vital-scans open quality ledger

www.medicaid.gov: Accessibility — week 2026-W24

Automated Accessibility Conformance Report (OpenACR): Download ACR. Machine-readable; compatible with GSA OpenACR tooling. Automated tools find ~⅓ of real barriers — supplement with manual AT testing.

Training priorities

Top WCAG success criteria by pages affected this week. Use these to focus team training on the highest-impact issues.

SCCriterionPagesRulesNotes
1.4.6 WCAG 1.4.6 1200 1
2.5.5 WCAG 2.5.5 1200 1
1.4.8 WCAG 1.4.8 825 2
4.1.2 Name, Role, Value (ARIA) 474 5
1.3.1 Info and Relationships (semantic structure) 435 4

Bug reports

14 issue type(s) are shown by default out of 38 total. Prioritized by severity, key pages, WCAG level, and prevalence; use the toggle to show everything.

Overall severity mix: 4 critical, 6 serious, 27 moderate, 1 minor. By WCAG category: 14 WCAG 2.0 A, 1 WCAG 2.0 AA, 1 WCAG 2.1 A, 1 WCAG 2.2 AA, 4 WCAG 2.x AAA, 8 Best Practice, 9 Undetermined. Ordered by severity, key-page impact, WCAG level, and prevalence. Following accessibility bug-reporting best practices. Download: Markdown · JSON (full archive) · JSON (AI diagnostic) · CSV (all findings) · Priority pages CSV · Priority pages JSON.

Automated testing does not establish full WCAG conformance. Findings in the verification lane require manual testing before they are treated as confirmed failures.

Default view shows 14 prioritized issue type(s); 24 more are available if you switch to "Show everything".

2 finding(s) marked "possible duplicate" — Alfa and axe-core both flagged the same WCAG SC on overlapping pages. If they target the same element, the axe-core report is authoritative. Filter the CSV by possible_duplicate_of to see these. Two engines flagging the same barrier reduces the chance of a false positive.

Findings needing review

These findings need manual verification before they can be treated as confirmed failures. Obligation remains visible for each finding.

Critical axe aria-allowed-attr WCAG 2.0 A Elements must only use supported ARIA attributes (WCAG 4.1.2) 311/2828 pages · 1513 instances Likely template
Bug ID
VS-500b7c76
Pattern ID
VS-1467ea8a
Combined ID
VS-500b7c76 (pattern VS-1467ea8a) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
a[href$="#overview"]
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<a class="nav-item nav-link active" href="#overview" role="link" aria-selected="true" aria-controls="overview" data-toggle="tab">Overview</a>

Description

Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 311 of 2828 scanned pages (1513 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276.
  2. Locate the element: a[href$="#overview"]
  3. Confirm the axe-core finding for rule aria-allowed-attr against WCAG 4.1.2 Name, Role, Value.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited manipulation/strength — 13.0% of population

Affected pages

…and more — all 311 pages (CSV).

Testing environment

Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: Remove ARIA attributes that aren't allowed on this role/element.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI

Critical axe aria-required-children WCAG 2.0 A Certain ARIA roles must contain particular children (WCAG 1.3.1) 311/2828 pages · 311 instances Likely template
Bug ID
VS-6e7c847d
Pattern ID
VS-9429bb8d
Combined ID
VS-6e7c847d (pattern VS-9429bb8d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.3.1 Info and Relationships (Level A, WCAG 2.0)
XPath / selector
.nav
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<div class="nav nav-tabs nav-justified" role="tablist">

Description

Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 311 of 2828 scanned pages (311 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276.
  2. Locate the element: .nav
  3. Confirm the axe-core finding for rule aria-required-children against WCAG 1.3.1 Info and Relationships.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited cognitive, language, or learning ability — 11.0% of population

Affected pages

…and more — all 311 pages (CSV).

Testing environment

Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: Add the child roles this container role requires (e.g. a list needs listitem children).

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI

Serious axe aria-input-field-name WCAG 2.0 A ARIA input fields must have an accessible name (WCAG 4.1.2) 116/2828 pages · 245 instances Likely template
Bug ID
VS-ffd9963e
Pattern ID
VS-0841abc2
Combined ID
VS-ffd9963e (pattern VS-0841abc2) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
span[data-select2-id="select2-data-1-ocgy"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="-1" aria-disabled="false">

Description

ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 116 of 2828 scanned pages (245 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=981&q=.
  2. Locate the element: span[data-select2-id="select2-data-1-ocgy"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]
  3. Confirm the axe-core finding for rule aria-input-field-name against WCAG 4.1.2 Name, Role, Value.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited manipulation/strength — 13.0% of population

Affected pages

…and more — all 116 pages (CSV).

