{
 "domain": "www.medicaid.gov",
 "week": "2026-W24",
 "generatedAt": "2026-07-06T00:54:02.350Z",
 "reports": [
  {
   "instance_id": "VS-60c1f6f9",
   "pattern_id": "VS-179ad9b3",
   "a11y_pattern_fingerprint": "6289c3141138c0f42775f98b28ae763a8dca8a79a47e2f6515a0d82b87159a69",
   "a11y_pattern_display_id": "A11Y-PAT-6289C3141138",
   "a11y_occurrence_fingerprint": "6a39022c480afc130309efed7a6a03d81cb6846dda732af815c4dfbcd9ba6956",
   "a11y_occurrence_display_id": "A11Y-OCC-6A39022C480A",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=",
   "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
   "html_snippet": null,
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "frequency": {
    "instances": 82,
    "pages_affected": 39,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)",
   "description": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 39 of 2828 scanned pages (82 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=4&q=&sort=field_faq_date%3Adesc",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=4&q=&sort=field_faq_date%3Adesc",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=896&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=4&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=896&q="
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=4&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=896&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=50&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=1&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8806&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=991&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=811&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1026&limit=10&page=0&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=7971&limit=10&page=2&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1041&limit=10&page=7&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=2&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=861&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=1&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8761&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1036&limit=10&page=1&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=3&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=711&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=996&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=19&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=981&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8766&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=7971&limit=10&page=0&q=&sort=field_approval_date%3Adesc"
   ],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=.",
    "Locate the element: <textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "obligation": "required",
   "handling": "review",
   "policy_source": "target",
   "policy_reason": "WCAG 2.5.8 target-size results can require manual verification of spacing, equivalent controls, and essential-size exceptions.",
   "policy_evidence": [
    "https://alfa.siteimprove.com/rules/sia-r113"
   ],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r113.csv"
  },
  {
   "instance_id": "VS-0750bf19",
   "pattern_id": "VS-f7dba940",
   "a11y_pattern_fingerprint": "50c8c661b023dbfd5affed8d5af8109b4ad0da533ce32fe85d275900c6fabcaa",
   "a11y_pattern_display_id": "A11Y-PAT-50C8C661B023",
   "a11y_occurrence_fingerprint": "544d8327eff24f7a2c010d01249c0999f760c2a1dac14a290e0248e5bef144df",
   "a11y_occurrence_display_id": "A11Y-OCC-544D8327EFF2",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
   "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
   "html_snippet": null,
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "frequency": {
    "instances": 123,
    "pages_affected": 123,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "description": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 123 of 2828 scanned pages (123 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-17-006-6",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002076",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg011161",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-17-006-6"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-17-006-6",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002076",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg011161",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002017",
    "https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/clt-claim-long-term-care/claim-line-record-lt",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-31-008-8",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx006196",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-23-037-37",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-23-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002140",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008290",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-798",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-18-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7255",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002039",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip003251",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095373",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002244",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7816",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-14-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002025",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-4-043-43",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-8669"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276.",
    "Locate the element: <a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r14.csv"
  },
  {
   "instance_id": "VS-38918f70",
   "pattern_id": "VS-9074b4dd",
   "a11y_pattern_fingerprint": "d602109ce30ecd7108f60385da4d867eb410d788f1d545f1444544ed98e3ab4d",
   "a11y_pattern_display_id": "A11Y-PAT-D602109CE30E",
   "a11y_occurrence_fingerprint": "7ad73248768bda9af8bb831e53006d5e4314e9aa12a8d9f3fba69f402fed3433",
   "a11y_occurrence_display_id": "A11Y-OCC-7AD73248768B",
   "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
   "xpath": "p:nth-child(1) > a > img",
   "html_snippet": "<img src=\"/media/file/monitor-eval-1115-demonstrations0.png/\">",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "image-alt",
   "rule_label": "Images must have alternative text",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 2828
   },
   "likely_source": "content",
   "summary": "Images must have alternative text (WCAG 1.1.1)",
   "description": "Images must have alternative text. Detected by axe-core rule image-alt on 1 of 2828 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
     "xpath": "p:nth-child(1) > a > img",
     "html_snippet": "<img src=\"/media/file/monitor-eval-1115-demonstrations0.png/\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation.",
    "Locate the element: p:nth-child(1) > a > img",
    "Confirm the axe-core finding for rule image-alt against WCAG 1.1.1 Non-text Content."
   ],
   "remediation_tip": "Give every <img> a meaningful alt attribute. Use alt=\"\" only for decorative images so screen readers skip them.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__image-alt.csv"
  },
  {
   "instance_id": "VS-29ab8ed7",
   "pattern_id": "VS-a24eaa8c",
   "a11y_pattern_fingerprint": "1831702ecb04f598f453e540f57e8ed5c7ac044fe1ca318502bcf0fac3f23fe8",
   "a11y_pattern_display_id": "A11Y-PAT-1831702ECB04",
   "a11y_occurrence_fingerprint": "a3ffa1ad2fb1407ced393995e67c87845db9d9c452ac3fd7302c9249c538e764",
   "a11y_occurrence_display_id": "A11Y-OCC-A3FFA1AD2FB1",
   "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
   "xpath": "<img src=\"/media/file/monitor-eval-1115-demonstrations0.png/\">",
   "html_snippet": null,
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r2",
   "rule_label": "Image has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r2",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 2828
   },
   "likely_source": "content",
   "summary": "Image has accessible name (WCAG 1.1.1)",
   "description": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 1 of 2828 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
     "xpath": "<img src=\"/media/file/monitor-eval-1115-demonstrations0.png/\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation.",
    "Locate the element: <img src=\"/media/file/monitor-eval-1115-demonstrations0.png/\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r2 against WCAG 1.1.1 Non-text Content."
