www.medicaid.gov: Accessibility — week 2026-W25

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

Training priorities

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

SC	Criterion	Pages	Rules
1.4.6	WCAG 1.4.6	3216	1
2.5.5	WCAG 2.5.5	3216	1
1.3.1	Info and Relationships (semantic structure)	2662	2
4.1.2	Name, Role, Value (ARIA)	2608	6
2.5.3	WCAG 2.5.3	1216	1

Next 10 actions

Clusters are fingerprinted by normalized selector path + rule id + snippet shape. Rank score = (severity weight × pages affected) / distinct components for the rule. This supersedes the template threshold heuristic while still surfacing it as a validation signal.

Top 10 clustered component fixes for this week.
Cluster	Severity	Pages	Who it affects	How to fix	Evidence	Decision
Page should contain a level-one heading · unattributed component Fix one place, resolve ~5984 finding(s) on 5984 page(s). XPath / selector: `html` `<html class="no-js" lang="en">`	Serious	5984	Requires manual testing.	See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI	pages (CSV)	Decision Assigned to Notes
Document should have one main landmark · unattributed component Fix one place, resolve ~5978 finding(s) on 5978 page(s). XPath / selector: `html` `<html class="no-js" lang="en">`	Serious	5978	Requires manual testing.	Each page should have exactly one <main> landmark.	pages (CSV)	Decision Assigned to Notes
Certain ARIA roles must contain particular children · unattributed component Fix one place, resolve ~1743 finding(s) on 1743 page(s). XPath / selector: `.nav` `<div class="nav nav-tabs nav-justified" role="tablist">`	Critical	1743	Without vision, Limited vision, Limited cognitive, language, or learning ability	Add the child roles this container role requires (e.g. a list needs listitem children).	pages (CSV)	Decision Assigned to Notes
First focusable element is link to main content · unattributed component Fix one place, resolve ~2368 finding(s) on 2368 page(s). XPath / selector: `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`	Moderate	2368	Requires manual testing.	See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87	pages (CSV)	Decision Assigned to Notes
Form field label is visible · unattributed component Fix one place, resolve ~2341 finding(s) on 2341 page(s). XPath / selector: `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`	Moderate	2341	Requires manual testing.	See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61	pages (CSV)	Decision Assigned to Notes
All page content should be contained by landmarks · unattributed component Fix one place, resolve ~6003 finding(s) on 6003 page(s). XPath / selector: `.small` `<div class="small p-1">`	Serious	6003	Requires manual testing.	Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.	pages (CSV)	Decision Assigned to Notes
All page content should be contained by landmarks · unattributed component Fix one place, resolve ~5987 finding(s) on 5987 page(s). XPath / selector: `.justify-content-between` `<div class="d-flex justify-content-between m-2 mb-2">`	Serious	5987	Requires manual testing.	Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.	pages (CSV)	Decision Assigned to Notes
All page content should be contained by landmarks · unattributed component Fix one place, resolve ~5982 finding(s) on 5982 page(s). XPath / selector: `.font-weight-bold` `<p class="font-weight-bold m-0 mr-1">Version:</p>`	Serious	5982	Requires manual testing.	Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.	pages (CSV)	Decision Assigned to Notes
Presentational attribute (use CSS) · unattributed component Fix one place, resolve ~1486 finding(s) on 1225 page(s). XPath / selector: `td` `<td valign="top" colspan="6" class="dataTables_empty">No data available in table</td>`	Moderate	1225	Requires manual testing.	Not captured by automated scan — requires manual testing.	pages (CSV)	Decision Assigned to Notes
Elements must only use supported ARIA attributes · unattributed component Fix one place, resolve ~1640 finding(s) on 1640 page(s). XPath / selector: `a[href$="#overview"]` `<a class="nav-item nav-link active" href="#overview" role="link" aria-selected="true" aria-controls="overview" data-toggle="tab">Overview</a>`	Critical	1640	Without vision, Limited vision, Limited manipulation/strength	Remove ARIA attributes that aren't allowed on this role/element.	pages (CSV)	Decision Assigned to Notes

Bug reports

16 issue type(s) are shown by default out of 36 total. Prioritized by severity, key pages, WCAG level, and prevalence; use the toggle to show everything.

Overall severity mix: 3 critical, 9 serious, 23 moderate, 1 minor. By WCAG category: 9 WCAG 2.0 A, 1 WCAG 2.0 AA, 1 WCAG 2.1 A, 1 WCAG 2.2 AA, 5 WCAG 2.x AAA, 10 Best Practice, 9 Undetermined. Ordered by severity, key-page impact, WCAG level, and prevalence. Following accessibility bug-reporting best practices. Download: Markdown · JSON (full archive) · JSON (AI diagnostic) · CSV (all findings) · Priority pages CSV · Priority pages JSON.