Testing environment

Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI

Serious axe aria-prohibited-attr WCAG 2.0 A Elements must only use permitted ARIA attributes (WCAG 4.1.2) 7/2828 pages · 8 instances
Bug ID
VS-9a2228bf
Pattern ID
VS-ebb1c464
Combined ID
VS-9a2228bf (pattern VS-ebb1c464) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
#map-svg-map-1733145095414
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<div id="map-svg-map-1733145095414" class="map-container" aria-disabled="true" aria-label="State Map Image. Keyboard navigating users can use dropdown to select state." style="position: relative; widt

Description

Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 7 of 2828 scanned pages (8 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa.
  2. Locate the element: #map-svg-map-1733145095414
  3. Confirm the axe-core finding for rule aria-prohibited-attr against WCAG 4.1.2 Name, Role, Value.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited manipulation/strength — 13.0% of population

Affected pages

Testing environment

Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI

Critical axe image-alt WCAG 2.0 A Images must have alternative text (WCAG 1.1.1) 1/2828 pages · 1 instances Likely content
Bug ID
VS-38918f70
Pattern ID
VS-9074b4dd
Combined ID
VS-38918f70 (pattern VS-9074b4dd) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.1.1 Non-text Content (Level A, WCAG 2.0)
XPath / selector
p:nth-child(1) > a > img
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<img src="/media/file/monitor-eval-1115-demonstrations0.png/">

Description

Images must have alternative text. Detected by axe-core rule image-alt on 1 of 2828 scanned pages (1 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation.
  2. Locate the element: p:nth-child(1) > a > img
  3. Confirm the axe-core finding for rule image-alt against WCAG 1.1.1 Non-text Content.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited cognitive, language, or learning ability — 11.0% of population

Affected pages

Testing environment

Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: Give every <img> a meaningful alt attribute. Use alt="" only for decorative images so screen readers skip them.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI

Critical axe select-name WCAG 2.0 A Select element must have an accessible name (WCAG 4.1.2) 1/2828 pages · 1 instances Likely content
Bug ID
VS-a4f15ed1
Pattern ID
VS-fab92378
Combined ID
VS-a4f15ed1 (pattern VS-fab92378) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
#items-per-page
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<select id="items-per-page" class="form-select">
                                <option value="10">10</option>
                                <option value="25">25</option>

Description

Select element must have an accessible name. Detected by axe-core rule select-name on 1 of 2828 scanned pages (1 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v4/technical-instructions.
  2. Locate the element: #items-per-page
  3. Confirm the axe-core finding for rule select-name against WCAG 4.1.2 Name, Role, Value.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited manipulation/strength — 13.0% of population

Affected pages

Testing environment

Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: Give the <select> an accessible name via a <label> or aria-label.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI

Serious axe color-contrast WCAG 2.0 AA Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3) 1/2828 pages · 2 instances Likely content
Bug ID
VS-f844b397
Pattern ID
VS-be8d563e
Combined ID
VS-f844b397 (pattern VS-be8d563e) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 AA
Obligation
required
Handling
review
WCAG SC
1.4.3 Contrast (Minimum) (Level AA, WCAG 2.0)
XPath / selector
.helpful-box-gray-sm > p > span
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<span id="nav-icon">🛈</span>

Description

Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 1 of 2828 scanned pages (2 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/chip/reports-evaluations.
  2. Locate the element: .helpful-box-gray-sm > p > span
  3. Confirm the axe-core finding for rule color-contrast against WCAG 1.4.3 Contrast (Minimum).

Impact

Affects Limited vision (2.4%), Without color perception (4.5%).

  • Limited vision — 2.4% of population
  • Without color perception — 4.5% of population

Affected pages

Testing environment

Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: 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.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI

Serious axe link-name WCAG 2.0 A Links must have discernible text (WCAG 2.4.4) 1/2828 pages · 1 instances Likely content
Bug ID
VS-f1a54936
Pattern ID
VS-e9fe47ac
Combined ID
VS-f1a54936 (pattern VS-e9fe47ac) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
2.4.4 Link Purpose (In Context) (Level A, WCAG 2.0)
XPath / selector
p:nth-child(1) > a
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<a href="/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf"><img src="/media/file/monitor-eval-1115-demonstrations0.png/"></a>

Description

Links must have discernible text. Detected by axe-core rule link-name on 1 of 2828 scanned pages (1 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation.
  2. Locate the element: p:nth-child(1) > a
  3. Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context).

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited cognitive, language, or learning ability — 11.0% of population

Affected pages

Testing environment

Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: Give the link discernible text. Avoid empty links and icon-only links without an aria-label.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI

Serious axe page-has-heading-one Best Practice Page should contain a level-one heading (WCAG criterion undetermined) 1427/2828 pages · 1427 instances Likely template
Bug ID
VS-13c6c6e4
Pattern ID
VS-fa44f293
Combined ID
VS-13c6c6e4 (pattern VS-fa44f293) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
html
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<html class="no-js" lang="en">

Description

Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 1427 of 2828 scanned pages (1427 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317.
  2. Locate the element: html
  3. Confirm the axe-core finding for rule page-has-heading-one.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 1427 pages (CSV).

