected_pages_previous": 256
   },
   "frequency": {
    "instances": 253,
    "pages_affected": 253,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "<html> element must have a lang attribute (WCAG 3.1.1)",
   "description": "<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 253 of 4636 scanned pages (253 instances).",
   "remediation_tip": "Add a lang attribute to <html> (e.g. lang=\"en\").",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule html-has-lang (WCAG 3.1.1).",
   "actual_behavior": "<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 253 of 4636 scanned pages (253 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0076.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1203.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "3e866d4c",
     "html": "<html>",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0076.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1203.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-9074b4dd",
   "fingerprint": "f1846b41",
   "rule_id": "image-alt",
   "rule_label": "Images must have alternative text",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Critical severity; affects 235 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 13,
    "affected_pages_current": 235,
    "affected_pages_previous": 248
   },
   "frequency": {
    "instances": 235,
    "pages_affected": 235,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Images must have alternative text (WCAG 1.1.1)",
   "description": "Images must have alternative text. Detected by axe-core rule image-alt on 235 of 4636 scanned pages (235 instances).",
   "remediation_tip": "Give every <img> a meaningful alt attribute. Use alt=\"\" only for decorative images so screen readers skip them.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule image-alt (WCAG 1.1.1).",
   "actual_behavior": "Images must have alternative text. Detected by axe-core rule image-alt on 235 of 4636 scanned pages (235 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0076.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0188.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "6f85ea95",
     "html": "<img src=\"cms-site-logo.png\">",
     "selectors": [
      "img[src$=\"cms-site-logo.png\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0076.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0188.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-bd13f00a",
   "fingerprint": "952edfaf",
   "rule_id": "accesskeys",
   "rule_label": "accesskey attribute value should be unique",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W37",
    "weeks_observed": 11,
    "affected_pages_current": 58,
    "affected_pages_previous": 87
   },
   "frequency": {
    "instances": 172,
    "pages_affected": 58,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "accesskey attribute value should be unique (WCAG criterion undetermined)",
   "description": "accesskey attribute value should be unique. Detected by axe-core rule accesskeys on 58 of 4636 scanned pages (172 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule accesskeys.",
   "actual_behavior": "accesskey attribute value should be unique. Detected by axe-core rule accesskeys on 58 of 4636 scanned pages (172 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0188.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0136.html",
    "https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0148.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "902dace9",
     "html": "<a accesskey=\"p\" id=\"prev_page\" href=\"P0187.html\"><img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>",
     "selectors": [
      "td[width=\"31\"]:nth-child(3) > a[accesskey=\"p\"][href$=\"P0187.html\"]"
     ]
    },
    {
     "fingerprint": "66528956",
     "html": "<a accesskey=\"u\" id=\"up_level\" href=\"P0010.html\"><img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>",
     "selectors": [
      "td[width=\"31\"]:nth-child(4) > a[accesskey=\"u\"][href$=\"P0010.html\"]"
     ]
    },
    {
     "fingerprint": "ac53198f",
     "html": "<a accesskey=\"n\" id=\"next_page\" href=\"P0189.html\"><img src=\"fwdpg.png\" alt=\"Next Page [Alt-n]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>",
     "selectors": [
      "td[width=\"31\"]:nth-child(5) > a[accesskey=\"n\"][href$=\"P0189.html\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0188.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0136.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0148.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-be8d563e",
   "fingerprint": "1820bc84",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 31,
    "affected_pages_previous": 43
   },
   "frequency": {
    "instances": 312,
    "pages_affected": 31,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)",
   "description": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 31 of 4636 scanned pages (312 instances).",
   "remediation_tip": "Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule color-contrast (WCAG 1.4.3).",
   "actual_behavior": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 31 of 4636 scanned pages (312 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&NCDSect=280.1&ncdver=4",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33718&lcdStatus=all&sortBy=title&ver=52",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=277&proposed=N&sortBy=status&status=all"
   ],
   "html_fragments": [
    {
     "fingerprint": "5f10a9b5",
     "html": "<font color=\"FF0000\">",
     "selectors": [
      "font"
     ]
    },
    {
     "fingerprint": "c580aa14",
     "html": "<td style=\"width: 647px; background-color: gray;\">Situation</td>",
     "selectors": [
      "table[border=\"padded\"] > tbody > tr:nth-child(1) > td:nth-child(1)"
     ]
    },
    {
     "fingerprint": "9f9e26d4",
     "html": "<td style=\"width: 670.44px; text-align: center; vertical-align: middle; background-color: gray;\">Chance of Dozing or Sleeping</td>",
     "selectors": [
      "table[border=\"padded\"] > tbody > tr:nth-child(1) > td:nth-child(2)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 9
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   }
  },
  {
   "finding_id": "VS-fafffee0",
   "fingerprint": "d5e15238",
   "rule_id": "label",
   "rule_label": "Form elements must have labels",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Critical severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W37",
    "weeks_observed": 12,
    "affected_pages_current": 18,
    "affected_pages_previous": 11
   },
   "frequency": {
    "instances": 18,
    "pages_affected": 18,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Form elements must have labels (WCAG 4.1.2)",
   "description": "Form elements must have labels. Detected by axe-core rule label on 18 of 4636 scanned pages (18 instances).",
   "remediation_tip": "Associate every form control with a <label> (via for/id) or an aria-label/aria-labelledby.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule label (WCAG 4.1.2).",
   "actual_behavior": "Form elements must have labels. Detected by axe-core rule label on 18 of 4636 scanned pages (18 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1203.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1876.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1313.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "b2d78865",
     "html": "<input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">",
     "selectors": [
      "#q"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1203.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1876.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1313.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-6175596b",
   "fingerprint": "7ac6b8df",
   "rule_id": "listitem",
   "rule_label": "<li> elements must be contained in a <ul> or <ol>",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "medium",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 8,
    "affected_pages_previous": 11
   },
   "frequency": {
    "instances": 63,
    "pages_affected": 8,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "<li> elements must be contained in a <ul> or <ol> (WCAG 1.3.1)",
   "description": "<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 8 of 4636 scanned pages (63 instances).",
   "remediation_tip": "<li> must be inside a <ul> or <ol>.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule listitem (WCAG 1.3.1).",
   "actual_behavior": "<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 8 of 4636 scanned pages (63 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/medicare-coverage-database/view/ncacal-tracking-sheet.aspx?ncaid=4",
    "http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=69&sortBy=meetingdate&year=all",
    "https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=296"
   ],
   "html_fragments": [
    {
     "fingerprint": "957f264a",
     "html": "<li>Is there objective evidence to show that use of an air-fluidized bed improves/heals Stage 3 and/or Stage 4 pressure ulcers?</li>",
     "selectors": [
      "div > li:nth-child(1)"
     ]
    },
    {
     "fingerprint": "42c88a34",
     "html": "<li>At what point in the treatment of decubitus ulcers should air-fluidized therapy be introduced?</li>",
     "selectors": [
      "div > li:nth-child(2)"
     ]
    },
    {
     "fingerprint": "87b7d7d4",
     "html": "<li>Is there objective evidence to show that the use of an air-fluidized bed is superior to the use of a Group II support surface? If so, what are the patient indicators/criteria that determine when a",
     "selectors": [
      "div > li:nth-child(3)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-tracking-sheet.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/details/nca-decision-memo.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-e9fe47ac",
   "fingerprint": "f85a6839",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "medium",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 3,
    "affected_pages_previous": 3
   },
   "frequency": {
    "instances": 4,
    "pages_affected": 3,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Links must have discernible text (WCAG 2.4.4)",
   "description": "Links must have discernible text. Detected by axe-core rule link-name on 3 of 4636 scanned pages (4 instances).",
   "remediation_tip": "Give the link discernible text. Avoid empty links and icon-only links without an aria-label.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule link-name (WCAG 2.4.4).",
   "actual_behavior": "Links must have discernible text. Detected by axe-core rule link-name on 3 of 4636 scanned pages (4 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://www.cms.gov/medicare/medicaid-coordination/about/dsnps",
    "http://www.cms.gov/newsroom/press-releases/trump-administration-finalizes-transformative-medicare-payment-changes-support-innovation-kidney",
    "https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments"
   ],
   "html_fragments": [
    {
     "fingerprint": "556af1be",