   ],
   "remediation_tip": "Give every <img> an accessible name (alt text), or alt=\"\" if purely decorative.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2",
   "possible_duplicate_of": "VS-38918f70",
   "possible_duplicate_pattern": "VS-9074b4dd",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r2.csv"
  },
  {
   "instance_id": "VS-6e7c847d",
   "pattern_id": "VS-9429bb8d",
   "a11y_pattern_fingerprint": "41421730b8811402e7a4e38fdb39d1db020db07cfff56e0caa653dd8a363684f",
   "a11y_pattern_display_id": "A11Y-PAT-41421730B881",
   "a11y_occurrence_fingerprint": "b4d97dfe1a2f25f39def49b3681f8ce3bf583f9f63ef467ace4fef217179985e",
   "a11y_occurrence_display_id": "A11Y-OCC-B4D97DFE1A2F",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
   "xpath": ".nav",
   "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-required-children",
   "rule_label": "Certain ARIA roles must contain particular children",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 311,
    "pages_affected": 311,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Certain ARIA roles must contain particular children (WCAG 1.3.1)",
   "description": "Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 311 of 2828 scanned pages (311 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008285",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002116",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008285",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002116",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002076",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003193",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx001012",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002077",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002082",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004122",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg011161",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008304",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002017",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx006194",
    "https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/clt-claim-long-term-care/claim-line-record-lt",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095390",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg016215",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx006196",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003264",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/tpl006086",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg005088",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg005092",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002178",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv008113"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276.",
    "Locate the element: .nav",
    "Confirm the axe-core finding for rule aria-required-children against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "Add the child roles this container role requires (e.g. a list needs listitem children).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__aria-required-children.csv"
  },
  {
   "instance_id": "VS-8e1bc774",
   "pattern_id": "VS-d6097011",
   "a11y_pattern_fingerprint": "d58821b5f058fc07b11c10534e52b0cca73054d9199406248e792d5105fd9893",
   "a11y_pattern_display_id": "A11Y-PAT-D58821B5F058",
   "a11y_occurrence_fingerprint": "ec65ba72ca22d0460508c6a4f0072be620d032e6ae925ab5376a3c42067da5a0",
   "a11y_occurrence_display_id": "A11Y-OCC-EC65BA72CA22",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
   "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "frequency": {
    "instances": 121,
    "pages_affected": 117,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 117 of 2828 scanned pages (121 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002076",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg011161",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002017",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002076"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002076",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg011161",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002017",
    "https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/clt-claim-long-term-care/claim-line-record-lt",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx006196",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=4&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002140",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008290",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=896&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002039",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip003251",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=50&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095373",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=1&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002244",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=991&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=811&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002025",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1026&limit=10&page=0&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx007250",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/tpl002019"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276.",
    "Locate the element: <div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r68.csv"
  },
  {
   "instance_id": "VS-15bc5e81",
   "pattern_id": "VS-4408605e",
   "a11y_pattern_fingerprint": "d404ef966702616452b46d12d02be0a54ebec3948e86126c84c383a6d2a74819",
   "a11y_pattern_display_id": "A11Y-PAT-D404EF966702",
   "a11y_occurrence_fingerprint": "32885c9d0daa17852e50239031399db94271cbbf05e4013ba3b6f95df1b53240",
   "a11y_occurrence_display_id": "A11Y-OCC-32885C9D0DAA",
   "url": "https://www.medicaid.gov/state-overviews/puerto-rico.html",
   "xpath": "<th>",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r46",
   "rule_label": "Element has required aria-owns",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r46",
   "severity": "Moderate",
   "frequency": {
    "instances": 6,
    "pages_affected": 4,
    "total_pages_scanned": 2828
   },
   "likely_source": "unknown",
   "summary": "Element has required aria-owns (WCAG 1.3.1)",
   "description": "Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 4 of 2828 scanned pages (6 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/state-overviews/puerto-rico.html",
     "xpath": "<th>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/state-overviews/usvi.html",
     "xpath": "<th>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/state-overviews/usvi.html",
     "xpath": "<th>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/state-overviews/guam.html",
     "xpath": "<th>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/state-overviews/guam.html",
     "xpath": "<th>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/state-overviews/puerto-rico.html",
    "https://www.medicaid.gov/state-overviews/usvi.html",
    "https://www.medicaid.gov/state-overviews/guam.html"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/state-overviews/puerto-rico.html",
    "https://www.medicaid.gov/state-overviews/usvi.html",
    "https://www.medicaid.gov/state-overviews/guam.html",
    "https://www.medicaid.gov/medicaid/outreach-tools/helping-connect-enrollees-care"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/state-overviews/puerto-rico.html.",
    "Locate the element: <th>",
    "Confirm the Siteimprove Alfa finding for rule sia-r46 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r46",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r46.csv"
  },
  {
   "instance_id": "VS-a31e003b",
   "pattern_id": "VS-3f067795",
   "a11y_pattern_fingerprint": "e1e34c73ced2dbddb7d0df3544469f80176100da4f496eed3209bf8cd4d1ae7d",
   "a11y_pattern_display_id": "A11Y-PAT-E1E34C73CED2",
   "a11y_occurrence_fingerprint": "e7e8e63cf689370593ee160305745242fe3945faf544e1d5fb957fde5cebfd7c",
   "a11y_occurrence_display_id": "A11Y-OCC-E7E8E63CF689",
   "url": "https://www.medicaid.gov/state-overviews/puerto-rico.html",
   "xpath": "<td>",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r77",
   "rule_label": "Table cell has header",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r77",
   "severity": "Moderate",
   "frequency": {
    "instances": 25,
    "pages_affected": 3,
    "total_pages_scanned": 2828
   },
   "likely_source": "unknown",
   "summary": "Table cell has header (WCAG 1.3.1)",
   "description": "Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 3 of 2828 scanned pages (25 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/state-overviews/puerto-rico.html",
     "xpath": "<td>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/state-overviews/puerto-rico.html",
     "xpath": "<td>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/state-overviews/puerto-rico.html",
     "xpath": "<td>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/state-overviews/usvi.html",
     "xpath": "<td>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/state-overviews/usvi.html",
     "xpath": "<td>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/state-overviews/puerto-rico.html",
    "https://www.medicaid.gov/state-overviews/usvi.html",
    "https://www.medicaid.gov/state-overviews/guam.html"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/state-overviews/puerto-rico.html",
    "https://www.medicaid.gov/state-overviews/usvi.html",
    "https://www.medicaid.gov/state-overviews/guam.html"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/state-overviews/puerto-rico.html.",
    "Locate the element: <td>",
    "Confirm the Siteimprove Alfa finding for rule sia-r77 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r77",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r77.csv"
  },
  {
   "instance_id": "VS-4989edbf",
   "pattern_id": "VS-efd91fdd",
   "a11y_pattern_fingerprint": "d1d13e84b2b353c542d202106372146d52a2d8bda77868a40a8ed225f6641f7b",
   "a11y_pattern_display_id": "A11Y-PAT-D1D13E84B2B3",
   "a11y_occurrence_fingerprint": "7b882f7d05de97989c10f856c8e6673aa316d68a6e5601a506a122ceeafc5f32",
   "a11y_occurrence_display_id": "A11Y-OCC-7B882F7D05DE",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
   "xpath": "<a style=\"text-decoration:none;\" href=\"#one\" title=\"\">",
   "html_snippet": null,
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r62",
   "rule_label": "Link in text block is visually distinguishable without color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r62",
   "severity": "Moderate",
   "frequency": {
    "instances": 12,
    "pages_affected": 4,
    "total_pages_scanned": 2828
   },
   "likely_source": "unknown",
   "summary": "Link in text block is visually distinguishable without color (WCAG 1.4.1)",
   "description": "Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 4 of 2828 scanned pages (12 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
     "xpath": "<a style=\"text-decoration:none;\" href=\"#one\" title=\"\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
     "xpath": "<a style=\"text-decoration:none;\" href=\"#four\" title=\"\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
     "xpath": "<a style=\"text-decoration:none;\" href=\"#two\" title=\"\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity",
     "xpath": "<a style=\"text-decoration:none;\" href=\"#four\" title=\"\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity",
     "xpath": "<a style=\"text-decoration:none;\" href=\"#three\" title=\"\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/maternal-infant-health-care-quality"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/maternal-infant-health-care-quality",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/oral-health-quality-improvement-resources/advancing-oral-health-prevention-in-primary-care"
   ],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality.",
    "Locate the element: <a style=\"text-decoration:none;\" href=\"#one\" title=\"\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r62 against WCAG 1.4.1 Use of Color."
   ],
   "remediation_tip": "Make links visually distinguishable from surrounding text (not by color alone).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r62.csv"
  },
  {
   "instance_id": "VS-f1a54936",
   "pattern_id": "VS-e9fe47ac",
   "a11y_pattern_fingerprint": "25968163649ff9cead4ec186bf804cc80615fd4bb33d8a14d7b6691b193ea8cb",
   "a11y_pattern_display_id": "A11Y-PAT-25968163649F",
   "a11y_occurrence_fingerprint": "57dcea95eb7892e1950931a8b57d6bdb67ff6328fbd9638d5384c8d53e7dc731",
   "a11y_occurrence_display_id": "A11Y-OCC-57DCEA95EB78",
   "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
   "xpath": "p:nth-child(1) > a",
   "html_snippet": "<a href=\"/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf\"><img src=\"/media/file/monitor-eval-1115-demonstrations0.png/\"></a>",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 2828
   },
   "likely_source": "content",
   "summary": "Links must have discernible text (WCAG 2.4.4)",
   "description": "Links must have discernible text. Detected by axe-core rule link-name on 1 of 2828 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
     "xpath": "p:nth-child(1) > a",
     "html_snippet": "<a href=\"/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf\"><img src=\"/media/file/monitor-eval-1115-demonstrations0.png/\"></a>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation.",
    "Locate the element: p:nth-child(1) > a",
    "Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context)."