Testing environment

Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI

Serious axe label-title-only Best Practice Form elements should have a visible label (WCAG criterion undetermined) 10/2828 pages · 41 instances Likely template
Bug ID
VS-4d3feba0
Pattern ID
VS-33841929
Combined ID
VS-4d3feba0 (pattern VS-33841929) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
select[aria-labelledby="filter-th-87376-0"]
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<select aria-labelledby="filter-th-87376-0" class="usa-select height-1" data-col-index="0" title="Filter by Year">

Description

Form elements should have a visible label. Detected by axe-core rule label-title-only on 10 of 2828 scanned pages (41 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices.
  2. Locate the element: select[aria-labelledby="filter-th-87376-0"]
  3. Confirm the axe-core finding for rule label-title-only.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI

Moderate alfa sia-r14 WCAG 2.1 A Accessible name of link or button matches visible label (WCAG 2.5.3) 123/2828 pages · 123 instances Likely template
Bug ID
VS-0750bf19
Pattern ID
VS-f7dba940
Combined ID
VS-0750bf19 (pattern VS-f7dba940) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.1 A
Obligation
required
Handling
review
WCAG SC
2.5.3 Label in Name (Level A, WCAG 2.1)
XPath / selector
<a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 123 of 2828 scanned pages (123 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276.
  2. Locate the element: <a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">
  3. Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name.

Impact

Affects Without vision (1.0%), Without speech (0.5%).

  • Without vision — 1.0% of population
  • Without speech — 0.5% of population

Affected pages

…and more — all 123 pages (CSV).

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14

Moderate alfa sia-r68 WCAG 2.0 A Presentational children of an element are not focusable (WCAG 1.3.1) 117/2828 pages · 121 instances Likely template
Bug ID
VS-8e1bc774
Pattern ID
VS-d6097011
Combined ID
VS-8e1bc774 (pattern VS-d6097011) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.3.1 Info and Relationships (Level A, WCAG 2.0)
XPath / selector
<div class="nav nav-tabs nav-justified" role="tablist">
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 117 of 2828 scanned pages (121 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276.
  2. Locate the element: <div class="nav nav-tabs nav-justified" role="tablist">
  3. Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited cognitive, language, or learning ability — 11.0% of population

Affected pages

…and more — all 117 pages (CSV).

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68

Moderate alfa sia-r8 WCAG 2.0 A Form field has accessible name (WCAG 4.1.2) 39/2828 pages · 82 instances Likely template
Bug ID
VS-b1263685
Pattern ID
VS-a48e6078
Combined ID
VS-b1263685 (pattern VS-a48e6078) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
<span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 39 of 2828 scanned pages (82 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=.
  2. Locate the element: <span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">
  3. Confirm the Siteimprove Alfa finding for rule sia-r8 against WCAG 4.1.2 Name, Role, Value.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited manipulation/strength — 13.0% of population

Affected pages

…and more — all 39 pages (CSV).

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: Associate the form field with a label.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8

Moderate alfa sia-r113 WCAG 2.2 AA Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8) 39/2828 pages · 82 instances Likely template
Bug ID
VS-60c1f6f9
Pattern ID
VS-179ad9b3
Combined ID
VS-60c1f6f9 (pattern VS-179ad9b3) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.2 AA
Obligation
required
Handling
review
WCAG SC
2.5.8 Target Size (Minimum) (Level AA, WCAG 2.2)
XPath / selector
<textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 39 of 2828 scanned pages (82 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=.
  2. Locate the element: <textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">
  3. Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum).

Impact

Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%).

  • Limited manipulation/strength — 13.0% of population
  • Limited reach — 2.0% of population
  • Limited vision — 2.4% of population

Affected pages

…and more — all 39 pages (CSV).

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113

Moderate axe region Best Practice All page content should be contained by landmarks (WCAG criterion undetermined) 1402/2828 pages · 6271 instances Likely template
Bug ID
VS-c1f1f6d9
Pattern ID
VS-f18df681
Combined ID
VS-c1f1f6d9 (pattern VS-f18df681) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
.small
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<div class="small p-1">

Description

All page content should be contained by landmarks. Detected by axe-core rule region on 1402 of 2828 scanned pages (6271 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317.
  2. Locate the element: .small
  3. Confirm the axe-core finding for rule region.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 1402 pages (CSV).

Testing environment

Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI

Moderate axe landmark-one-main Best Practice Document should have one main landmark (WCAG criterion undetermined) 1399/2828 pages · 1399 instances Likely template
Bug ID
VS-6bfcb63c
Pattern ID
VS-d5d82446
Combined ID
VS-6bfcb63c (pattern VS-d5d82446) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
html
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<html class="no-js" lang="en">

Description

Document should have one main landmark. Detected by axe-core rule landmark-one-main on 1399 of 2828 scanned pages (1399 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317.
  2. Locate the element: html
  3. Confirm the axe-core finding for rule landmark-one-main.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 1399 pages (CSV).

Testing environment

Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: Each page should have exactly one <main> landmark.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI

Moderate deprecated-html presentational-attr Undetermined Presentational attribute (use CSS) (WCAG criterion undetermined) 1227/2828 pages · 1387 instances Likely template
Bug ID
VS-8588b937
Pattern ID
VS-04a9d28c
Combined ID
VS-8588b937 (pattern VS-04a9d28c) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
Rule
deprecated-html — Presentational attribute (use CSS) [presentational-attr]
XPath / selector
td
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<td valign="top" colspan="7" class="dataTables_empty">No data available in table</td>

Description

Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 1227 of 2828 scanned pages (1387 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317.
  2. Locate the element: td
  3. Confirm the deprecated-html finding for rule presentational-attr.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 1227 pages (CSV).