     "html": "<a data-entity-type=\"media\" data-entity-uuid=\"c3d790c3-6ce7-4c9e-8624-03b88a3cb6ff\" data-entity-substitution=\"canonical\" href=\"/files/document/dsnpcoveragedecisionlettermemocy2024.pdf\" data-once=\"link",
     "selectors": [
      "a[data-entity-type=\"media\"][data-entity-substitution=\"canonical\"][data-once=\"linkMatch\"]:nth-child(5)"
     ]
    },
    {
     "fingerprint": "3c5defca",
     "html": "<a href=\"http://link.email.dy...\" data-once=\"linkMatch\">",
     "selectors": [
      "span > a[data-once=\"linkMatch\"]:nth-child(4)"
     ]
    },
    {
     "fingerprint": "ebdf89ab",
     "html": "<a href=\"/media/665791\" data-once=\"linkMatch\"></a>",
     "selectors": [
      ".field--name-field-description.field--type-text-long.cms-text--prominent > a[href=\"/media/665791\"][data-once=\"linkMatch\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare/medicaid-coordination/about/dsnps",
     "count": 1
    },
    {
     "pattern": "/newsroom/press-releases/trump-administration-finalizes-transformative-medicare-payment-changes-support-innovation-kidney",
     "count": 1
    },
    {
     "pattern": "/medicare/quality/clinical-laboratory-improvement-amendments",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-c613c153",
   "fingerprint": "364ee5cc",
   "rule_id": "scrollable-region-focusable",
   "rule_label": "Scrollable region must have keyboard access",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "2.1.1",
   "wcag_name": "Keyboard",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W37",
    "weeks_observed": 9,
    "affected_pages_current": 2,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Scrollable region must have keyboard access (WCAG 2.1.1)",
   "description": "Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 2 of 4636 scanned pages (2 instances).",
   "remediation_tip": "Make scrollable regions keyboard-focusable (tabindex=\"0\") so keyboard users can scroll them.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule scrollable-region-focusable (WCAG 2.1.1).",
   "actual_behavior": "Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 2 of 4636 scanned pages (2 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=206&proposed=Y",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=143&proposed=N&sortBy=status&status=all"
   ],
   "html_fragments": [
    {
     "fingerprint": "4cf6e3a7",
     "html": "<pre>",
     "selectors": [
      "pre"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited manipulation/strength (13.0%), Limited reach (2.0%)."
   }
  },
  {
   "finding_id": "VS-f7280372",
   "fingerprint": "2ab3f72e",
   "rule_id": "aria-progressbar-name",
   "rule_label": "ARIA progressbar nodes must have an accessible name",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-progressbar-name?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W27",
    "last_observed": "2026-W37",
    "weeks_observed": 5,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "ARIA progressbar nodes must have an accessible name (WCAG 1.1.1)",
   "description": "ARIA progressbar nodes must have an accessible name. Detected by axe-core rule aria-progressbar-name on 1 of 4636 scanned pages (1 instances).",
   "remediation_tip": "Give the progressbar an accessible name.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-progressbar-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-progressbar-name (WCAG 1.1.1).",
   "actual_behavior": "ARIA progressbar nodes must have an accessible name. Detected by axe-core rule aria-progressbar-name on 1 of 4636 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=38841&sortBy=relevance"
   ],
   "html_fragments": [
    {
     "fingerprint": "b8319265",
     "html": "<span class=\"ds-c-spinner\" aria-valuetext=\"Loading\" role=\"progressbar\"></span>",
     "selectors": [
      "#searchResults > tfoot > tr > .text-center[colspan=\"5\"][data-exclude=\"true\"] > .ds-c-spinner[aria-valuetext=\"Loading\"][role=\"progressbar\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/search-results.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-07ba3b17",
   "fingerprint": "993f6ba8",
   "rule_id": "td-headers-attr",
   "rule_label": "Table cell headers attributes must refer to other <th> elements in the same tabl",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W37",
    "weeks_observed": 13,
    "affected_pages_current": 1,
    "affected_pages_previous": 3
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Table cell headers attributes must refer to other <th> elements in the same tabl (WCAG 1.3.1)",
   "description": "Table cell headers attributes must refer to other <th> elements in the same tabl. Detected by axe-core rule td-headers-attr on 1 of 4636 scanned pages (1 instances).",
   "remediation_tip": "Associate data cells with their headers correctly using headers/id or scope.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule td-headers-attr (WCAG 1.3.1).",
   "actual_behavior": "Table cell headers attributes must refer to other <th> elements in the same tabl. Detected by axe-core rule td-headers-attr on 1 of 4636 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_transmittal_number&sort=desc"
   ],
   "html_fragments": [
    {
     "fingerprint": "7e037dac",
     "html": "<table class=\"MsoTableGrid\">",
     "selectors": [
      ".MsoTableGrid"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-dd1c019f",
   "fingerprint": "dec2d038",
   "rule_id": "valid-lang",
   "rule_label": "lang attribute must have a valid value",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "3.1.2",
   "wcag_name": "Language of Parts",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 1,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "lang attribute must have a valid value (WCAG 3.1.2)",
   "description": "lang attribute must have a valid value. Detected by axe-core rule valid-lang on 1 of 4636 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule valid-lang (WCAG 3.1.2).",
   "actual_behavior": "lang attribute must have a valid value. Detected by axe-core rule valid-lang on 1 of 4636 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings"
   ],
   "html_fragments": [
    {
     "fingerprint": "f05b811b",
     "html": "<span lang=\"X-NONE\">[1]</span>",
     "selectors": [
      "a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-cb53cc4d",
   "fingerprint": "1738fa81",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 688 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 688,
    "affected_pages_previous": 377
   },
   "frequency": {
    "instances": 23263,
    "pages_affected": 688,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 688 of 4636 scanned pages (23263 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r111 (WCAG 2.5.5).",
   "actual_behavior": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 688 of 4636 scanned pages (23263 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33573&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=40050&lcdStatus=all&sortBy=title&ver=5",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=196&sortBy=status&status=all"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 1.69,
     "pages_with_both": 5
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-2208081b",
   "fingerprint": "40bbca09",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 672 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 672,
    "affected_pages_previous": 367
   },
   "frequency": {
    "instances": 7976,
    "pages_affected": 672,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 672 of 4636 scanned pages (7976 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r73 (WCAG 1.4.8).",
   "actual_behavior": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 672 of 4636 scanned pages (7976 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33573&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=40050&lcdStatus=all&sortBy=title&ver=5",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=196&sortBy=status&status=all"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 1.75,
     "pages_with_both": 5
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-7118fead",
   "fingerprint": "0d932ac9",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 615 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 615,
    "affected_pages_previous": 346
   },
   "frequency": {
    "instances": 615,
    "pages_affected": 615,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 615 of 4636 scanned pages (615 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r61.",
   "actual_behavior": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 615 of 4636 scanned pages (615 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33573&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=40050&lcdStatus=all&sortBy=title&ver=5",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=196&sortBy=status&status=all"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 3
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 2.05,
     "pages_with_both": 5
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-646b1e0b",
   "fingerprint": "afad441e",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 300 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 300,
    "affected_pages_previous": 182
   },
   "frequency": {
    "instances": 1792,
    "pages_affected": 300,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 300 of 4636 scanned pages (1792 instances).",
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r66 (WCAG 1.4.6).",
   "actual_behavior": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 300 of 4636 scanned pages (1792 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33573&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=40050&lcdStatus=all&sortBy=title&ver=5",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=196&sortBy=status&status=all"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 9
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 8
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 4.44,
     "pages_with_both": 5
    },
    {
     "technology": "jsDelivr",
     "lift": 2.27,
     "pages_with_both": 24
    },
    {
     "technology": "Bootstrap",
     "lift": 2.27,
     "pages_with_both": 24
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-fbf54eba",
   "fingerprint": "773d6316",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 300 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 300,
    "affected_pages_previous": 181
   },
   "frequency": {
    "instances": 21057,
    "pages_affected": 300,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Link is distinguishable without relying on color (WCAG 1.4.8)",
   "description": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 300 of 4636 scanned pages (21057 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r74 (WCAG 1.4.8).",
   "actual_behavior": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 300 of 4636 scanned pages (21057 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33573&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=40050&lcdStatus=all&sortBy=title&ver=5",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=196&sortBy=status&status=all"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 9