   ],
   "remediation_tip": "Give the link discernible text. Avoid empty links and icon-only links without an aria-label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__link-name.csv"
  },
  {
   "instance_id": "VS-bf3ec45d",
   "pattern_id": "VS-28ebd979",
   "a11y_pattern_fingerprint": "cc4a83ba1b0016b4f4360c710fea278af1eb4dc867ac13f2f3ef07708300c62b",
   "a11y_pattern_display_id": "A11Y-PAT-CC4A83BA1B00",
   "a11y_occurrence_fingerprint": "8a1fa75c0479dfe5e701158d74f95b776e3335c4bb9814f5a4dc254c119a820a",
   "a11y_occurrence_display_id": "A11Y-OCC-8A1FA75C0479",
   "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
   "xpath": "<a href=\"/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf\">",
   "html_snippet": null,
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r11",
   "rule_label": "Link has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r11",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 2828
   },
   "likely_source": "content",
   "summary": "Link has accessible name (WCAG 2.4.4)",
   "description": "Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 1 of 2828 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
     "xpath": "<a href=\"/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation.",
    "Locate the element: <a href=\"/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r11 against WCAG 2.4.4 Link Purpose (In Context)."
   ],
   "remediation_tip": "Give the link an accessible name via text content or aria-label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r11",
   "possible_duplicate_of": "VS-f1a54936",
   "possible_duplicate_pattern": "VS-e9fe47ac",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r11.csv"
  },
  {
   "instance_id": "VS-500b7c76",
   "pattern_id": "VS-1467ea8a",
   "a11y_pattern_fingerprint": "ea22cf589d655040cfcc8c1a46712ee71f0b18dab4eee39e5921a225d826d913",
   "a11y_pattern_display_id": "A11Y-PAT-EA22CF589D65",
   "a11y_occurrence_fingerprint": "09b44aa767a700d28a520ca1e3c1c836fece5d2ecc6470462f3572110319eed3",
   "a11y_occurrence_display_id": "A11Y-OCC-09B44AA767A7",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
   "xpath": "a[href$=\"#overview\"]",
   "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 1513,
    "pages_affected": 311,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Elements must only use supported ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 311 of 2828 scanned pages (1513 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "a[href$=\"#overview\"]",
     "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "a[href$=\"#validvalues\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "a[href$=\"#relatedrules\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#relatedrules\" role=\"link\" aria-selected=\"false\" aria-controls=\"relatedrules\" data-toggle=\"tab\">Related Rules</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
     "xpath": "a[href$=\"#overview\"]",
     "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
     "xpath": "a[href$=\"#validvalues\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008285",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002116",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002076",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003193",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx001012",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002077",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002082",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004122",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg011161",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008304",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002017",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx006194",
    "https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/clt-claim-long-term-care/claim-line-record-lt",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095390",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg016215",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx006196",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003264",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/tpl006086",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg005088",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg005092",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002178",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv008113"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276.",
    "Locate the element: a[href$=\"#overview\"]",
    "Confirm the axe-core finding for rule aria-allowed-attr against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Remove ARIA attributes that aren't allowed on this role/element.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__aria-allowed-attr.csv"
  },
  {
   "instance_id": "VS-a4f15ed1",
   "pattern_id": "VS-fab92378",
   "a11y_pattern_fingerprint": "e3f73de5d04a28f6ddf00cff89637c33f55df96995fb1209fd61e403c01cf751",
   "a11y_pattern_display_id": "A11Y-PAT-E3F73DE5D04A",
   "a11y_occurrence_fingerprint": "5a103cca3fe386ad4ad8191df1e722ccac942e13629cb21c1afd00b92ce02e79",
   "a11y_occurrence_display_id": "A11Y-OCC-5A103CCA3FE3",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/technical-instructions",
   "xpath": "#items-per-page",
   "html_snippet": "<select id=\"items-per-page\" class=\"form-select\">\n                                <option value=\"10\">10</option>\n                                <option value=\"25\">25</option>\n                         ",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "select-name",
   "rule_label": "Select element must have an accessible name",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 2828
   },
   "likely_source": "content",
   "summary": "Select element must have an accessible name (WCAG 4.1.2)",
   "description": "Select element must have an accessible name. Detected by axe-core rule select-name on 1 of 2828 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/technical-instructions",
     "xpath": "#items-per-page",
     "html_snippet": "<select id=\"items-per-page\" class=\"form-select\">\n                                <option value=\"10\">10</option>\n                                <option value=\"25\">25</option>\n                         "
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/technical-instructions"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/technical-instructions"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/technical-instructions.",
    "Locate the element: #items-per-page",
    "Confirm the axe-core finding for rule select-name against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Give the <select> an accessible name via a <label> or aria-label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__select-name.csv"
  },
  {
   "instance_id": "VS-ffd9963e",
   "pattern_id": "VS-0841abc2",
   "a11y_pattern_fingerprint": "5320cd32ce0273ac24e3dddc2efb323c3886717e21e094ee9673361ebdacc45c",
   "a11y_pattern_display_id": "A11Y-PAT-5320CD32CE02",
   "a11y_occurrence_fingerprint": "2be6cd5e0b1ef1a986e1e0be074ebc949c98858b9c685085b86a6a460caafab2",
   "a11y_occurrence_display_id": "A11Y-OCC-2BE6CD5E0B1E",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=981&q=",
   "xpath": "span[data-select2-id=\"select2-data-1-ocgy\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
   "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-input-field-name",
   "rule_label": "ARIA input fields must have an accessible name",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 245,
    "pages_affected": 116,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "ARIA input fields must have an accessible name (WCAG 4.1.2)",
   "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).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=981&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-ocgy\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=981&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-c8f5\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-j1gx\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-uqoj\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
     "xpath": "span[data-select2-id=\"select2-data-5-skbs\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=981&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=791&q="
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=981&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=791&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=896&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=28&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=4&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=2&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=4&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=0&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=896&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=861&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=7971&limit=10&page=1&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1041&limit=10&page=1&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=50&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=1&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8806&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=991&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1041&limit=10&page=0&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=1&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=811&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=3&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1026&limit=10&page=0&q=&sort=field_approval_date%3Adesc"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=981&q=.",
    "Locate the element: span[data-select2-id=\"select2-data-1-ocgy\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
    "Confirm the axe-core finding for rule aria-input-field-name against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__aria-input-field-name.csv"
  },
  {
   "instance_id": "VS-9a2228bf",
   "pattern_id": "VS-ebb1c464",
   "a11y_pattern_fingerprint": "a1d4f8266234312cc233b10de9fce031ea51a64a9819251a7e6026d632e1a787",
   "a11y_pattern_display_id": "A11Y-PAT-A1D4F8266234",
   "a11y_occurrence_fingerprint": "d67692664f7b3dc7891710c98bec376a67a8d226c11ace6f2be54a3c20fe2d34",
   "a11y_occurrence_display_id": "A11Y-OCC-D67692664F7B",
   "url": "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
   "xpath": "#map-svg-map-1733145095414",
   "html_snippet": "<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",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-prohibited-attr",
   "rule_label": "Elements must only use permitted ARIA attributes",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 8,
    "pages_affected": 7,
    "total_pages_scanned": 2828
   },
   "likely_source": "unknown",
   "summary": "Elements must only use permitted ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 7 of 2828 scanned pages (8 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
     "xpath": "#map-svg-map-1733145095414",
     "html_snippet": "<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"
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals",
     "xpath": "#map-svg-map-1749492515862",
     "html_snippet": "<div id=\"map-svg-map-1749492515862\" class=\"map-container\" aria-disabled=\"true\" aria-label=\"State Map Image. Keyboard navigating users can use dropdown to select state.\" style=\"position: relative; widt"
    },
    {
     "url": "https://www.medicaid.gov/state-overviews/state-profiles/index.html",
     "xpath": "#map",
     "html_snippet": "<div aria-disabled=\"true\" aria-label=\"State Map Image. Keyboard navigating users can use dropdown to select state.\" id=\"map\" style=\"position: relative; width: 880px; height: 502.857px; overflow: hidde"
    },
    {
     "url": "https://www.medicaid.gov/about-us/where-can-people-get-help-medicaid-chip",
     "xpath": "#map-svg-map-1741285150489",
     "html_snippet": "<div id=\"map-svg-map-1741285150489\" class=\"map-container\" aria-disabled=\"true\" aria-label=\"State Map Image. Keyboard navigating users can use dropdown to select state.\" style=\"position: relative; widt"
    },
    {
     "url": "https://www.medicaid.gov/chip/state-program-information",
     "xpath": "#map-svg-map-default-1745254648",
     "html_snippet": "<div id=\"map-svg-map-default-1745254648\" class=\"map-container\" aria-disabled=\"true\" aria-label=\"State Map Image. Keyboard navigating users can use dropdown to select state.\" style=\"position: relative;"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