Testing environment

Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

Not captured by automated scan — requires manual testing.

Moderate alfa sia-r66 WCAG 2.x AAA Text has enhanced contrast (WCAG 1.4.6) 1200/2828 pages · 32739 instances Likely template
Bug ID
VS-e38815a9
Pattern ID
VS-646b1e0b
Combined ID
VS-e38815a9 (pattern VS-646b1e0b) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
1.4.6 Contrast (Enhanced) (Level AAA, WCAG 2.0)
XPath / selector
text: "Here’s how you know"
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 1200 of 2828 scanned pages (32739 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person.
  2. Locate the element: text: "Here’s how you know"
  3. Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced).

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 1200 pages (CSV).

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: Increase text contrast to meet WCAG AAA (7:1).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66

Moderate alfa sia-r111 WCAG 2.x AAA Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5) 1200/2828 pages · 20156 instances Likely template
Bug ID
VS-cf41d814
Pattern ID
VS-cb53cc4d
Combined ID
VS-cf41d814 (pattern VS-cb53cc4d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
2.5.5 Target Size (Enhanced) (Level AAA, WCAG 2.1)
XPath / selector
<button class="usa-button" type="submit">
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 1200 of 2828 scanned pages (20156 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person.
  2. Locate the element: <button class="usa-button" type="submit">
  3. Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced).

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 1200 pages (CSV).

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111

Moderate alfa sia-r57 Undetermined Scrolling content can be accessed by keyboard (WCAG criterion undetermined) 1198/2828 pages · 14377 instances Likely template
Bug ID
VS-9559ef51
Pattern ID
VS-c18be945
Combined ID
VS-9559ef51 (pattern VS-c18be945) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
text: " Feedback "
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 1198 of 2828 scanned pages (14377 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person.
  2. Locate the element: text: " Feedback "
  3. Confirm the Siteimprove Alfa finding for rule sia-r57.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 1198 pages (CSV).

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57

Moderate alfa sia-r73 WCAG 2.x AAA Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8) 814/2828 pages · 3197 instances Likely template
Bug ID
VS-6bc9ab0c
Pattern ID
VS-2208081b
Combined ID
VS-6bc9ab0c (pattern VS-2208081b) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
1.4.8 Visual Presentation (Level AAA, WCAG 2.0)
XPath / selector
<p class="usa-footer__contact-info margin-bottom-0">
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 814 of 2828 scanned pages (3197 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person.
  2. Locate the element: <p class="usa-footer__contact-info margin-bottom-0">
  3. Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 814 pages (CSV).

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73

Moderate axe heading-order Best Practice Heading levels should only increase by one (WCAG criterion undetermined) 711/2828 pages · 760 instances Likely template
Bug ID
VS-12e4d570
Pattern ID
VS-d25f622d
Combined ID
VS-12e4d570 (pattern VS-d25f622d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
.field--name-field-resources-list > h3
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<h3>Related Resources</h3>

Description

Heading levels should only increase by one. Detected by axe-core rule heading-order on 711 of 2828 scanned pages (760 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j.
  2. Locate the element: .field--name-field-resources-list > h3
  3. Confirm the axe-core finding for rule heading-order.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 711 pages (CSV).

Testing environment

Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI

Moderate alfa sia-r53 Undetermined Headings are structured hierarchically (WCAG criterion undetermined) 601/2828 pages · 645 instances Likely template
Bug ID
VS-04253ab1
Pattern ID
VS-f054f4a4
Combined ID
VS-04253ab1 (pattern VS-f054f4a4) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<h3>
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 601 of 2828 scanned pages (645 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j.
  2. Locate the element: <h3>
  3. Confirm the Siteimprove Alfa finding for rule sia-r53.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 601 pages (CSV).

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: Use headings in a logical, non-skipping order.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53

Moderate alfa sia-r61 Undetermined Form field label is visible (WCAG criterion undetermined) 395/2828 pages · 395 instances Likely template
Bug ID
VS-863a3715
Pattern ID
VS-7118fead
Combined ID
VS-863a3715 (pattern VS-7118fead) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 395 of 2828 scanned pages (395 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276.
  2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
  3. Confirm the Siteimprove Alfa finding for rule sia-r61.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 395 pages (CSV).

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61

Moderate alfa sia-r87 Undetermined First focusable element is link to main content (WCAG criterion undetermined) 390/2828 pages · 390 instances Likely template
Bug ID
VS-40a6c5b4
Pattern ID
VS-aa242c2d
Combined ID
VS-40a6c5b4 (pattern VS-aa242c2d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 390 of 2828 scanned pages (390 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276.
  2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
  3. Confirm the Siteimprove Alfa finding for rule sia-r87.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 390 pages (CSV).