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 8
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 4.44,
     "pages_with_both": 5
    },
    {
     "technology": "jsDelivr",
     "lift": 2.27,
     "pages_with_both": 24
    },
    {
     "technology": "Bootstrap",
     "lift": 2.27,
     "pages_with_both": 24
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f7dba940",
   "fingerprint": "477d8088",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 299 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 299,
    "affected_pages_previous": 182
   },
   "frequency": {
    "instances": 781,
    "pages_affected": 299,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "description": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 299 of 4636 scanned pages (781 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r14 (WCAG 2.5.3).",
   "actual_behavior": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 299 of 4636 scanned pages (781 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33573&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=40050&lcdStatus=all&sortBy=title&ver=5",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=196&sortBy=status&status=all"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 9
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 8
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 4.44,
     "pages_with_both": 5
    },
    {
     "technology": "jsDelivr",
     "lift": 2.27,
     "pages_with_both": 24
    },
    {
     "technology": "Bootstrap",
     "lift": 2.27,
     "pages_with_both": 24
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   }
  },
  {
   "finding_id": "VS-d25f622d",
   "fingerprint": "98ff321a",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 287 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 287,
    "affected_pages_previous": 265
   },
   "frequency": {
    "instances": 295,
    "pages_affected": 287,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 287 of 4636 scanned pages (295 instances).",
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule heading-order.",
   "actual_behavior": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 287 of 4636 scanned pages (295 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=39810&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33573&lcdStatus=all&sortBy=title&stateRegion=all",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=33671&lcdStatus=all&sortBy=title"
   ],
   "html_fragments": [
    {
     "fingerprint": "2772e8cc",
     "html": "<h3 id=\"navStickyHeader\" class=\"bg-white d-inline expand-head-pad\">Report Information</h3>",
     "selectors": [
      "#navStickyHeader"
     ]
    },
    {
     "fingerprint": "de15d20f",
     "html": "<h5><a href=\"https://qtso.cms.gov/providers/nursing-home-mdsswing-bed-providers\" title=\"QTSO: Nursing Home (MDS)/Swing Bed Providers\" data-once=\"linkMatch\"><strong>QTSO: Nursing Home (MDS)/Swing Bed P",
     "selectors": [
      "h5"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx",
     "count": 6
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 5
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx",
     "count": 4
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f054f4a4",
   "fingerprint": "5fa3b5a6",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 279 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 279,
    "affected_pages_previous": 167
   },
   "frequency": {
    "instances": 281,
    "pages_affected": 279,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 279 of 4636 scanned pages (281 instances).",
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r53.",
   "actual_behavior": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 279 of 4636 scanned pages (281 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33573&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=40050&lcdStatus=all&sortBy=title&ver=5",
    "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33996&lcdStatus=all&sortBy=title&ver=33"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 10
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 9
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 4.84,
     "pages_with_both": 5
    },
    {
     "technology": "jsDelivr",
     "lift": 1.96,
     "pages_with_both": 19
    },
    {
     "technology": "Bootstrap",
     "lift": 1.96,
     "pages_with_both": 19
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d5d82446",
   "fingerprint": "3627341e",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 253 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 253,
    "affected_pages_previous": 256
   },
   "frequency": {
    "instances": 253,
    "pages_affected": 253,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Document should have one main landmark (WCAG criterion undetermined)",
   "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 253 of 4636 scanned pages (253 instances).",
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-one-main.",
   "actual_behavior": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 253 of 4636 scanned pages (253 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0076.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1203.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "3e866d4c",
     "html": "<html>",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0076.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1203.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f18df681",
   "fingerprint": "09987718",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 253 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 253,
    "affected_pages_previous": 256
   },
   "frequency": {
    "instances": 4069,
    "pages_affected": 253,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 253 of 4636 scanned pages (4069 instances).",
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule region.",
   "actual_behavior": "All page content should be contained by landmarks. Detected by axe-core rule region on 253 of 4636 scanned pages (4069 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0076.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1203.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "76b405c4",
     "html": "<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 v36.0 Definitions Manual</h1><h1></h1></td>\n\t\t<td></td>\n\t\t<td></td>\n\t\t<td></td>\n\t</tr>",
     "selectors": [
      ".arrows > tbody > tr:nth-child(1)"
     ]
    },
    {
     "fingerprint": "543e1848",
     "html": "<td width=\"31\"><a accesskey=\"p\" id=\"prev_page\" href=\"P0361.html\"><img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a></td>",
     "selectors": [
      "td[width=\"31\"]:nth-child(3)"
     ]
    },
    {
     "fingerprint": "7c1ec6c8",
     "html": "<td width=\"31\"><a accesskey=\"u\" id=\"up_level\" href=\"P0027.html\"><img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a></td>",
     "selectors": [
      "td[width=\"31\"]:nth-child(4)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0076.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1203.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-c18be945",
   "fingerprint": "8634e2fd",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 208 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 208,
    "affected_pages_previous": 109
   },
   "frequency": {
    "instances": 210,
    "pages_affected": 208,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 208 of 4636 scanned pages (210 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r57.",
   "actual_behavior": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 208 of 4636 scanned pages (210 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals?items_per_page=25&order=field_dyna_pe_number&page=1&sort=asc",
    "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/about-cms/contact/directory/aging-center/1560246"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 2
    },
    {
     "pattern": "/priorities/innovation-center/value-based-care-spotlight/patient-provider-voices/whole-person-care-stories/improving-health-access-care-rural-areas-one-pennsylvania-couples-story",
     "count": 1
    },
    {
     "pattern": "/about-cms/contact/directory/aging-center/{id}",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "Drupal",
     "lift": 2.18,
     "pages_with_both": 20
    },
    {
     "technology": "Acquia Cloud Platform",
     "lift": 2.18,
     "pages_with_both": 20
    },
    {
     "technology": "Amazon Web Services",
     "lift": 2.18,
     "pages_with_both": 20
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-2cd767ca",
   "fingerprint": "3123e4f3",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 183 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 183,
    "affected_pages_previous": 101
   },
   "frequency": {
    "instances": 217,
    "pages_affected": 183,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 183 of 4636 scanned pages (217 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r78.",
   "actual_behavior": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 183 of 4636 scanned pages (217 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33573&lcdStatus=all&sortBy=title&stateRegion=all",
    "http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37356&lcdStatus=all&sortBy=title"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 9
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 5.61,
     "pages_with_both": 5
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-179ad9b3",
   "fingerprint": "0e001fcc",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 154 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 154,
    "affected_pages_previous": 79
   },
   "frequency": {
    "instances": 664,
    "pages_affected": 154,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)",
   "description": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 154 of 4636 scanned pages (664 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r113 (WCAG 2.5.8).",
   "actual_behavior": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 154 of 4636 scanned pages (664 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57236&articleStatus=all&bc=3&sortBy=title&ver=20",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=35000&ver=156"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 13
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 2
    },
    {
     "pattern": "/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-d6097011",
   "fingerprint": "b46c5395",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 94,
    "affected_pages_previous": 45
   },
   "frequency": {
    "instances": 215,
    "pages_affected": 94,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 94 of 4636 scanned pages (215 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r68 (WCAG 1.3.1).",
   "actual_behavior": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 94 of 4636 scanned pages (215 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33573&lcdStatus=all&sortBy=title&stateRegion=all",