    "https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals",
    "https://www.medicaid.gov/state-overviews/state-profiles/index.html"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
    "https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals",
    "https://www.medicaid.gov/state-overviews/state-profiles/index.html",
    "https://www.medicaid.gov/about-us/where-can-people-get-help-medicaid-chip",
    "https://www.medicaid.gov/chip/state-program-information",
    "https://www.medicaid.gov/eligibility",
    "https://www.medicaid.gov/medicaid/data-systems/it-procurement-opportunities"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa.",
    "Locate the element: #map-svg-map-1733145095414",
    "Confirm the axe-core finding for rule aria-prohibited-attr against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__aria-prohibited-attr.csv"
  },
  {
   "instance_id": "VS-b1263685",
   "pattern_id": "VS-a48e6078",
   "a11y_pattern_fingerprint": "4e31479a6ded13f767c55899a0ecb11c41498f3083dbfe4c2f13533aecd09225",
   "a11y_pattern_display_id": "A11Y-PAT-4E31479A6DED",
   "a11y_occurrence_fingerprint": "ac200eecc1884873252532280d0a844c29a64a8410ce452cb8f9fbcb05dddb13",
   "a11y_occurrence_display_id": "A11Y-OCC-AC200EECC188",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=",
   "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
   "html_snippet": null,
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r8",
   "rule_label": "Form field has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r8",
   "severity": "Moderate",
   "frequency": {
    "instances": 82,
    "pages_affected": 39,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Form field has accessible name (WCAG 4.1.2)",
   "description": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 39 of 2828 scanned pages (82 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=4&q=&sort=field_faq_date%3Adesc",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=4&q=&sort=field_faq_date%3Adesc",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=896&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=4&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=896&q="
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=4&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=896&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=50&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=1&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8806&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=991&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=811&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1026&limit=10&page=0&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=7971&limit=10&page=2&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1041&limit=10&page=7&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=2&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=861&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=1&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8761&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1036&limit=10&page=1&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=3&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=711&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=996&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=19&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=981&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8766&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=7971&limit=10&page=0&q=&sort=field_approval_date%3Adesc"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=.",
    "Locate the element: <span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r8 against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Associate the form field with a label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r8.csv"
  },
  {
   "instance_id": "VS-f844b397",
   "pattern_id": "VS-be8d563e",
   "a11y_pattern_fingerprint": "78a77d4d4ca5c7553bcaa88b2b3ab366a553cf67b6097a3d10cd7c610887bcc6",
   "a11y_pattern_display_id": "A11Y-PAT-78A77D4D4CA5",
   "a11y_occurrence_fingerprint": "b3db9a178851cab688b72b1e9a18919813383a4dd1d19d8ba9554fc2a5281927",
   "a11y_occurrence_display_id": "A11Y-OCC-B3DB9A178851",
   "url": "https://www.medicaid.gov/chip/reports-evaluations",
   "xpath": ".helpful-box-gray-sm > p > span",
   "html_snippet": "<span id=\"nav-icon\">🛈</span>",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 2828
   },
   "likely_source": "content",
   "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 1 of 2828 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/chip/reports-evaluations",
     "xpath": ".helpful-box-gray-sm > p > span",
     "html_snippet": "<span id=\"nav-icon\">🛈</span>"
    },
    {
     "url": "https://www.medicaid.gov/chip/reports-evaluations",
     "xpath": ".helpful-box-gray-sm > span",
     "html_snippet": "<span id=\"nav-icon\">🛈</span>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/chip/reports-evaluations"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/chip/reports-evaluations"
   ],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/chip/reports-evaluations.",
    "Locate the element: .helpful-box-gray-sm > p > span",
    "Confirm the axe-core finding for rule color-contrast against WCAG 1.4.3 Contrast (Minimum)."
   ],
   "remediation_tip": "Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__color-contrast.csv"
  },
  {
   "instance_id": "VS-e38815a9",
   "pattern_id": "VS-646b1e0b",
   "a11y_pattern_fingerprint": "c222b671df04a74389e09c0bbe0acf11c4ddc21bcede2a33817524d97a9c05e6",
   "a11y_pattern_display_id": "A11Y-PAT-C222B671DF04",
   "a11y_occurrence_fingerprint": "fccf982175feb919adc3642529347dd25375a78f03991157c07812613c3b4bd2",
   "a11y_occurrence_display_id": "A11Y-OCC-FCCF982175FE",
   "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
   "xpath": "text: \"Here’s how you know\"",
   "html_snippet": null,
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "frequency": {
    "instances": 32739,
    "pages_affected": 1200,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 1200 of 2828 scanned pages (32739 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
     "xpath": "text: \"Here’s how you know\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
     "xpath": "text: \"FAQs\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
     "xpath": "text: \"Home\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
     "xpath": "text: \"Here’s how you know\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
     "xpath": "text: \"FAQs\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2009",
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/improving-care-for-sickle-cell-disease",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
    "https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/81446",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/state-overviews",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106341",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality/contraception-medicaid-improving-maternal-and-infant-health",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54036",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83526",
    "https://www.medicaid.gov/about-us/organization/adrienne-delozier",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/100706",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7354",
    "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/performance-indicator-technical-assistance",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6738",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8142",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-17-006-6"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person.",
    "Locate the element: text: \"Here’s how you know\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r66.csv"
  },
  {
   "instance_id": "VS-6bc9ab0c",
   "pattern_id": "VS-2208081b",
   "a11y_pattern_fingerprint": "e0c097b8956c24f601b45554efc6e35e8d61b38db9473bb9ebd1420dc3da3a9d",
   "a11y_pattern_display_id": "A11Y-PAT-E0C097B8956C",
   "a11y_occurrence_fingerprint": "733899bd5d0eb2bb07ebf81592623339fb24a0816a41395288f5e4ceb43de335",
   "a11y_occurrence_display_id": "A11Y-OCC-733899BD5D0E",
   "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
   "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "frequency": {
    "instances": 3197,
    "pages_affected": 814,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 814 of 2828 scanned pages (3197 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/improving-care-for-sickle-cell-disease",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067",
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/improving-care-for-sickle-cell-disease",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
    "https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/81446",
    "https://www.medicaid.gov/state-overviews",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106341",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality/contraception-medicaid-improving-maternal-and-infant-health",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54036",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83526",
    "https://www.medicaid.gov/about-us/organization/adrienne-delozier",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/100706",
    "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/performance-indicator-technical-assistance",
    "https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/medicaid-school-based-services/us-department-of-education-school-based-services-resources",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106731",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/102166",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83201",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/81031",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/99166",
    "https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals",
    "https://www.medicaid.gov/medicaid/enrollment-strategies/medicaid-and-chip-coverage-of-lawfully-residing-children-pregnant-women",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=30488&page=3"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person.",
    "Locate the element: <p class=\"usa-footer__contact-info margin-bottom-0\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r73.csv"
  },
  {
   "instance_id": "VS-25bcedb1",
   "pattern_id": "VS-fbf54eba",
   "a11y_pattern_fingerprint": "d00252470c8e28345a8713369a46ba8e454d8fe23a1baefb0f15e96f6dc15baa",
   "a11y_pattern_display_id": "A11Y-PAT-D00252470C8E",
   "a11y_occurrence_fingerprint": "2c572ee537c2c2ab6699b13f4bd00aad4ded9a96a2880876353c18087044910e",
   "a11y_occurrence_display_id": "A11Y-OCC-2C572EE537C2",
   "url": "https://www.medicaid.gov/about-us/leadership",
   "xpath": "<p class=\"MsoNormal\" style=\"box-sizing:inherit;font-size:18px;line-height:1.5;margin-block:1em 0px;margin-bottom:0px;margin-top:0px;\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "frequency": {
    "instances": 27,
    "pages_affected": 11,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Link is distinguishable without relying on color (WCAG 1.4.8)",
   "description": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 11 of 2828 scanned pages (27 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/about-us/leadership",
     "xpath": "<p class=\"MsoNormal\" style=\"box-sizing:inherit;font-size:18px;line-height:1.5;margin-block:1em 0px;margin-bottom:0px;margin-top:0px;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/about-us/leadership",
     "xpath": "<p class=\"MsoNormal\" style=\"box-sizing:inherit;font-size:18px;line-height:1.5;margin-block:1em 0px;margin-bottom:0px;margin-top:0px;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/about-us/leadership",
     "xpath": "<p class=\"MsoNormal\" style=\"box-sizing:inherit;font-size:18px;line-height:1.5;margin-block:1em 0px;margin-bottom:0px;margin-top:0px;\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
     "xpath": "<p class=\"welcome-text core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/budget-neutrality",
     "xpath": "<p style=\"-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:inherit;color:rgb(27, 27, 27);font-family:\"Source Sans Pro Web\", \"Helvetica Neue\", Helvetica, Roboto, Arial, sans",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/about-us/leadership",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/budget-neutrality"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/about-us/leadership",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/budget-neutrality",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