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

Default view shows 16 prioritized issue type(s); 20 more are available if you switch to "Show everything".

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

Findings needing review

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

Critical axe aria-allowed-attr WCAG 2.0 A Elements must only use supported ARIA attributes (WCAG 4.1.2) 1743/8293 pages · 8406 instances Likely template

Bug ID: VS-f236911d
Pattern ID: VS-1467ea8a
Combined ID: VS-f236911d (pattern VS-1467ea8a) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 4.1.2 Name, Role, Value (Level A, WCAG 2.0)
Rule: axe-core — Elements must only use supported ARIA attributes [aria-allowed-attr]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
XPath / selector: a[href$="#overview"]
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

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

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

Description

Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 1743 of 8293 scanned pages (8406 instances).

Steps to reproduce

Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111.
Locate the element: a[href$="#overview"]
Confirm the axe-core finding for rule aria-allowed-attr against WCAG 4.1.2 Name, Role, Value.

Impact

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

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

Affected pages

…and more — all 1743 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Critical axe aria-required-children WCAG 2.0 A Certain ARIA roles must contain particular children (WCAG 1.3.1) 1743/8293 pages · 1743 instances Likely template

Bug ID: VS-d2b8a747
Pattern ID: VS-9429bb8d
Combined ID: VS-d2b8a747 (pattern VS-9429bb8d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 1.3.1 Info and Relationships (Level A, WCAG 2.0)
Rule: axe-core — Certain ARIA roles must contain particular children [aria-required-children]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
XPath / selector: .nav
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

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

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

Description

Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 1743 of 8293 scanned pages (1743 instances).

Steps to reproduce

Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111.
Locate the element: .nav
Confirm the axe-core finding for rule aria-required-children against WCAG 1.3.1 Info and Relationships.

Impact

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

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

Affected pages

…and more — all 1743 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Serious axe aria-input-field-name WCAG 2.0 A ARIA input fields must have an accessible name (WCAG 4.1.2) 600/8293 pages · 1285 instances Likely template

Bug ID: VS-01934140
Pattern ID: VS-0841abc2
Combined ID: VS-01934140 (pattern VS-0841abc2) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 4.1.2 Name, Role, Value (Level A, WCAG 2.0)
Rule: axe-core — ARIA input fields must have an accessible name [aria-input-field-name]
Example URL: https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
XPath / selector: span[data-select2-id="select2-data-1-wbkv"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

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

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

Description

ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 600 of 8293 scanned pages (1285 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.
Locate the element: span[data-select2-id="select2-data-1-wbkv"] > .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.

Impact

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

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

Affected pages

…and more — all 600 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Serious axe aria-prohibited-attr WCAG 2.0 A Elements must only use permitted ARIA attributes (WCAG 4.1.2) 7/8293 pages · 8 instances

Bug ID: VS-5cfc2d94
Pattern ID: VS-ebb1c464
Combined ID: VS-5cfc2d94 (pattern VS-ebb1c464) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 4.1.2 Name, Role, Value (Level A, WCAG 2.0)
Rule: axe-core — Elements must only use permitted ARIA attributes [aria-prohibited-attr]
Example URL: http://medicaid.gov/eligibility
XPath / selector: #map-svg-map-1749492555669
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

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

<div id="map-svg-map-1749492555669" class="map-container" aria-disabled="true" aria-label="State Map Image. Keyboard navigating users can use dropdown to select state." style="position: relative; widt

Description

Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 7 of 8293 scanned pages (8 instances).

Steps to reproduce

Open http://medicaid.gov/eligibility.
Locate the element: #map-svg-map-1749492555669
Confirm the axe-core finding for rule aria-prohibited-attr against WCAG 4.1.2 Name, Role, Value.

Impact

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

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

Affected pages

Testing environment

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

Suggested fix

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

Triage status Notes

Serious axe color-contrast WCAG 2.0 AA Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3) 2/8293 pages · 16 instances Likely content

Bug ID: VS-dab03fb1
Pattern ID: VS-be8d563e
Combined ID: VS-dab03fb1 (pattern VS-be8d563e) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 AA
Obligation: required
Handling: review
WCAG SC: 1.4.3 Contrast (Minimum) (Level AA, WCAG 2.0)
Rule: axe-core — Elements must meet minimum color contrast ratio thresholds [color-contrast]
Example URL: https://www.medicaid.gov/style-guide
XPath / selector: .headings-row:nth-child(2) > .heading-styles
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

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

<div class="heading-styles">font-family: Merriweather<br>font-weight: 700<br>font-size: 40px<br>line-height: 1.3em/52px</div>

Description

Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 2 of 8293 scanned pages (16 instances).

Steps to reproduce

Open https://www.medicaid.gov/style-guide.
Locate the element: .headings-row:nth-child(2) > .heading-styles
Confirm the axe-core finding for rule color-contrast against WCAG 1.4.3 Contrast (Minimum).