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87

Minor axe aria-allowed-role Best Practice ARIA role should be appropriate for the element (WCAG criterion undetermined) 122/2828 pages · 254 instances Likely template
Bug ID
VS-506ca282
Pattern ID
VS-4fac2f41
Combined ID
VS-506ca282 (pattern VS-4fac2f41) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
span[data-select2-id="select2-data-1-ocgy"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off" autocapitalize="none" spellcheck="false" role="searchbox" aria-autocomplete="list" autocomplete="off" aria-label="S

Description

ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 122 of 2828 scanned pages (254 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=981&q=.
  2. Locate the element: span[data-select2-id="select2-data-1-ocgy"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea
  3. Confirm the axe-core finding for rule aria-allowed-role.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 122 pages (CSV).

Testing environment

Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: Remove or change the ARIA role — it isn't allowed on this element type.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI

Moderate alfa sia-r18 Undetermined aria attribute is permitted for element role (WCAG criterion undetermined) 94/2828 pages · 441 instances Likely template
Bug ID
VS-6e60db44
Pattern ID
VS-e05344b9
Combined ID
VS-6e60db44 (pattern VS-e05344b9) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
@aria-selected="true"
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 94 of 2828 scanned pages (441 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276.
  2. Locate the element: @aria-selected="true"
  3. Confirm the Siteimprove Alfa finding for rule sia-r18.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 94 pages (CSV).

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: Only use ARIA states/properties that are allowed on this element/role.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18

Moderate axe landmark-unique Best Practice Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined) 85/2828 pages · 85 instances Likely template
Bug ID
VS-e745a5bc
Pattern ID
VS-8806389c
Combined ID
VS-e745a5bc (pattern VS-8806389c) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
.section
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<aside class="section" role="complementary">

Description

Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 85 of 2828 scanned pages (85 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person.
  2. Locate the element: .section
  3. Confirm the axe-core finding for rule landmark-unique.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 85 pages (CSV).

Testing environment

Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: 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.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI

Moderate alfa sia-r74 WCAG 2.x AAA Link is distinguishable without relying on color (WCAG 1.4.8) 11/2828 pages · 27 instances Likely template
Bug ID
VS-25bcedb1
Pattern ID
VS-fbf54eba
Combined ID
VS-25bcedb1 (pattern VS-fbf54eba) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
1.4.8 Visual Presentation (Level AAA, WCAG 2.0)
XPath / selector
<p class="MsoNormal" style="box-sizing:inherit;font-size:18px;line-height:1.5;margin-block:1em 0px;margin-bottom:0px;margin-top:0px;">
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 11 of 2828 scanned pages (27 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/about-us/leadership.
  2. Locate the element: <p class="MsoNormal" style="box-sizing:inherit;font-size:18px;line-height:1.5;margin-block:1em 0px;margin-bottom:0px;margin-top:0px;">
  3. Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74

Moderate alfa sia-r78 Undetermined Table header has scope (WCAG criterion undetermined) 6/2828 pages · 9 instances
Bug ID
VS-2cff28d4
Pattern ID
VS-2cd767ca
Combined ID
VS-2cff28d4 (pattern VS-2cd767ca) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<h3 _ngcontent-ng-c1329502141="" class="view-measures-related-to-header core-set ng-star-inserted">
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 6 of 2828 scanned pages (9 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D.
  2. Locate the element: <h3 _ngcontent-ng-c1329502141="" class="view-measures-related-to-header core-set ng-star-inserted">
  3. Confirm the Siteimprove Alfa finding for rule sia-r78.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78

Moderate alfa sia-r72 Undetermined Element role is consistent with ARIA landmark (WCAG criterion undetermined) 4/2828 pages · 466 instances
Bug ID
VS-79322ee9
Pattern ID
VS-e5ec42f0
Combined ID
VS-79322ee9 (pattern VS-e5ec42f0) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<p _ngcontent-ng-c2822395467="" class="title core-set">
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 4 of 2828 scanned pages (466 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D.
  2. Locate the element: <p _ngcontent-ng-c2822395467="" class="title core-set">
  3. Confirm the Siteimprove Alfa finding for rule sia-r72.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r72

Moderate alfa sia-r62 WCAG 2.0 A Link in text block is visually distinguishable without color (WCAG 1.4.1) 4/2828 pages · 12 instances
Bug ID
VS-4989edbf
Pattern ID
VS-efd91fdd
Combined ID
VS-4989edbf (pattern VS-efd91fdd) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.4.1 Use of Color (Level A, WCAG 2.0)
XPath / selector
<a style="text-decoration:none;" href="#one" title="">
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 4 of 2828 scanned pages (12 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality.
  2. Locate the element: <a style="text-decoration:none;" href="#one" title="">
  3. Confirm the Siteimprove Alfa finding for rule sia-r62 against WCAG 1.4.1 Use of Color.

Impact

Affects Without color perception (4.5%), Limited vision (2.4%).