    "https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=196&sortBy=status&status=all",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57877&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx",
     "count": 6
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 6
    },
    {
     "pattern": "/medicare-coverage-database/view/nca.aspx",
     "count": 4
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 13.32,
     "pages_with_both": 5
    },
    {
     "technology": "jsDelivr",
     "lift": 1.7,
     "pages_with_both": 6
    },
    {
     "technology": "Bootstrap",
     "lift": 1.7,
     "pages_with_both": 6
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-7a0e5645",
   "fingerprint": "15da996e",
   "rule_id": "sia-r4",
   "rule_label": "Document has a valid lang attribute",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "3.1.1",
   "wcag_name": "Language of Page",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r4",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 72,
    "affected_pages_previous": 32
   },
   "frequency": {
    "instances": 72,
    "pages_affected": 72,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Document has a valid lang attribute (WCAG 3.1.1)",
   "description": "Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 72 of 4636 scanned pages (72 instances).",
   "remediation_tip": "Add a valid lang attribute to <html>.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r4",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r4 (WCAG 3.1.1).",
   "actual_behavior": "Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 72 of 4636 scanned pages (72 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
    "https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0712.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0394.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version39-fullcode-cms/fullcode_cms/P0712.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0394.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-3c632d31",
   "fingerprint": "7d010b8c",
   "rule_id": "sia-r64",
   "rule_label": "Element has required owned roles",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r64",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 66,
    "affected_pages_previous": 30
   },
   "frequency": {
    "instances": 66,
    "pages_affected": 66,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Element has required owned roles (WCAG 1.3.1)",
   "description": "Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 66 of 4636 scanned pages (66 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r64",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r64 (WCAG 1.3.1).",
   "actual_behavior": "Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 66 of 4636 scanned pages (66 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
    "https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0712.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0394.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version39-fullcode-cms/fullcode_cms/P0712.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0394.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-a24eaa8c",
   "fingerprint": "8d462fe1",
   "rule_id": "sia-r2",
   "rule_label": "Image has accessible name",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r2",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 13,
    "affected_pages_current": 65,
    "affected_pages_previous": 31
   },
   "frequency": {
    "instances": 65,
    "pages_affected": 65,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Image has accessible name (WCAG 1.1.1)",
   "description": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 65 of 4636 scanned pages (65 instances).",
   "remediation_tip": "Give every <img> an accessible name (alt text), or alt=\"\" if purely decorative.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r2 (WCAG 1.1.1).",
   "actual_behavior": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 65 of 4636 scanned pages (65 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
    "https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0712.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0394.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version39-fullcode-cms/fullcode_cms/P0712.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0394.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-0066c67d",
   "fingerprint": "67db3700",
   "rule_id": "empty-heading",
   "rule_label": "Headings should not be empty",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "severity": "Minor",
   "priority": "p3",
   "confidence": "high",
   "rationale": "affects 240 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 240,
    "affected_pages_previous": 247
   },
   "frequency": {
    "instances": 240,
    "pages_affected": 240,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Headings should not be empty (WCAG criterion undetermined)",
   "description": "Headings should not be empty. Detected by axe-core rule empty-heading on 240 of 4636 scanned pages (240 instances).",
   "remediation_tip": "Remove empty headings or give them text. Don't use heading tags for spacing.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule empty-heading.",
   "actual_behavior": "Headings should not be empty. Detected by axe-core rule empty-heading on 240 of 4636 scanned pages (240 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0076.html",
    "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0188.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "c6c37699",
     "html": "<h1></h1>",
     "selectors": [
      "h1:nth-child(2)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version36-fullcode-cms/fullcode_cms/P0362.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0076.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0188.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-04a9d28c",
   "fingerprint": "02cfba82",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine": "deprecated-html",
   "tool": "deprecated-html",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": null,
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 39,
    "affected_pages_previous": 40
   },
   "frequency": {
    "instances": 895,
    "pages_affected": 39,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)",
   "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 39 of 4636 scanned pages (895 instances).",
   "remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "expected_behavior": "Element passes deprecated-html rule presentational-attr.",
   "actual_behavior": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 39 of 4636 scanned pages (895 instances).",
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60274&ver=6",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35000&lcdStatus=all&sortBy=title&ver=155",
    "https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0255.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "ebe008d1",
     "html": "<table style=\"border-collapse: collapse; border: none; height: 2197px;\" border=\"1\" width=\"591\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr style=\"height: 74px;\">\n<td style=\"width: 183.922px; border: ",
     "selectors": [
      "table"
     ]
    },
    {
     "fingerprint": "63aaff98",
     "html": "<table style=\"width: 479pt; border-collapse: collapse;\" border=\"0\" width=\"638\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr style=\"height: 12pt;\">\n<td style=\"border: 0px black; width: 479pt; height: 1",
     "selectors": [
      "table"
     ]
    },
    {
     "fingerprint": "a0a271ef",
     "html": "<table style=\"border-collapse: collapse; width: 218px;\" border=\"0\" width=\"290\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr style=\"height: 15.75pt;\">\n<td style=\"height: 15.75pt; width: 218pt;\" width=\"",
     "selectors": [
      "table"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 5
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 3
    },
    {
     "pattern": "/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0255.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-0ba8ce9d",
   "fingerprint": "1b1ae391",
   "rule_id": "scope-attr-valid",
   "rule_label": "scope attribute should be used correctly",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 34,
    "affected_pages_previous": 38
   },
   "frequency": {
    "instances": 1171,
    "pages_affected": 34,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "scope attribute should be used correctly (WCAG criterion undetermined)",
   "description": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 34 of 4636 scanned pages (1171 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule scope-attr-valid.",
   "actual_behavior": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 34 of 4636 scanned pages (1171 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&NCDSect=280.1&ncdver=4",
    "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=239&proposed=Y",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=218&proposed=N"
   ],
   "html_fragments": [
    {
     "fingerprint": "e9bdad89",
     "html": "<td width=\"25%\" scope=\"row\"> <a name=\"ac\" id=\"ac\"></a>Air Cleaners</td>",
     "selectors": [
      "td[width=\"25%\"][scope=\"row\"]"
     ]
    },
    {
     "fingerprint": "4f19790e",
     "html": "<td scope=\"row\">  <a name=\"ac2\" id=\"ac2\">Air Conditioners</a></td>",
     "selectors": [
      "tr[valign=\"top\"]:nth-child(3) > td[scope=\"row\"]"
     ]
    },
    {
     "fingerprint": "2613d7cc",
     "html": "<td scope=\"row\">  Air-Fluidized Beds</td>",
     "selectors": [
      "tr[valign=\"top\"]:nth-child(4) > td[scope=\"row\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 15
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 5
    },
    {
     "pattern": "/medicare-coverage-database/details/nca-proposed-decision-memo.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-388b5438",
   "fingerprint": "e21585c3",
   "rule_id": "sia-r80",
   "rule_label": "Scrollable element is keyboard accessible",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r80",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W25",
    "last_observed": "2026-W37",
    "weeks_observed": 13,
    "affected_pages_current": 32,
    "affected_pages_previous": 8
   },
   "frequency": {
    "instances": 400,
    "pages_affected": 32,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Scrollable element is keyboard accessible (WCAG 1.4.8)",
   "description": "Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 32 of 4636 scanned pages (400 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r80",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r80 (WCAG 1.4.8).",
   "actual_behavior": "Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 32 of 4636 scanned pages (400 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39023&lcdStatus=all&sortBy=title&ver=23",