Impact

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

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

Affected pages

Testing environment

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

Suggested fix

How to fix: Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.

Drupal tip: Check your Drupal theme's base CSS. Themes like Olivero and Bartik have contrast issues in default color schemes — override failing color pairs in your subtheme's style.css.

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

Triage status Notes

Critical axe select-name WCAG 2.0 A Select element must have an accessible name (WCAG 4.1.2) 1/8293 pages · 1 instances Likely content

Bug ID: VS-bfdec3d2
Pattern ID: VS-fab92378
Combined ID: VS-bfdec3d2 (pattern VS-fab92378) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 4.1.2 Name, Role, Value (Level A, WCAG 2.0)
Rule: axe-core — Select element must have an accessible name [select-name]
Example URL: https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog
XPath / selector: #items-per-page
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

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

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

Description

Select element must have an accessible name. Detected by axe-core rule select-name on 1 of 8293 scanned pages (1 instances).

Steps to reproduce

Open https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog.
Locate the element: #items-per-page
Confirm the axe-core finding for rule select-name against WCAG 4.1.2 Name, Role, Value.

Impact

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

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

Affected pages

/tmsis/dataguide/t-msis-coding-blog

Testing environment

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

Suggested fix

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

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

Triage status Notes

Serious axe link-name WCAG 2.0 A Links must have discernible text (WCAG 2.4.4) 1/8293 pages · 7 instances Likely content

Bug ID: VS-ab2f02e5
Pattern ID: VS-e9fe47ac
Combined ID: VS-ab2f02e5 (pattern VS-e9fe47ac) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 2.4.4 Link Purpose (In Context) (Level A, WCAG 2.0)
Rule: axe-core — Links must have discernible text [link-name]
Example URL: https://www.medicaid.gov/style-guide
XPath / selector: aside > .grid-gap.grid-row > .ribbon-wrapper.tablet-lg\:grid-col.tablet-lg\:margin-bottom-0:nth-child(1) > .ribbon-image > .display-flex[data-listener-attached="true"]
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

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

<a class="display-flex" href="/about-us/where-can-people-get-help-medicaid-chip" data-listener-attached="true"><img src="https://www.medicaid.gov/sites/default/files/2023-04/individual_icon.png" aria-

Description

Links must have discernible text. Detected by axe-core rule link-name on 1 of 8293 scanned pages (7 instances).

Steps to reproduce

Open https://www.medicaid.gov/style-guide.
Locate the element: aside > .grid-gap.grid-row > .ribbon-wrapper.tablet-lg\:grid-col.tablet-lg\:margin-bottom-0:nth-child(1) > .ribbon-image > .display-flex[data-listener-attached="true"]
Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context).

Impact

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

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

Affected pages

/style-guide

Testing environment

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

Suggested fix

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

Drupal tip: "Read more" links from Drupal Views should use the "Link text" rewrite field to add context, or add aria-label via the Views rewrite output.

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

Triage status Notes

Serious axe nested-interactive WCAG 2.0 A Interactive controls must not be nested (WCAG 4.1.2) 1/8293 pages · 5 instances Likely content

Bug ID: VS-9740f00a
Pattern ID: VS-58301a87
Combined ID: VS-9740f00a (pattern VS-58301a87) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 4.1.2 Name, Role, Value (Level A, WCAG 2.0)
Rule: axe-core — Interactive controls must not be nested [nested-interactive]
Example URL: https://www.medicaid.gov/style-guide
XPath / selector: .row-group:nth-child(7) > .button-row > .button-style:nth-child(1)
History: first seen 2026-W25, last seen 2026-W25 (1 wk)

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

<button class="button-style">
                                                                					<a href="">Button as hyper link</a>

Description

Interactive controls must not be nested. Detected by axe-core rule nested-interactive on 1 of 8293 scanned pages (5 instances).

Steps to reproduce

Open https://www.medicaid.gov/style-guide.
Locate the element: .row-group:nth-child(7) > .button-row > .button-style:nth-child(1)
Confirm the axe-core finding for rule nested-interactive against WCAG 4.1.2 Name, Role, Value.

Impact

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

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

Affected pages

/style-guide

Testing environment

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

Suggested fix

How to fix: Don't nest interactive controls (e.g. a button inside a link); split them apart.

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

Triage status Notes

Serious axe region Best Practice All page content should be contained by landmarks (WCAG criterion undetermined) 6004/8293 pages · 27789 instances Likely template

Bug ID: VS-d2fce1ff
Pattern ID: VS-f18df681
Combined ID: VS-d2fce1ff (pattern VS-f18df681) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — All page content should be contained by landmarks [region]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
XPath / selector: .small
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

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

<div class="small p-1">

Description

All page content should be contained by landmarks. Detected by axe-core rule region on 6004 of 8293 scanned pages (27789 instances).