  • Without color perception — 4.5% of population
  • Limited vision — 2.4% of population

Affected pages

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: Make links visually distinguishable from surrounding text (not by color alone).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62

Moderate alfa sia-r46 WCAG 2.0 A Element has required aria-owns (WCAG 1.3.1) 4/2828 pages · 6 instances
Bug ID
VS-15bc5e81
Pattern ID
VS-4408605e
Combined ID
VS-15bc5e81 (pattern VS-4408605e) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.3.1 Info and Relationships (Level A, WCAG 2.0)
XPath / selector
<th>
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 4 of 2828 scanned pages (6 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/state-overviews/puerto-rico.html.
  2. Locate the element: <th>
  3. Confirm the Siteimprove Alfa finding for rule sia-r46 against WCAG 1.3.1 Info and Relationships.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited cognitive, language, or learning ability — 11.0% of population

Affected pages

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r46

Moderate alfa sia-r85 Undetermined Keyboard trap does not exist (WCAG criterion undetermined) 3/2828 pages · 161 instances
Bug ID
VS-3f3f49bb
Pattern ID
VS-4c341c77
Combined ID
VS-3f3f49bb (pattern VS-4c341c77) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<p class="selected-states-header">
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 3 of 2828 scanned pages (161 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D.
  2. Locate the element: <p class="selected-states-header">
  3. Confirm the Siteimprove Alfa finding for rule sia-r85.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85

Moderate axe scope-attr-valid Best Practice scope attribute should be used correctly (WCAG criterion undetermined) 3/2828 pages · 60 instances
Bug ID
VS-caa1d8ec
Pattern ID
VS-0ba8ce9d
Combined ID
VS-caa1d8ec (pattern VS-0ba8ce9d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
tr:nth-child(1) > td[scope="row"]
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

HTML snippet — use this to validate the finding without re-running the tool

<td scope="row">Fact Sheet for Child and Adult Core Sets Reporting</td>

Description

scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 3 of 2828 scanned pages (60 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/about.
  2. Locate the element: tr:nth-child(1) > td[scope="row"]
  3. Confirm the axe-core finding for rule scope-attr-valid.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI

Moderate alfa sia-r77 WCAG 2.0 A Table cell has header (WCAG 1.3.1) 3/2828 pages · 25 instances
Bug ID
VS-a31e003b
Pattern ID
VS-3f067795
Combined ID
VS-a31e003b (pattern VS-3f067795) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.3.1 Info and Relationships (Level A, WCAG 2.0)
XPath / selector
<td>
History
first seen 2026-W24, last seen 2026-W24 (1 wk)

Description

Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 3 of 2828 scanned pages (25 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/state-overviews/puerto-rico.html.
  2. Locate the element: <td>
  3. Confirm the Siteimprove Alfa finding for rule sia-r77 against WCAG 1.3.1 Info and Relationships.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited cognitive, language, or learning ability — 11.0% of population

Affected pages

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r77

Moderate alfa sia-r2 WCAG 2.0 A Image has accessible name (WCAG 1.1.1) 1/2828 pages · 1 instances · possible duplicate Likely content
Bug ID
VS-29ab8ed7
Pattern ID
VS-a24eaa8c
Combined ID
VS-29ab8ed7 (pattern VS-a24eaa8c) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.1.1 Non-text Content (Level A, WCAG 2.0)
XPath / selector
<img src="/media/file/monitor-eval-1115-demonstrations0.png/">
History
first seen 2026-W24, last seen 2026-W24 (1 wk)
Possible duplicate
Same WCAG SC covered by axe report VS-38918f70 (pattern VS-9074b4dd). If axe and this engine flag the same element, the axe report takes precedence — mark this as duplicate in JIRA.

Description

Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 1 of 2828 scanned pages (1 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation.
  2. Locate the element: <img src="/media/file/monitor-eval-1115-demonstrations0.png/">
  3. Confirm the Siteimprove Alfa finding for rule sia-r2 against WCAG 1.1.1 Non-text Content.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited cognitive, language, or learning ability — 11.0% of population

Affected pages

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: Give every <img> an accessible name (alt text), or alt="" if purely decorative.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2

Moderate alfa sia-r11 WCAG 2.0 A Link has accessible name (WCAG 2.4.4) 1/2828 pages · 1 instances · possible duplicate Likely content
Bug ID
VS-bf3ec45d
Pattern ID
VS-28ebd979
Combined ID
VS-bf3ec45d (pattern VS-28ebd979) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
2.4.4 Link Purpose (In Context) (Level A, WCAG 2.0)
XPath / selector
<a href="/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf">
History
first seen 2026-W24, last seen 2026-W24 (1 wk)
Possible duplicate
Same WCAG SC covered by axe report VS-f1a54936 (pattern VS-e9fe47ac). If axe and this engine flag the same element, the axe report takes precedence — mark this as duplicate in JIRA.

Description

Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 1 of 2828 scanned pages (1 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation.
  2. Locate the element: <a href="/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf">
  3. Confirm the Siteimprove Alfa finding for rule sia-r11 against WCAG 2.4.4 Link Purpose (In Context).