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33718&lcdStatus=all&sortBy=title&ver=52",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37475&ver=17"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 15
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 10
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-fa44f293",
   "fingerprint": "a01b2a6c",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 24,
    "affected_pages_previous": 17
   },
   "frequency": {
    "instances": 24,
    "pages_affected": 24,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Page should contain a level-one heading (WCAG criterion undetermined)",
   "description": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 24 of 4636 scanned pages (24 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule page-has-heading-one.",
   "actual_behavior": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 24 of 4636 scanned pages (24 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1203.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1876.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1313.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "3e866d4c",
     "html": "<html>",
     "selectors": [
      "html"
     ]
    },
    {
     "fingerprint": "88cfebb1",
     "html": "<html lang=\"en\" dir=\"ltr\" prefix=\"og: https://ogp.me/ns#\" class=\" js\" style=\"--vw: 12.8px; --vh: 8px;\">",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1203.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1876.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1313.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-4408605e",
   "fingerprint": "265d5c76",
   "rule_id": "sia-r46",
   "rule_label": "Element has required aria-owns",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r46",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W37",
    "weeks_observed": 13,
    "affected_pages_current": 23,
    "affected_pages_previous": 20
   },
   "frequency": {
    "instances": 36,
    "pages_affected": 23,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Element has required aria-owns (WCAG 1.3.1)",
   "description": "Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 23 of 4636 scanned pages (36 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r46",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r46 (WCAG 1.3.1).",
   "actual_behavior": "Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 23 of 4636 scanned pages (36 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57236&articleStatus=all&bc=3&sortBy=title&ver=20",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57690&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=39",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57224&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=61"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 22
    },
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-48291402",
   "fingerprint": "50880f5a",
   "rule_id": "sia-r71",
   "rule_label": "iframe element is not empty",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r71",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W37",
    "weeks_observed": 13,
    "affected_pages_current": 19,
    "affected_pages_previous": 8
   },
   "frequency": {
    "instances": 227,
    "pages_affected": 19,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "iframe element is not empty (WCAG 1.4.8)",
   "description": "iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 19 of 4636 scanned pages (227 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r71",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r71 (WCAG 1.4.8).",
   "actual_behavior": "iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 19 of 4636 scanned pages (227 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39276&lcdStatus=all&sortBy=title&stateRegion=all&ver=9",
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58456&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=39",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59217&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 12
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 7
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-efd91fdd",
   "fingerprint": "12434796",
   "rule_id": "sia-r62",
   "rule_label": "Link in text block is visually distinguishable without color",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r62",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 13,
    "affected_pages_current": 7,
    "affected_pages_previous": 6
   },
   "frequency": {
    "instances": 13,
    "pages_affected": 7,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Link in text block is visually distinguishable without color (WCAG 1.4.1)",
   "description": "Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 7 of 4636 scanned pages (13 instances).",
   "remediation_tip": "Make links visually distinguishable from surrounding text (not by color alone).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r62 (WCAG 1.4.1).",
   "actual_behavior": "Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 7 of 4636 scanned pages (13 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56973&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=63",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37421&lcdStatus=all&sortBy=title&stateRegion=all&ver=24",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39481&lcdStatus=all&sortBy=title&ver=5"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 2
    },
    {
     "pattern": "/newsroom/press-contacts",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-7fbb8b20",
   "fingerprint": "79bb1ee9",
   "rule_id": "sia-r59",
   "rule_label": "Element with orientation is not locked",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r59",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W37",
    "weeks_observed": 11,
    "affected_pages_current": 7,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 7,
    "pages_affected": 7,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Element with orientation is not locked (WCAG criterion undetermined)",
   "description": "Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 7 of 4636 scanned pages (7 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r59",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r59.",
   "actual_behavior": "Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 7 of 4636 scanned pages (7 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0599.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0598.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1189.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0599.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0598.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1189.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-e43903a1",
   "fingerprint": "49842005",
   "rule_id": "sia-r75",
   "rule_label": "Form field error is identified and described",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r75",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W37",
    "weeks_observed": 11,
    "affected_pages_current": 7,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 14,
    "pages_affected": 7,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Form field error is identified and described (WCAG criterion undetermined)",
   "description": "Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 7 of 4636 scanned pages (14 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r75",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r75.",
   "actual_behavior": "Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 7 of 4636 scanned pages (14 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0599.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0598.html",
    "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1189.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0599.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0598.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1189.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-3f067795",
   "fingerprint": "f9bf7824",
   "rule_id": "sia-r77",
   "rule_label": "Table cell has header",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r77",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 4,
    "affected_pages_previous": 5
   },
   "frequency": {
    "instances": 146,
    "pages_affected": 4,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Table cell has header (WCAG 1.3.1)",
   "description": "Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 4 of 4636 scanned pages (146 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r77",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r77 (WCAG 1.3.1).",
   "actual_behavior": "Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 4 of 4636 scanned pages (146 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=277&proposed=N&sortBy=status&status=all",
    "http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36868&lcdStatus=all&sortBy=title&ver=25",
    "https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=190&ncdver=2&sortBy=title"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-f7e99f4b",
   "fingerprint": "863d1000",
   "rule_id": "sia-r69",
   "rule_label": "Text has sufficient color contrast (Enhanced)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r69",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 4,
    "affected_pages_previous": 5
   },
   "frequency": {
    "instances": 19,
    "pages_affected": 4,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Text has sufficient color contrast (Enhanced) (WCAG 1.4.3)",
   "description": "Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 4 of 4636 scanned pages (19 instances).",
   "remediation_tip": "Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r69 (WCAG 1.4.3).",
   "actual_behavior": "Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 4 of 4636 scanned pages (19 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33718&lcdStatus=all&sortBy=title&ver=52",
    "https://www.cms.gov/medical-bill-rights/help/submit-a-complaint/get-started",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&stateRegion=all&ver=9"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 2
    },
    {
     "pattern": "/medical-bill-rights/help/submit-a-complaint/get-started",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   }
  },
  {
   "finding_id": "VS-4c341c77",
   "fingerprint": "aada626a",
   "rule_id": "sia-r85",
   "rule_label": "Keyboard trap does not exist",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r85",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W37",
    "weeks_observed": 13,
    "affected_pages_current": 4,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 12,
    "pages_affected": 4,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Keyboard trap does not exist (WCAG criterion undetermined)",
   "description": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 4 of 4636 scanned pages (12 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r85.",