    "https://www.medicaid.gov/medicaid/eligibility-policy/medicaid-eligibility-quality-control-program",
    "https://www.medicaid.gov/medicaid/enrollment-strategies/continuous-eligibility-medicaid-and-chip-coverage",
    "https://www.medicaid.gov/medicaid/long-term-services-supports/self-directed-services",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AK%22%5D",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/177991",
    "https://www.medicaid.gov/medicaid/outreach-tools/helping-connect-enrollees-care",
    "https://www.medicaid.gov/medicaid/eligibility-policy/seniors-medicare-and-medicaid-enrollees"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/about-us/leadership.",
    "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;\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r74.csv"
  },
  {
   "instance_id": "VS-cf41d814",
   "pattern_id": "VS-cb53cc4d",
   "a11y_pattern_fingerprint": "f01c95b5ed8f78ffc8718bbd2753ce49117d9a33be843f9db2918655d93cd2fb",
   "a11y_pattern_display_id": "A11Y-PAT-F01C95B5ED8F",
   "a11y_occurrence_fingerprint": "6da46a1792a10924201ada7e5c299e8bee84efe7b937dac6c5da97ffc67ab103",
   "a11y_occurrence_display_id": "A11Y-OCC-6DA46A1792A1",
   "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
   "xpath": "<button class=\"usa-button\" type=\"submit\">",
   "html_snippet": null,
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "frequency": {
    "instances": 20156,
    "pages_affected": 1200,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 1200 of 2828 scanned pages (20156 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
     "xpath": "<button class=\"usa-button\" type=\"submit\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
     "xpath": "<a target=\"_self\" href=\"/faq\" aria-label=\"Go to Frequently Asked Questions (FAQs)\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
     "xpath": "<a href=\"/medicaid/long-term-services-supports/money-follows-person\" data-drupal-link-system-path=\"node/52756\" class=\"is-active firts-left-link\" aria-current=\"page\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
     "xpath": "<button class=\"usa-button\" type=\"submit\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
     "xpath": "<a target=\"_self\" href=\"/faq\" aria-label=\"Go to Frequently Asked Questions (FAQs)\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2009",
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/improving-care-for-sickle-cell-disease",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
    "https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/81446",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/state-overviews",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106341",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality/contraception-medicaid-improving-maternal-and-infant-health",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54036",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83526",
    "https://www.medicaid.gov/about-us/organization/adrienne-delozier",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/100706",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7354",
    "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/performance-indicator-technical-assistance",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6738",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8142",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-17-006-6"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person.",
    "Locate the element: <button class=\"usa-button\" type=\"submit\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r111.csv"
  },
  {
   "instance_id": "VS-13c6c6e4",
   "pattern_id": "VS-fa44f293",
   "a11y_pattern_fingerprint": "b9790a0b2b788597b7a0d3e5734ca98ab0938dac6abebd5b0d1acff5de0a5e31",
   "a11y_pattern_display_id": "A11Y-PAT-B9790A0B2B78",
   "a11y_occurrence_fingerprint": "d626d5f87b5235f2e40dd547ee37a6418116f332b156638110c5998908e7d7f7",
   "a11y_occurrence_display_id": "A11Y-OCC-D626D5F87B52",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
   "xpath": "html",
   "html_snippet": "<html class=\"no-js\" lang=\"en\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1427,
    "pages_affected": 1427,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Page should contain a level-one heading (WCAG criterion undetermined)",
   "description": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 1427 of 2828 scanned pages (1427 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-1-004-2",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2009",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-1-004-2",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-1-004-2",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2009",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9005",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1481",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-444",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2180",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7354",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6738",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8142",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008285",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-17-006-6",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3096",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/Waiver-Descript-Factsheet/OR",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8137",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7200",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002116",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8431",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002076"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule page-has-heading-one."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__page-has-heading-one.csv"
  },
  {
   "instance_id": "VS-4d3feba0",
   "pattern_id": "VS-33841929",
   "a11y_pattern_fingerprint": "25f429f8e052fd791c0e769cf8634db99e8a419e1449663471f7f1d4316f2656",
   "a11y_pattern_display_id": "A11Y-PAT-25F429F8E052",
   "a11y_occurrence_fingerprint": "106ae153ca8ec7abbd2132dbb5796289cfe2f9629734296a0afcd50a09df91f8",
   "a11y_occurrence_display_id": "A11Y-OCC-106AE153CA8E",
   "url": "https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices",
   "xpath": "select[aria-labelledby=\"filter-th-87376-0\"]",
   "html_snippet": "<select aria-labelledby=\"filter-th-87376-0\" class=\"usa-select height-1\" data-col-index=\"0\" title=\"Filter by Year\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "label-title-only",
   "rule_label": "Form elements should have a visible label",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 41,
    "pages_affected": 10,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Form elements should have a visible label (WCAG criterion undetermined)",
   "description": "Form elements should have a visible label. Detected by axe-core rule label-title-only on 10 of 2828 scanned pages (41 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices",
     "xpath": "select[aria-labelledby=\"filter-th-87376-0\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87376-0\" class=\"usa-select height-1\" data-col-index=\"0\" title=\"Filter by Year\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices",
     "xpath": "select[aria-labelledby=\"filter-th-87376-1\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87376-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by State Full Name\">"
    },
    {
     "url": "https://www.medicaid.gov/state-overviews/state-profiles/index.html",
     "xpath": "#select-state",
     "html_snippet": "<select id=\"select-state\" name=\"state\" class=\"usa-select margin-top-0\" aria-labelledby=\"select-state-label\" aria-describedby=\"select-state-instructions\">"
    },
    {
     "url": "https://www.medicaid.gov/prior-annual-medicaid-hospice-rate-letters",
     "xpath": "select[aria-labelledby=\"filter-th-152991-1\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-152991-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by Year\">"
    },
    {
     "url": "https://www.medicaid.gov/prior-annual-medicaid-hospice-rate-letters",
     "xpath": "select[aria-labelledby=\"filter-th-152991-2\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-152991-2\" class=\"usa-select height-1\" data-col-index=\"2\" title=\"Filter by Date\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices",
    "https://www.medicaid.gov/state-overviews/state-profiles/index.html",
    "https://www.medicaid.gov/prior-annual-medicaid-hospice-rate-letters"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices",
    "https://www.medicaid.gov/state-overviews/state-profiles/index.html",
    "https://www.medicaid.gov/prior-annual-medicaid-hospice-rate-letters",
    "https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-drug-rebate-program-data",
    "https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report",
    "https://www.medicaid.gov/chip/reports-evaluations",
    "https://www.medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/home-community-based-services-during-public-health-emergencies/emergency-preparedness-and-response-for-home-and-community-based-hcbs-1915c-waivers",
    "https://www.medicaid.gov/medicaid/financial-management/medicaid-disproportionate-share-hospital-dsh-payments",
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices.",
    "Locate the element: select[aria-labelledby=\"filter-th-87376-0\"]",
    "Confirm the axe-core finding for rule label-title-only."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__label-title-only.csv"
  },
  {
   "instance_id": "VS-c1f1f6d9",
   "pattern_id": "VS-f18df681",
   "a11y_pattern_fingerprint": "fbef4ff3e32c4833d9c61a04ccc7db84d73dd7c229243df34c4072053dfeba79",
   "a11y_pattern_display_id": "A11Y-PAT-FBEF4FF3E32C",
   "a11y_occurrence_fingerprint": "426bcf2aa866c985ba0f2f88700c680025a398c4fa8274b31b71ad3ba3e2c77b",
   "a11y_occurrence_display_id": "A11Y-OCC-426BCF2AA866",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
   "xpath": ".small",
   "html_snippet": "<div class=\"small p-1\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 6271,
    "pages_affected": 1402,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 1402 of 2828 scanned pages (6271 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
     "xpath": ".small",
     "html_snippet": "<div class=\"small p-1\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
     "xpath": ".justify-content-between",
     "html_snippet": "<div class=\"d-flex justify-content-between m-2 mb-2\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
     "xpath": ".font-weight-bold",
     "html_snippet": "<p class=\"font-weight-bold m-0 mr-1\">Version:</p>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-1-004-2",
     "xpath": ".small",
     "html_snippet": "<div class=\"small p-1\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-1-004-2",
     "xpath": ".justify-content-between",
     "html_snippet": "<div class=\"d-flex justify-content-between m-2 mb-2\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-1-004-2",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-1-004-2",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2009",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9005",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1481",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-444",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2180",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7354",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6738",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8142",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008285",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-17-006-6",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3096",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8137",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7200",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002116",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8431",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002076",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7675"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317.",
    "Locate the element: .small",
    "Confirm the axe-core finding for rule region."