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited cognitive, language, or learning ability — 11.0% of population

Affected pages

Testing environment

Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

Suggested fix

How to fix: Give the link an accessible name via text content or aria-label.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r11

Deque axe-core findings

Rule-level axe-core summary (16 rule type(s))

Each failing rule links out to the axe-core documentation. For full element-level detail including HTML snippets and XPaths, see the bug reports above.

axe-core rules failing in 2026-W24, by pages affected
RuleImpactPages affectedInstancesExample pagesAll affected
Page should contain a level-one heading [page-has-heading-one] moderate 1427 1427 /tmsis/dataguide/v4/validation-rules/rule-7317
/tmsis/dataguide/v4/data-quality-measures/all-1-004-2
/tmsis/dataguide/v4/data-elements/cot004276		 all 1427 pages (CSV)
All page content should be contained by landmarks [region] moderate 1402 6271 /tmsis/dataguide/v4/validation-rules/rule-7317
/tmsis/dataguide/v4/data-quality-measures/all-1-004-2
/tmsis/dataguide/v4/data-elements/cot004276		 all 1402 pages (CSV)
Document should have one main landmark [landmark-one-main] moderate 1399 1399 /tmsis/dataguide/v4/validation-rules/rule-7317
/tmsis/dataguide/v4/data-quality-measures/all-1-004-2
/tmsis/dataguide/v4/data-elements/cot004276		 all 1399 pages (CSV)
Heading levels should only increase by one [heading-order] moderate 711 760 /medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j
/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067
/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa		 all 711 pages (CSV)
Elements must only use supported ARIA attributes [aria-allowed-attr] critical 311 1513 /tmsis/dataguide/v4/data-elements/cot004276
/tmsis/dataguide/v4/data-elements/cot003272
/tmsis/dataguide/v4/data-elements/crx002041		 all 311 pages (CSV)
Certain ARIA roles must contain particular children [aria-required-children] critical 311 311 /tmsis/dataguide/v4/data-elements/cot004276
/tmsis/dataguide/v4/data-elements/cot003272
/tmsis/dataguide/v4/data-elements/crx002041		 all 311 pages (CSV)
ARIA role should be appropriate for the element [aria-allowed-role] minor 122 254 /medicaid/medicaid-state-plan-amendments
/medicaid/section-1115-demo/demonstration-and-waiver-list
/chip/state-program-information/chip-spa		 all 122 pages (CSV)
ARIA input fields must have an accessible name [aria-input-field-name] serious 116 245 /medicaid/medicaid-state-plan-amendments
/medicaid/section-1115-demo/demonstration-and-waiver-list
/chip/state-program-information/chip-spa		 all 116 pages (CSV)
Landmarks should have a unique role or role/label/title (i.e. accessible name) combination [landmark-unique] moderate 85 85 /medicaid/long-term-services-supports/money-follows-person
/state-overviews
/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation		 all 85 pages (CSV)
Form elements should have a visible label [label-title-only] serious 10 41 /medicaid/prescription-drugs/drug-utilization-review/innovative-practices
/state-overviews/state-profiles/index.html
/prior-annual-medicaid-hospice-rate-letters		 all 10 pages (CSV)
Elements must only use permitted ARIA attributes [aria-prohibited-attr] serious 7 8 /medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa
/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals
/state-overviews/state-profiles/index.html		 all 7 pages (CSV)
scope attribute should be used correctly [scope-attr-valid] moderate 3 60 /medicaid/quality-of-care/core-set-data-dashboard/about
/state-overviews/scorecard/about
/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels		 all 3 pages (CSV)
Elements must meet minimum color contrast ratio thresholds [color-contrast] serious 1 2 /chip/reports-evaluations all 1 pages (CSV)
Images must have alternative text [image-alt] critical 1 1 /medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation all 1 pages (CSV)
Links must have discernible text [link-name] serious 1 1 /medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation all 1 pages (CSV)
Select element must have an accessible name [select-name] critical 1 1 /tmsis/dataguide/v4/technical-instructions all 1 pages (CSV)

Siteimprove Alfa findings

Rule-level Alfa summary (21 rule type(s))

Rule-level summary from Siteimprove Alfa (W3C ACT-based). Findings that overlap with axe-core on the same WCAG success criterion are noted as possible duplicates in the bug reports above.