   "actual_behavior": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 4 of 4636 scanned pages (12 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?fromTracking=Y&ncaId=218",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=277&proposed=N&sortBy=status&status=all",
    "https://cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaid=265"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-public-comments.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f2542d87",
   "fingerprint": "9cf75a1e",
   "rule_id": "sia-r79",
   "rule_label": "Duplicate role landmark is labeled",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r79",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 3,
    "affected_pages_previous": 5
   },
   "frequency": {
    "instances": 3,
    "pages_affected": 3,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Duplicate role landmark is labeled (WCAG criterion undetermined)",
   "description": "Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 3 of 4636 scanned pages (3 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r79",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r79.",
   "actual_behavior": "Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 3 of 4636 scanned pages (3 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=277&proposed=N&sortBy=status&status=all",
    "http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=196&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=224&proposed=N"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-3d033717",
   "fingerprint": "1718042b",
   "rule_id": "sia-r70",
   "rule_label": "No obsolete or deprecated elements are used",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r70",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W37",
    "weeks_observed": 12,
    "affected_pages_current": 3,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 3,
    "pages_affected": 3,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "No obsolete or deprecated elements are used (WCAG criterion undetermined)",
   "description": "No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 3 of 4636 scanned pages (3 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r70",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r70.",
   "actual_behavior": "No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 3 of 4636 scanned pages (3 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=277&proposed=N&sortBy=status&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53064&ver=87",
    "http://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=281&ncdver=8"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-6c86a43a",
   "fingerprint": "e18a49c1",
   "rule_id": "meta-viewport",
   "rule_label": "Zooming and scaling must not be disabled",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.4.4",
   "wcag_name": "Resize Text",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/meta-viewport?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 7,
    "affected_pages_current": 2,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Zooming and scaling must not be disabled (WCAG 1.4.4)",
   "description": "Zooming and scaling must not be disabled. Detected by axe-core rule meta-viewport on 2 of 4636 scanned pages (2 instances).",
   "remediation_tip": "Don't disable zoom (user-scalable=no / maximum-scale=1); low-vision users need to zoom.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/meta-viewport?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule meta-viewport (WCAG 1.4.4).",
   "actual_behavior": "Zooming and scaling must not be disabled. Detected by axe-core rule meta-viewport on 2 of 4636 scanned pages (2 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html",
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "e5bc0123",
     "html": "<meta name=\"viewport\" content=\"width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui\">",
     "selectors": [
      "meta[name=\"viewport\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html",
     "count": 1
    },
    {
     "pattern": "/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-8806389c",
   "fingerprint": "ffb2ae06",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W37",
    "weeks_observed": 13,
    "affected_pages_current": 2,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)",
   "description": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 2 of 4636 scanned pages (2 instances).",
   "remediation_tip": "When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. \"Primary\" and \"Footer\" navigation) so screen-reader users can tell them apart.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-unique.",
   "actual_behavior": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 2 of 4636 scanned pages (2 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2014-Fact-sheets-items/2014-07-03-2.html",
    "https://www.cms.gov/about-cms/contact/newsroom"
   ],
   "html_fragments": [
    {
     "fingerprint": "e366fea7",
     "html": "<span class=\"views-field views-field-field-topic\" role=\"region\" aria-label=\"Related search topics\">\n<a href=\"/newsroom/search?about[]=33506&amp;keys= \" data-once=\"linkMatch\">Administration</a>\n</span>",
     "selectors": [
      ".views-field-field-topic[aria-label=\"Related search topics\"][role=\"region\"]:nth-child(1)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/Newsroom/MediaReleaseDatabase/Fact-sheets/{id}-Fact-sheets-items/{id}-07-03-2.html",
     "count": 1
    },
    {
     "pattern": "/about-cms/contact/newsroom",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-28ebd979",
   "fingerprint": "032345cc",
   "rule_id": "sia-r11",
   "rule_label": "Link has accessible name",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r11",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 12,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Link has accessible name (WCAG 2.4.4)",
   "description": "Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 1 of 4636 scanned pages (1 instances).",
   "remediation_tip": "Give the link an accessible name via text content or aria-label.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r11",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r11 (WCAG 2.4.4).",
   "actual_behavior": "Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 1 of 4636 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://www.cms.gov/medicare/medicaid-coordination/about/dsnps"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare/medicaid-coordination/about/dsnps",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-3a9437f7",
   "fingerprint": "8b80619a",
   "rule_id": "sia-r47",
   "rule_label": "Text is not too small to read",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.4",
   "wcag_name": "Resize Text",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r47",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W37",
    "weeks_observed": 3,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Text is not too small to read (WCAG 1.4.4)",
   "description": "Text is not too small to read. Detected by Siteimprove Alfa rule sia-r47 on 1 of 4636 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r47",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r47 (WCAG 1.4.4).",
   "actual_behavior": "Text is not too small to read. Detected by Siteimprove Alfa rule sia-r47 on 1 of 4636 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-400f3a18",
   "fingerprint": "191f610a",
   "rule_id": "sia-r7",
   "rule_label": "Element with lang attribute has correct language",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "3.1.2",
   "wcag_name": "Language of Parts",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r7",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W37",
    "weeks_observed": 6,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Element with lang attribute has correct language (WCAG 3.1.2)",
   "description": "Element with lang attribute has correct language. Detected by Siteimprove Alfa rule sia-r7 on 1 of 4636 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r7",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r7 (WCAG 3.1.2).",
   "actual_behavior": "Element with lang attribute has correct language. Detected by Siteimprove Alfa rule sia-r7 on 1 of 4636 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-7f897be7",
   "fingerprint": "faab1dc3",
   "rule_id": "sia-r20",
   "rule_label": "aria attribute is defined in WAI-ARIA",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r20",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W37",
    "weeks_observed": 3,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "aria attribute is defined in WAI-ARIA (WCAG criterion undetermined)",
   "description": "aria attribute is defined in WAI-ARIA. Detected by Siteimprove Alfa rule sia-r20 on 1 of 4636 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r20",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r20.",
   "actual_behavior": "aria attribute is defined in WAI-ARIA. Detected by Siteimprove Alfa rule sia-r20 on 1 of 4636 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-aa242c2d",
   "fingerprint": "9bf7674d",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W37",
    "weeks_observed": 9,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "First focusable element is link to main content (WCAG criterion undetermined)",
   "description": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 1 of 4636 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r87.",
   "actual_behavior": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 1 of 4636 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-91d2294a",
   "fingerprint": "648c7ef8",
   "rule_id": "font-element",
   "rule_label": "Obsolete <font> element (use CSS)",
   "engine": "deprecated-html",
   "tool": "deprecated-html",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": null,
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 12,
    "affected_pages_current": 1,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 4,
    "pages_affected": 1,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Obsolete <font> element (use CSS) (WCAG criterion undetermined)",
   "description": "Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 1 of 4636 scanned pages (4 instances).",
   "remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "expected_behavior": "Element passes deprecated-html rule font-element.",
   "actual_behavior": "Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 1 of 4636 scanned pages (4 instances).",
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53064&ver=87"
   ],
   "html_fragments": [
    {
     "fingerprint": "ba2425ea",
     "html": "<font face=\"Times New Roman\" size=\"3\"><span style=\"line-height: 115%; font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 12pt;\">Under <b><i style=\"mso-bidi-font-style: normal;\">CPT",
     "selectors": [
      "font"
     ]
    },
    {
     "fingerprint": "caf01abc",
     "html": "<font face=\"Times New Roman\" size=\"3\"><span style=\"line-height: 115%; font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 12pt; mso-bidi-font-family: &quot;Times New Roman&quot;; ms",