   ],
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__region.csv"
  },
  {
   "instance_id": "VS-6bfcb63c",
   "pattern_id": "VS-d5d82446",
   "a11y_pattern_fingerprint": "e0548b94661fca016e56f7a6e654dc2c2889714e73bcf48c1394e8cb092b990e",
   "a11y_pattern_display_id": "A11Y-PAT-E0548B94661F",
   "a11y_occurrence_fingerprint": "eab428bd6f525be85e211b97969426bf4524881e43e4e9e44c30771ea884e69b",
   "a11y_occurrence_display_id": "A11Y-OCC-EAB428BD6F52",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
   "xpath": "html",
   "html_snippet": "<html class=\"no-js\" lang=\"en\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1399,
    "pages_affected": 1399,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Document should have one main landmark (WCAG criterion undetermined)",
   "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 1399 of 2828 scanned pages (1399 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-1-004-2",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2009",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-1-004-2",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-1-004-2",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2009",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9005",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1481",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-444",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2180",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7354",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6738",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8142",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008285",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-17-006-6",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3096",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8137",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7200",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002116",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8431",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002076",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7675"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule landmark-one-main."
   ],
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__landmark-one-main.csv"
  },
  {
   "instance_id": "VS-12e4d570",
   "pattern_id": "VS-d25f622d",
   "a11y_pattern_fingerprint": "e5d214b56fa3da3785f6361eeb506a7f9c1cce92e62af432b2964b8da05cd738",
   "a11y_pattern_display_id": "A11Y-PAT-E5D214B56FA3",
   "a11y_occurrence_fingerprint": "9f423bdb05067eea451ae0dc55c168773ee2b16c3eaf7d9c993cc5821d4c0ba5",
   "a11y_occurrence_display_id": "A11Y-OCC-9F423BDB0506",
   "url": "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
   "xpath": ".field--name-field-resources-list > h3",
   "html_snippet": "<h3>Related Resources</h3>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 760,
    "pages_affected": 711,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 711 of 2828 scanned pages (760 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
     "xpath": ".field--name-field-resources-list > h3",
     "html_snippet": "<h3>Related Resources</h3>"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067",
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067",
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
    "https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581",
    "https://www.medicaid.gov/state-overviews",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106341",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality/contraception-medicaid-improving-maternal-and-infant-health",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54036",
    "https://www.medicaid.gov/about-us/organization/adrienne-delozier",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/100706",
    "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/performance-indicator-technical-assistance",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106731",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/102166",
    "https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-drug-rebate-program-dispute-resolution",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/99166",
    "https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals",
    "https://www.medicaid.gov/medicaid/enrollment-strategies/medicaid-and-chip-coverage-of-lawfully-residing-children-pregnant-women",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/quality-of-care-patient-safety",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/192776",
    "https://www.medicaid.gov/medicaid/program-integrity/affordable-care-act-program-integrity-provisions",
    "https://www.medicaid.gov/state-overviews/stateprofile.html?state=Alabama",
    "https://www.medicaid.gov/resources-for-states/eligibility-enrollment-and-renewal-tools-and-resources/application-and-fair-hearings-resources",
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-and-community-based-services-hcbs-quality",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j.",
    "Locate the element: .field--name-field-resources-list > h3",
    "Confirm the axe-core finding for rule heading-order."
   ],
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__heading-order.csv"
  },
  {
   "instance_id": "VS-e745a5bc",
   "pattern_id": "VS-8806389c",
   "a11y_pattern_fingerprint": "94e0218b7fbdaffcb5b21134c4dc8c71ab5a17513897ab7889e76550a460aa19",
   "a11y_pattern_display_id": "A11Y-PAT-94E0218B7FBD",
   "a11y_occurrence_fingerprint": "f346b4ce15b433be9b2716c9048a5fa2c7e166f4c5c6874481016d70b0bfe529",
   "a11y_occurrence_display_id": "A11Y-OCC-F346B4CE15B4",
   "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
   "xpath": ".section",
   "html_snippet": "<aside class=\"section\" role=\"complementary\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 85,
    "pages_affected": 85,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "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 85 of 2828 scanned pages (85 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "https://www.medicaid.gov/state-overviews",
     "xpath": ".landing-page-blue-ribbon > aside",
     "html_snippet": "<aside class=\"grid-container\" role=\"complementary\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
    "https://www.medicaid.gov/state-overviews",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
    "https://www.medicaid.gov/state-overviews",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
    "https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
    "https://www.medicaid.gov/claims-under-camp-lejeune-justice-act-clja",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=2",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/program-areas/promoting-community-integration-through-long-term-services-and-supports",
    "https://www.medicaid.gov/medicaid/financial-management/state-budget-expenditure-reporting-for-medicaid-and-chip/expenditure-reports-mbes/cbes",
    "https://www.medicaid.gov/medicaid/indian-health-medicaid/tribal-affairs-guidance-resources",
    "https://www.medicaid.gov/medicaid/managed-care/technical-assistance",
    "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information",
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities",
    "https://www.medicaid.gov/medicaid/long-term-services-supports/program-of-all-inclusive-care-for-elderly",
    "https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance",
    "https://www.medicaid.gov/medicaid/indian-health-medicaid",
    "https://www.medicaid.gov/medicaid/long-term-services-supports/medicaid-employment-initiatives",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=0",
    "https://www.medicaid.gov/medicaid/prescription-drugs",
    "https://www.medicaid.gov/medicaid/long-term-services-supports/direct-care-workforce",
    "https://www.medicaid.gov/medicaid/benefits/early-and-periodic-screening-diagnostic-and-treatment/vision-and-hearing-screening-services-children-and-adolescents",
    "https://www.medicaid.gov/medicaid/benefits/prevention",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/measuring-and-improving-quality-home-and-community-based-services",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/measuring-and-improving-quality-home-and-community-based-services"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person.",
    "Locate the element: .section",
    "Confirm the axe-core finding for rule landmark-unique."