Alfa rules failing in 2026-W24, by pages affected
RuleImpactPages affectedInstancesExample pagesAll affected
Text has enhanced contrast [sia-r66] n/a 1200 32739 /medicaid/long-term-services-supports/money-follows-person
/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j
/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067		 all 1200 pages (CSV)
Target size is at least 44×44 CSS pixels (Enhanced) [sia-r111] n/a 1200 20156 /medicaid/long-term-services-supports/money-follows-person
/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j
/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067		 all 1200 pages (CSV)
Scrolling content can be accessed by keyboard [sia-r57] n/a 1198 14377 /medicaid/long-term-services-supports/money-follows-person
/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j
/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067		 all 1198 pages (CSV)
Text has minimum contrast ratio of 4.5:1 [sia-r73] n/a 814 3197 /medicaid/long-term-services-supports/money-follows-person
/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j
/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067		 all 814 pages (CSV)
Headings are structured hierarchically [sia-r53] n/a 601 645 /medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j
/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067
/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa		 all 601 pages (CSV)
Form field label is visible [sia-r61] n/a 395 395 /tmsis/dataguide/v4/data-elements/cot004276
/tmsis/dataguide/v4/validation-rules/rule-2009
/tmsis/dataguide/v4/data-elements/cot003272		 all 395 pages (CSV)
First focusable element is link to main content [sia-r87] n/a 390 390 /tmsis/dataguide/v4/data-elements/cot004276
/tmsis/dataguide/v4/validation-rules/rule-2009
/tmsis/dataguide/v4/data-elements/cot003272		 all 390 pages (CSV)
Accessible name of link or button matches visible label [sia-r14] n/a 123 123 /tmsis/dataguide/v4/data-elements/cot004276
/tmsis/dataguide/v4/data-elements/cot003272
/tmsis/dataguide/v4/data-quality-measures/all-17-006-6		 all 123 pages (CSV)
Presentational children of an element are not focusable [sia-r68] n/a 117 121 /tmsis/dataguide/v4/data-elements/cot004276
/tmsis/dataguide/v4/data-elements/cot003272
/tmsis/dataguide/v4/data-elements/clt002076		 all 117 pages (CSV)
aria attribute is permitted for element role [sia-r18] n/a 94 441 /tmsis/dataguide/v4/data-elements/cot004276
/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa
/tmsis/dataguide/v4/data-elements/cot003272		 all 94 pages (CSV)
Form field has accessible name [sia-r8] n/a 39 82 /medicaid/medicaid-state-plan-amendments
/faq
/chip/state-program-information/chip-spa		 all 39 pages (CSV)
Target size is at least 24×24 CSS pixels or has spacing (Minimum) [sia-r113] n/a 39 82 /medicaid/medicaid-state-plan-amendments
/faq
/chip/state-program-information/chip-spa		 all 39 pages (CSV)
Link is distinguishable without relying on color [sia-r74] n/a 11 27 /about-us/leadership
/medicaid/quality-of-care/core-set-data-dashboard/main
/medicaid/section-1115-demonstrations/budget-neutrality		 all 11 pages (CSV)
Table header has scope [sia-r78] n/a 6 9 /medicaid/quality-of-care/core-set-data-dashboard/main
/medicaid/quality-of-care/core-set-data-dashboard/main
/resources-for-states/medicaid-and-chip-program-portal		 all 6 pages (CSV)
Element role is consistent with ARIA landmark [sia-r72] n/a 4 466 /medicaid/quality-of-care/core-set-data-dashboard/main
/medicaid/quality-of-care/core-set-data-dashboard/main
/state-overviews/scorecard/about		 all 4 pages (CSV)
Link in text block is visually distinguishable without color [sia-r62] n/a 4 12 /medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality
/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity
/medicaid/quality-of-care/quality-improvement-initiatives/maternal-infant-health-care-quality		 all 4 pages (CSV)
Element has required aria-owns [sia-r46] n/a 4 6 /state-overviews/puerto-rico.html
/state-overviews/usvi.html
/state-overviews/guam.html		 all 4 pages (CSV)
Keyboard trap does not exist [sia-r85] n/a 3 161 /medicaid/quality-of-care/core-set-data-dashboard/main
/medicaid/quality-of-care/core-set-data-dashboard/main
/medicaid/quality-of-care/core-set-data-dashboard/main		 all 3 pages (CSV)
Table cell has header [sia-r77] n/a 3 25 /state-overviews/puerto-rico.html
/state-overviews/usvi.html
/state-overviews/guam.html		 all 3 pages (CSV)
Image has accessible name [sia-r2] n/a 1 1 /medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation all 1 pages (CSV)
Link has accessible name [sia-r11] n/a 1 1 /medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation all 1 pages (CSV)

Unique accessibility issues (axe + Alfa consolidated)

axe and Alfa both implement W3C ACT rules, so the same issue is often caught by both. These are deduplicated by ACT rule and page, so a shared finding counts once (12155 raw engine findings → 12025 unique).

Unique issues (rule × page)
12025
Caught by both engines
130 highest confidence
axe only
5778
Alfa only
6117
4 rule type(s) caught by both engines — highest confidence

Two independent ACT-rule implementations (Deque axe-core and Siteimprove Alfa) flagged the same issue on the same pages. Agreement between separate engines is strong evidence the barrier is real, not a single-tool false positive — the best place to start.

Rules flagged by both axe-core and Alfa in 2026-W24, by pages affected.
IssuePagesRule references
Elements must only use supported ARIA attributes323axe aria-allowed-attr · Alfa sia-r18 · ACT 5c01ea
ARIA input fields must have an accessible name117axe aria-input-field-name · Alfa sia-r8 · ACT e086e5
Images must have alternative text1axe image-alt · Alfa sia-r2 · ACT 23a2a8
Links must have discernible text1axe link-name · Alfa sia-r11 · ACT c487ae