     "selectors": [
      "font"
     ]
    },
    {
     "fingerprint": "c59ece65",
     "html": "<font face=\"Times New Roman\" size=\"3\"><i><span style=\"line-height: 115%; font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 12pt; mso-fareast-font-family: &quot;Times New Roman&quo",
     "selectors": [
      "font"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d69fc059",
   "fingerprint": "c827d812",
   "rule_id": "empty-table-header",
   "rule_label": "Table header text should not be empty",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "severity": "Minor",
   "priority": "p4",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 14,
    "affected_pages_current": 22,
    "affected_pages_previous": 28
   },
   "frequency": {
    "instances": 58,
    "pages_affected": 22,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "Table header text should not be empty (WCAG criterion undetermined)",
   "description": "Table header text should not be empty. Detected by axe-core rule empty-table-header on 22 of 4636 scanned pages (58 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule empty-table-header.",
   "actual_behavior": "Table header text should not be empty. Detected by axe-core rule empty-table-header on 22 of 4636 scanned pages (58 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=218&proposed=N",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=277&proposed=N&sortBy=status&status=all",
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=165&proposed=Y&sortBy=status&status=all"
   ],
   "html_fragments": [
    {
     "fingerprint": "ec67aafe",
     "html": "<th valign=\"top\" scope=\"col\">&nbsp;</th>",
     "selectors": [
      "table[border=\"1\"]:nth-child(99) > tbody > tr:nth-child(1) > th:nth-child(1)",
      "center:nth-child(132) > table[border=\"1\"] > tbody > tr:nth-child(1) > th:nth-child(1)",
      "center:nth-child(142) > table[border=\"1\"] > tbody > tr:nth-child(1) > th:nth-child(1)"
     ]
    },
    {
     "fingerprint": "43aeeac2",
     "html": "<th scope=\"col\">&nbsp;</th>",
     "selectors": [
      ".MsoTableGrid > tbody > tr:nth-child(1) > th:nth-child(1)"
     ]
    },
    {
     "fingerprint": "33f44a65",
     "html": "<th width=\"15%\" scope=\"col\">&nbsp;</th>",
     "selectors": [
      "th[width=\"15%\"][scope=\"col\"]:nth-child(1)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 10
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-4fac2f41",
   "fingerprint": "550210da",
   "rule_id": "aria-allowed-role",
   "rule_label": "ARIA role should be appropriate for the element",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "severity": "Minor",
   "priority": "p4",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W37",
    "weeks_observed": 8,
    "affected_pages_current": 2,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 4636
   },
   "on_key_page": false,
   "summary": "ARIA role should be appropriate for the element (WCAG criterion undetermined)",
   "description": "ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 2 of 4636 scanned pages (2 instances).",
   "remediation_tip": "Remove or change the ARIA role — it isn't allowed on this element type.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-allowed-role.",
   "actual_behavior": "ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 2 of 4636 scanned pages (2 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html",
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "3407e2e5",
     "html": "<body style=\"background: #072137\" class=\"cs-HTML theme-unified view-desktop is-landscape ff-on ff-drop-in-base ff-multiple-quiz-tracking ff-player-size-option sidebar-left zoom-mode timeline-playing n",
     "selectors": [
      "body"
     ]
    },
    {
     "fingerprint": "9babe971",
     "html": "<body style=\"background: #072137\" class=\"cs-HTML theme-unified view-desktop is-landscape ff-on ff-drop-in-base ff-js-api-basics ff-multiple-quiz-tracking ff-native-prompts ff-player-size-option sideba",
     "selectors": [
      "body"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html",
     "count": 1
    },
    {
     "pattern": "/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  }
 ],
 "clusters": {
  "by_wcag_criterion": [
   {
    "cluster_id": "140fec0b",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.8",
    "wcag_name": "Visual Presentation",
    "wcag_level": "AAA",
    "findings": [
     "VS-2208081b",
     "VS-fbf54eba",
     "VS-388b5438",
     "VS-48291402"
    ],
    "total_pages_affected": 1023,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b393058c",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.5",
    "wcag_name": "Target Size (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-cb53cc4d"
    ],
    "total_pages_affected": 688,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "75cf28e4",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-7118fead"
    ],
    "total_pages_affected": 615,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "423bd52e",
    "type": "wcag_criterion",
    "wcag_sc": "1.3.1",
    "wcag_name": "Info and Relationships",
    "wcag_level": "A",
    "findings": [
     "VS-a0bdbdf6",
     "VS-6175596b",
     "VS-07ba3b17",
     "VS-d6097011",
     "VS-3c632d31",
     "VS-4408605e",
     "VS-3f067795"
    ],
    "total_pages_affected": 452,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "77bde739",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.1",
    "wcag_name": "Use of Color",
    "wcag_level": "A",
    "findings": [
     "VS-8ade3360",
     "VS-efd91fdd"
    ],
    "total_pages_affected": 441,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "8af1f05d",
    "type": "wcag_criterion",
    "wcag_sc": "3.1.1",
    "wcag_name": "Language of Page",
    "wcag_level": "A",
    "findings": [
     "VS-c126b6a6",
     "VS-7a0e5645"
    ],
    "total_pages_affected": 325,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "945c7205",
    "type": "wcag_criterion",
    "wcag_sc": "1.1.1",
    "wcag_name": "Non-text Content",
    "wcag_level": "A",
    "findings": [
     "VS-9074b4dd",
     "VS-f7280372",
     "VS-a24eaa8c"
    ],
    "total_pages_affected": 301,
    "max_severity": "Critical"
   },
   {
    "cluster_id": "71f257a8",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.6",
    "wcag_name": "Contrast (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-646b1e0b"
    ],
    "total_pages_affected": 300,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "fd9ed1c5",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.3",
    "wcag_name": "Label in Name",
    "wcag_level": "A",
    "findings": [
     "VS-f7dba940"
    ],
    "total_pages_affected": 299,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "e08c8d69",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d25f622d"
    ],
    "total_pages_affected": 287,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b05da4e9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f054f4a4"
    ],
    "total_pages_affected": 279,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "91fd3b4c",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d5d82446"
    ],
    "total_pages_affected": 253,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "0649d9b9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f18df681"
    ],
    "total_pages_affected": 253,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "7774d667",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-0066c67d"
    ],
    "total_pages_affected": 240,
    "max_severity": "Minor"
   },
   {
    "cluster_id": "36ac08de",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-c18be945"
    ],
    "total_pages_affected": 208,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "4b43ba23",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-2cd767ca"
    ],
    "total_pages_affected": 183,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "24c4a455",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.8",
    "wcag_name": "Target Size (Minimum)",
    "wcag_level": "AA",
    "findings": [
     "VS-179ad9b3"
    ],
    "total_pages_affected": 154,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "05fbc261",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-bd13f00a"
    ],
    "total_pages_affected": 58,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "66669a92",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-04a9d28c"
    ],
    "total_pages_affected": 39,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "d68f5631",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.3",
    "wcag_name": "Contrast (Minimum)",
    "wcag_level": "AA",
    "findings": [
     "VS-be8d563e",
     "VS-f7e99f4b"
    ],
    "total_pages_affected": 35,
    "max_severity": "Serious"
   }
  ],
  "by_url_pattern": [
   {
    "cluster_id": "64453d83",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/article.aspx",
    "findings": [
     "VS-388b5438",
     "VS-4408605e",
     "VS-48291402",
     "VS-efd91fdd",
     "VS-3d033717",
     "VS-91d2294a"
    ],
    "total_pages": 53
   },
   {
    "cluster_id": "7d8c5ddc",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/lcd.aspx",
    "findings": [
     "VS-be8d563e",
     "VS-388b5438",
     "VS-48291402",
     "VS-efd91fdd",
     "VS-3f067795",
     "VS-f7e99f4b"
    ],
    "total_pages": 33
   },
   {
    "cluster_id": "034daebc",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
    "findings": [
     "VS-c613c153",
     "VS-0ba8ce9d",
     "VS-3f067795",
     "VS-4c341c77",
     "VS-f2542d87",
     "VS-3d033717",
     "VS-d69fc059"
    ],
    "total_pages": 33
   },
   {
    "cluster_id": "c3b53ec9",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/ncd.aspx",
    "findings": [
     "VS-3f067795",
     "VS-f7e99f4b",
     "VS-4c341c77",
     "VS-3d033717"
    ],
    "total_pages": 5
   },
   {
    "cluster_id": "cca0bd08",
    "type": "url_pattern",
    "pattern": "/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html",
    "findings": [
     "VS-6c86a43a",
     "VS-3a9437f7",
     "VS-7f897be7",
     "VS-aa242c2d",
     "VS-4fac2f41"
    ],
    "total_pages": 5
   },
   {
    "cluster_id": "c1da4449",
    "type": "url_pattern",
    "pattern": "/medicare/medicaid-coordination/about/dsnps",
    "findings": [
     "VS-e9fe47ac",
     "VS-28ebd979"
    ],
    "total_pages": 2
   },
   {
    "cluster_id": "13f19d0b",
    "type": "url_pattern",
    "pattern": "/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
    "findings": [
     "VS-dd1c019f",
     "VS-400f3a18"
    ],
    "total_pages": 2
   },
   {
    "cluster_id": "06601396",
    "type": "url_pattern",
    "pattern": "/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html",
    "findings": [
     "VS-6c86a43a",
     "VS-4fac2f41"
    ],
    "total_pages": 2
   }
  ]
 },
 "technology_findings": [
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r68",
   "lift": 13.32,
   "pages_with_both": 5,
   "technology_pages": 13,
   "interpretation": "Pages using jQuery UI are 13.32× more likely to have finding alfa:sia-r68."