   ],
   "remediation_tip": "When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. \"Primary\" and \"Footer\" navigation) so screen-reader users can tell them apart.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__landmark-unique.csv"
  },
  {
   "instance_id": "VS-caa1d8ec",
   "pattern_id": "VS-0ba8ce9d",
   "a11y_pattern_fingerprint": "b2aaf6f16b8df29cc2bdf6db1f29be3254502324c2947e5078a24b1094c13d63",
   "a11y_pattern_display_id": "A11Y-PAT-B2AAF6F16B8D",
   "a11y_occurrence_fingerprint": "7e733d8851cd3527fdfa2cf885eb72a158e5b34c0eae745304a17006142e7d8c",
   "a11y_occurrence_display_id": "A11Y-OCC-7E733D8851CD",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/about",
   "xpath": "tr:nth-child(1) > td[scope=\"row\"]",
   "html_snippet": "<td scope=\"row\">Fact Sheet for Child and Adult Core Sets Reporting</td>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "scope-attr-valid",
   "rule_label": "scope attribute should be used correctly",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 60,
    "pages_affected": 3,
    "total_pages_scanned": 2828
   },
   "likely_source": "unknown",
   "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 3 of 2828 scanned pages (60 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/about",
     "xpath": "tr:nth-child(1) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">Fact Sheet for Child and Adult Core Sets Reporting</td>"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/about",
     "xpath": "tr:nth-child(2) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">Criteria for Using Child and Adult Core Set Measures to Assess Trends in Performance in Medicaid and CHIP</td>"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/about",
     "xpath": "tr:nth-child(3) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">Trends in State Performance</td>"
    },
    {
     "url": "https://www.medicaid.gov/state-overviews/scorecard/about",
     "xpath": ".table-container:nth-child(5) > table > tbody > tr > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">Prenatal and Postpartum Care</td>"
    },
    {
     "url": "https://www.medicaid.gov/state-overviews/scorecard/about",
     "xpath": ".table-container:nth-child(7) > table > tbody > tr:nth-child(1) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">1. Home and Community-Based Services Statewide Transition Plan Approval Status</td>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/about",
    "https://www.medicaid.gov/state-overviews/scorecard/about",
    "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/about",
    "https://www.medicaid.gov/state-overviews/scorecard/about",
    "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/about.",
    "Locate the element: tr:nth-child(1) > td[scope=\"row\"]",
    "Confirm the axe-core finding for rule scope-attr-valid."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__scope-attr-valid.csv"
  },
  {
   "instance_id": "VS-506ca282",
   "pattern_id": "VS-4fac2f41",
   "a11y_pattern_fingerprint": "da1cf10384a4e40a2b709c75f25d04795ea1e769a3e6640edf66d91d7478e042",
   "a11y_pattern_display_id": "A11Y-PAT-DA1CF10384A4",
   "a11y_occurrence_fingerprint": "bee16f9ccaa7c48715f64a54b030e9b4b2499a2f4518c21c0044cc7ed0ce5f93",
   "a11y_occurrence_display_id": "A11Y-OCC-BEE16F9CCAA7",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=981&q=",
   "xpath": "span[data-select2-id=\"select2-data-1-ocgy\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
   "html_snippet": "<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",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-role",
   "rule_label": "ARIA role should be appropriate for the element",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 254,
    "pages_affected": 122,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "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 122 of 2828 scanned pages (254 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=981&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-ocgy\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<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"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=981&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-c8f5\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<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"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-j1gx\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<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"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-uqoj\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__fiel...\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label="
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
     "xpath": "span[data-select2-id=\"select2-data-5-skbs\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<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"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=981&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=791&q="
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=981&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=791&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=896&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=28&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=4&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=2&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=4&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=0&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=896&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=861&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=7971&limit=10&page=1&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1041&limit=10&page=1&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=50&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=1&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8806&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=991&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1041&limit=10&page=0&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=1&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=811&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=3&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1026&limit=10&page=0&q=&sort=field_approval_date%3Adesc"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=981&q=.",
    "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",
    "Confirm the axe-core finding for rule aria-allowed-role."
   ],
   "remediation_tip": "Remove or change the ARIA role — it isn't allowed on this element type.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__aria-allowed-role.csv"
  },
  {
   "instance_id": "VS-8588b937",
   "pattern_id": "VS-04a9d28c",
   "a11y_pattern_fingerprint": "56a6becbcfff85f715f09e97b699bae8f9e5cd3dd97d00e80e5669888e67d9c0",
   "a11y_pattern_display_id": "A11Y-PAT-56A6BECBCFFF",
   "a11y_occurrence_fingerprint": "90f291f00a47ee911da3c7a702d7cb030dc1f744ea15a038d70b339905dff48b",
   "a11y_occurrence_display_id": "A11Y-OCC-90F291F00A47",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
   "xpath": "td",
   "html_snippet": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine_key": "deprecated-html",
   "tool": "deprecated-html",
   "rule_url": null,
   "severity": "Moderate",
   "frequency": {
    "instances": 1387,
    "pages_affected": 1227,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)",
   "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 1227 of 2828 scanned pages (1387 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"2\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"2\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2009",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9005",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1481",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-444",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2180",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7354",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6738",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8142",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3096",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8137",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002116",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8431",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002076",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7675",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6525",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6687",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7229",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8987"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317.",
    "Locate the element: td",
    "Confirm the deprecated-html finding for rule presentational-attr."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/deprecated-html__presentational-attr.csv"
  },
  {
   "instance_id": "VS-9559ef51",
   "pattern_id": "VS-c18be945",
   "a11y_pattern_fingerprint": "950ad6e472d0a3d13d08b0256e775cf1055f2e07b82bfa3856cbb7008e1635fe",
   "a11y_pattern_display_id": "A11Y-PAT-950AD6E472D0",
   "a11y_occurrence_fingerprint": "8059ea492bfcb9c3b075abcbb437155581606ed5a1e5a96bdf6c99f677be7f34",
   "a11y_occurrence_display_id": "A11Y-OCC-8059EA492BFC",
   "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
   "xpath": "text: \"  Feedback  \"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "frequency": {
    "instances": 14377,
    "pages_affected": 1198,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 1198 of 2828 scanned pages (14377 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
     "xpath": "text: \"  Feedback  \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
     "xpath": "text: \"  Feedback  \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067",
     "xpath": "text: \"  Feedback  \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "text: \"\n                An official website of the United States government\n                \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "text: \"Version:\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2009",
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/improving-care-for-sickle-cell-disease",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
    "https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/81446",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/state-overviews",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106341",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality/contraception-medicaid-improving-maternal-and-infant-health",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54036",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83526",
    "https://www.medicaid.gov/about-us/organization/adrienne-delozier",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/100706",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7354",
    "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/performance-indicator-technical-assistance",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6738",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8142",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-17-006-6"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person.",
    "Locate the element: text: \"  Feedback  \"",
    "Confirm the Siteimprove Alfa finding for rule sia-r57."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r57.csv"
  },
  {
   "instance_id": "VS-04253ab1",
   "pattern_id": "VS-f054f4a4",
   "a11y_pattern_fingerprint": "c6dfadc50d60204371f1c14c94b0e0372241924b136e4f7643cd27f8cfcdcf44",
   "a11y_pattern_display_id": "A11Y-PAT-C6DFADC50D60",
   "a11y_occurrence_fingerprint": "e5cc1c2363ca38132be4f839a58549ddb18cbe79d6f1f7ea5826f05f03fe872c",
   "a11y_occurrence_display_id": "A11Y-OCC-E5CC1C2363CA",
   "url": "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
   "xpath": "<h3>",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "frequency": {
    "instances": 645,
    "pages_affected": 601,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 601 of 2828 scanned pages (645 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067",
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067",
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
    "https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581",
    "https://www.medicaid.gov/state-overviews",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106341",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality/contraception-medicaid-improving-maternal-and-infant-health",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54036",
    "https://www.medicaid.gov/about-us/organization/adrienne-delozier",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/100706",
    "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/performance-indicator-technical-assistance",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106731",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/102166",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/99166",
    "https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals",
    "https://www.medicaid.gov/medicaid/enrollment-strategies/medicaid-and-chip-coverage-of-lawfully-residing-children-pregnant-women",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/quality-of-care-patient-safety",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/192776",
    "https://www.medicaid.gov/medicaid/program-integrity/affordable-care-act-program-integrity-provisions",
    "https://www.medicaid.gov/state-overviews/stateprofile.html?state=Alabama",
    "https://www.medicaid.gov/resources-for-states/eligibility-enrollment-and-renewal-tools-and-resources/application-and-fair-hearings-resources",
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-and-community-based-services-hcbs-quality",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/101611"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j.",
    "Locate the element: <h3>",
    "Confirm the Siteimprove Alfa finding for rule sia-r53."
   ],
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r53.csv"
  },
  {
   "instance_id": "VS-863a3715",
   "pattern_id": "VS-7118fead",
   "a11y_pattern_fingerprint": "d71a88e83b9226ce1c0d790a0f6c20a91532d96068ebea7e887804b7fc25ae3d",
   "a11y_pattern_display_id": "A11Y-PAT-D71A88E83B92",
   "a11y_occurrence_fingerprint": "f1e66e1094a7b63f5954b07a62cef97770dabb5f9be4976592d61affd585a594",
   "a11y_occurrence_display_id": "A11Y-OCC-F1E66E1094A7",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "frequency": {
    "instances": 395,
    "pages_affected": 395,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 395 of 2828 scanned pages (395 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2009",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2009",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2009",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7354",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6738",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8142",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-17-006-6",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3096",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002076",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8404",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2126",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8933",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6499",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg011161",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002017",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-886",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7005",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7053",
    "https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/clt-claim-long-term-care/claim-line-record-lt",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1986",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-31-008-8",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9170",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6713"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r61."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r61.csv"
  },
  {
   "instance_id": "VS-40a6c5b4",
   "pattern_id": "VS-aa242c2d",
   "a11y_pattern_fingerprint": "9bbfd94bd90376189a5c933a4d16c8a76c606598a68b0d2e61eecf739964bd9d",
   "a11y_pattern_display_id": "A11Y-PAT-9BBFD94BD903",
   "a11y_occurrence_fingerprint": "f1de795fb1e13561cf4fd8f59f6c2bb7cbdab85aced02c37ba08f37384310b81",
   "a11y_occurrence_display_id": "A11Y-OCC-F1DE795FB1E1",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "frequency": {
    "instances": 390,
    "pages_affected": 390,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "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 390 of 2828 scanned pages (390 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2009",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2009",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2009",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7354",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6738",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8142",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-17-006-6",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3096",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002076",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8404",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2126",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8933",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6499",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg011161",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002017",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-886",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7005",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7053",
    "https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/clt-claim-long-term-care/claim-line-record-lt",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1986",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-31-008-8",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9170",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6713"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r87."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r87.csv"
  },
  {
   "instance_id": "VS-6e60db44",
   "pattern_id": "VS-e05344b9",
   "a11y_pattern_fingerprint": "1f096d7d348a6e73ae969784c8c1abde5919a38d6f373291c1b3cdfd860d9c27",
   "a11y_pattern_display_id": "A11Y-PAT-1F096D7D348A",
   "a11y_occurrence_fingerprint": "1202957fcebebbaa78160850221d88b7f92e2c57f7923dec8791d1b73cb9da21",
   "a11y_occurrence_display_id": "A11Y-OCC-1202957FCEBE",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
   "xpath": "@aria-selected=\"true\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "frequency": {
    "instances": 441,
    "pages_affected": 94,
    "total_pages_scanned": 2828
   },
   "likely_source": "template",
   "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)",
   "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 94 of 2828 scanned pages (441 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "@aria-selected=\"true\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
     "xpath": "@aria-label=\"SVG map\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
     "xpath": "@aria-disabled=\"true\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276",
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002076",
    "https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg011161",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002017",
    "https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/clt-claim-long-term-care/claim-line-record-lt",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx006196",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002140",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008290",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002039",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip003251",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095373",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002244",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002025",
    "https://www.medicaid.gov/about-us/where-can-people-get-help-medicaid-chip",
    "https://www.medicaid.gov/prior-annual-medicaid-hospice-rate-letters",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx007250",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/tpl002019",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002043",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003196",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/tpl003030"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276.",
    "Locate the element: @aria-selected=\"true\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r18."
   ],
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r18.csv"
  },
  {
   "instance_id": "VS-2cff28d4",
   "pattern_id": "VS-2cd767ca",
   "a11y_pattern_fingerprint": "8b5c7c0abaa24199c3ae8a821e752f6c2b7d9a054b6611feaa545d0ec5680c59",
   "a11y_pattern_display_id": "A11Y-PAT-8B5C7C0ABAA2",
   "a11y_occurrence_fingerprint": "ec1143f7cb55791a8f49b7d998912008b73a2634bea2451e20b967edbc0bf3c5",
   "a11y_occurrence_display_id": "A11Y-OCC-EC1143F7CB55",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
   "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "frequency": {
    "instances": 9,
    "pages_affected": 6,
    "total_pages_scanned": 2828
   },
   "likely_source": "unknown",
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 6 of 2828 scanned pages (9 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/medicaid-and-chip-program-portal",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/medicaid-and-chip-program-portal",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/program-of-all-inclusive-care-for-elderly/programs-of-all-inclusive-care-for-elderly-for-states",
     "xpath": "<h4>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
    "https://www.medicaid.gov/resources-for-states/medicaid-and-chip-program-portal"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
    "https://www.medicaid.gov/resources-for-states/medicaid-and-chip-program-portal",
    "https://www.medicaid.gov/medicaid/long-term-services-supports/program-of-all-inclusive-care-for-elderly/programs-of-all-inclusive-care-for-elderly-for-states",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AK%22%5D",
    "https://www.medicaid.gov/resources-for-states/medicaid-and-chip-program-portal/macpro-training-help/chip-state-plan-amendments"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D.",
    "Locate the element: <h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r78."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r78.csv"
  },
  {
   "instance_id": "VS-79322ee9",
   "pattern_id": "VS-e5ec42f0",
   "a11y_pattern_fingerprint": "3567d42eeb758bb84f6a71085f5f0509ea361cbdfc808dea5fc56f7862cb94fe",
   "a11y_pattern_display_id": "A11Y-PAT-3567D42EEB75",
   "a11y_occurrence_fingerprint": "05d986c340fb7d8f525f737f62debcfe5f34f2e6099179009ad3cc6cc8cc689b",
   "a11y_occurrence_display_id": "A11Y-OCC-05D986C340FB",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
   "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r72",
   "rule_label": "Element role is consistent with ARIA landmark",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r72",
   "severity": "Moderate",
   "frequency": {
    "instances": 466,
    "pages_affected": 4,
    "total_pages_scanned": 2828
   },
   "likely_source": "unknown",
   "summary": "Element role is consistent with ARIA landmark (WCAG criterion undetermined)",
   "description": "Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 4 of 2828 scanned pages (466 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
     "xpath": "<p class=\"chart-label\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
    "https://www.medicaid.gov/state-overviews/scorecard/about"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
    "https://www.medicaid.gov/state-overviews/scorecard/about",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AK%22%5D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D.",
    "Locate the element: <p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r72."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r72",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r72.csv"
  },
  {
   "instance_id": "VS-3f3f49bb",
   "pattern_id": "VS-4c341c77",
   "a11y_pattern_fingerprint": "745ff630e526bd7a65bacc77c59576fc266fa55f2f4eddcc0cc3f42435b250d5",
   "a11y_pattern_display_id": "A11Y-PAT-745FF630E526",
   "a11y_occurrence_fingerprint": "ebcce656059c9f514d2f0bfb0da08653af1699f3730884d60f7b5a303e2f749a",
   "a11y_occurrence_display_id": "A11Y-OCC-EBCCE656059C",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
   "xpath": "<p class=\"selected-states-header\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r85",
   "rule_label": "Keyboard trap does not exist",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r85",
   "severity": "Moderate",
   "frequency": {
    "instances": 161,
    "pages_affected": 3,
    "total_pages_scanned": 2828
   },
   "likely_source": "unknown",
   "summary": "Keyboard trap does not exist (WCAG criterion undetermined)",
   "description": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 3 of 2828 scanned pages (161 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AK%22%5D"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AK%22%5D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22FL%22%5D.",
    "Locate the element: <p class=\"selected-states-header\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r85."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r85.csv"
  }
 ],
 "policy": {
  "suppression": {
   "patterns": 0,
   "pages": 0,
   "occurrences": 0,
   "entries": []
  }
 }
}