  },
  {
   "technology": "jQuery UI",
   "finding": "axe:heading-order",
   "lift": 11.54,
   "pages_with_both": 13,
   "technology_pages": 13,
   "interpretation": "Pages using jQuery UI are 11.54× more likely to have finding axe:heading-order."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r78",
   "lift": 5.61,
   "pages_with_both": 5,
   "technology_pages": 13,
   "interpretation": "Pages using jQuery UI are 5.61× more likely to have finding alfa:sia-r78."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r53",
   "lift": 4.84,
   "pages_with_both": 5,
   "technology_pages": 13,
   "interpretation": "Pages using jQuery UI are 4.84× more likely to have finding alfa:sia-r53."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r66",
   "lift": 4.44,
   "pages_with_both": 5,
   "technology_pages": 13,
   "interpretation": "Pages using jQuery UI are 4.44× more likely to have finding alfa:sia-r66."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r74",
   "lift": 4.44,
   "pages_with_both": 5,
   "technology_pages": 13,
   "interpretation": "Pages using jQuery UI are 4.44× more likely to have finding alfa:sia-r74."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r14",
   "lift": 4.44,
   "pages_with_both": 5,
   "technology_pages": 13,
   "interpretation": "Pages using jQuery UI are 4.44× more likely to have finding alfa:sia-r14."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "axe:list",
   "lift": 2.68,
   "pages_with_both": 22,
   "technology_pages": 99,
   "interpretation": "Pages using reCAPTCHA are 2.68× more likely to have finding axe:list."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "axe:link-in-text-block",
   "lift": 2.49,
   "pages_with_both": 40,
   "technology_pages": 99,
   "interpretation": "Pages using reCAPTCHA are 2.49× more likely to have finding axe:link-in-text-block."
  },
  {
   "technology": "jsDelivr",
   "finding": "axe:link-in-text-block",
   "lift": 2.27,
   "pages_with_both": 45,
   "technology_pages": 122,
   "interpretation": "Pages using jsDelivr are 2.27× more likely to have finding axe:link-in-text-block."
  },
  {
   "technology": "Bootstrap",
   "finding": "axe:link-in-text-block",
   "lift": 2.27,
   "pages_with_both": 45,
   "technology_pages": 122,
   "interpretation": "Pages using Bootstrap are 2.27× more likely to have finding axe:link-in-text-block."
  },
  {
   "technology": "Microsoft ASP.NET",
   "finding": "axe:link-in-text-block",
   "lift": 2.27,
   "pages_with_both": 45,
   "technology_pages": 122,
   "interpretation": "Pages using Microsoft ASP.NET are 2.27× more likely to have finding axe:link-in-text-block."
  },
  {
   "technology": "jsDelivr",
   "finding": "alfa:sia-r66",
   "lift": 2.27,
   "pages_with_both": 24,
   "technology_pages": 122,
   "interpretation": "Pages using jsDelivr are 2.27× more likely to have finding alfa:sia-r66."
  },
  {
   "technology": "jsDelivr",
   "finding": "alfa:sia-r74",
   "lift": 2.27,
   "pages_with_both": 24,
   "technology_pages": 122,
   "interpretation": "Pages using jsDelivr are 2.27× more likely to have finding alfa:sia-r74."
  },
  {
   "technology": "jsDelivr",
   "finding": "alfa:sia-r14",
   "lift": 2.27,
   "pages_with_both": 24,
   "technology_pages": 122,
   "interpretation": "Pages using jsDelivr are 2.27× more likely to have finding alfa:sia-r14."
  }
 ],
 "third_party_findings": [
  {
   "origin": "jsdelivr.net",
   "pages_served": 296,
   "pages_with_findings": 203,
   "finding_co_occurrence_rate": 0.69,
   "median_bytes": 8320,
   "example_pages": [
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57877&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34548&lcdStatus=all&sortBy=title&stateRegion=all&ver=43",
    "http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=36159&lcdStatus=all&sortBy=title"
   ]
  },
  {
   "origin": "gstatic.com",
   "pages_served": 237,
   "pages_with_findings": 152,
   "finding_co_occurrence_rate": 0.64,
   "median_bytes": 1549574,
   "example_pages": [
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57877&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34548&lcdStatus=all&sortBy=title&stateRegion=all&ver=43",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55754&articleStatus=all&bc=3&sortBy=title&ver=16"
   ]
  },
  {
   "origin": "google.com",
   "pages_served": 237,
   "pages_with_findings": 152,
   "finding_co_occurrence_rate": 0.64,
   "median_bytes": 42188,
   "example_pages": [
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57877&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34548&lcdStatus=all&sortBy=title&stateRegion=all&ver=43",
    "http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55754&articleStatus=all&bc=3&sortBy=title&ver=16"
   ]
  }
 ],
 "metadata": {
  "generator": "vital-core",
  "schema_version": "0.1",
  "total_pages_scanned": 4636,
  "notes": [
   "Healthy pages (no known issues) are intentionally excluded.",
   "Representative examples are used instead of complete occurrence lists.",
   "Fingerprints are stable hashes for tracking recurring patterns over time.",
   "Fragment fingerprints normalize volatile attributes (id, style, data-*) before hashing.",
   "Technology lift values indicate association, not causation.",
   "Confidence reflects sample size: high=10+ affected pages, medium=3-9, low=1-2."
  ]
 }
}