Steps to reproduce

Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26.
Locate the element: .small
Confirm the axe-core finding for rule region.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 6004 pages (CSV).

Testing environment

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

Suggested fix

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

Drupal tip: Use Drupal's region system (header, navigation, main, sidebar, footer) and map each to an HTML5 landmark element in your theme's page.html.twig.

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

Triage status Notes

Serious axe page-has-heading-one Best Practice Page should contain a level-one heading (WCAG criterion undetermined) 5984/8293 pages · 5984 instances Likely template

Bug ID: VS-8c598fec
Pattern ID: VS-fa44f293
Combined ID: VS-8c598fec (pattern VS-fa44f293) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — Page should contain a level-one heading [page-has-heading-one]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
XPath / selector: html
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

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

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

Description

Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 5984 of 8293 scanned pages (5984 instances).

Steps to reproduce

Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26.
Locate the element: html
Confirm the axe-core finding for rule page-has-heading-one.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 5984 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Serious axe landmark-one-main Best Practice Document should have one main landmark (WCAG criterion undetermined) 5978/8293 pages · 5978 instances Likely template

Bug ID: VS-779780d9
Pattern ID: VS-d5d82446
Combined ID: VS-779780d9 (pattern VS-d5d82446) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — Document should have one main landmark [landmark-one-main]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
XPath / selector: html
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

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

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

Description

Document should have one main landmark. Detected by axe-core rule landmark-one-main on 5978 of 8293 scanned pages (5978 instances).

Steps to reproduce

Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26.
Locate the element: html
Confirm the axe-core finding for rule landmark-one-main.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 5978 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Serious axe label-title-only Best Practice Form elements should have a visible label (WCAG criterion undetermined) 8/8293 pages · 37 instances

Bug ID: VS-4f56b347
Pattern ID: VS-33841929
Combined ID: VS-4f56b347 (pattern VS-33841929) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — Form elements should have a visible label [label-title-only]
Example URL: http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing
XPath / selector: select[aria-labelledby="filter-th-87386-0"]
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

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

<select aria-labelledby="filter-th-87386-0" class="usa-select height-1" data-col-index="0" title="Filter by Type">
          <option value="">All</option>
        <option value="Federal Upper Limit">F

Description

Form elements should have a visible label. Detected by axe-core rule label-title-only on 8 of 8293 scanned pages (37 instances).

Steps to reproduce

Open http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing.
Locate the element: select[aria-labelledby="filter-th-87386-0"]
Confirm the axe-core finding for rule label-title-only.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r14 WCAG 2.1 A Accessible name of link or button matches visible label (WCAG 2.5.3) 1216/8293 pages · 1221 instances Likely template

Bug ID: VS-915bb1ce
Pattern ID: VS-f7dba940
Combined ID: VS-915bb1ce (pattern VS-f7dba940) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.1 A
Obligation: required
Handling: review
WCAG SC: 2.5.3 Label in Name (Level A, WCAG 2.1)
Rule: Siteimprove Alfa — Accessible name of link or button matches visible label [sia-r14]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
XPath / selector: <a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

Description

Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 1216 of 8293 scanned pages (1221 instances).

Steps to reproduce

Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7.
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.

Impact

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

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

Affected pages

…and more — all 1216 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r68 WCAG 2.0 A Presentational children of an element are not focusable (WCAG 1.3.1) 919/8293 pages · 956 instances · possible duplicate Likely template

Bug ID: VS-9f3e2ed0
Pattern ID: VS-d6097011
Combined ID: VS-9f3e2ed0 (pattern VS-d6097011) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 1.3.1 Info and Relationships (Level A, WCAG 2.0)
Rule: Siteimprove Alfa — Presentational children of an element are not focusable [sia-r68]
Example URL: https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
XPath / selector: <ul class="select2-selection__rendered" id="select2-edit-field-authority-container">
History: first seen 2026-W24, last seen 2026-W25 (2 wk)
Possible duplicate: Same WCAG SC covered by axe report VS-d2b8a747 (pattern VS-9429bb8d). If axe and this engine flag the same element, the axe report takes precedence — mark this as duplicate in JIRA.

Description

Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 919 of 8293 scanned pages (956 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=.
Locate the element: <ul class="select2-selection__rendered" id="select2-edit-field-authority-container">
Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships.

Impact

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

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

Affected pages

…and more — all 919 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r113 WCAG 2.2 AA Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8) 257/8293 pages · 550 instances Likely template

Bug ID: VS-4a75bb4e
Pattern ID: VS-179ad9b3
Combined ID: VS-4a75bb4e (pattern VS-179ad9b3) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.2 AA
Obligation: required
Handling: review
WCAG SC: 2.5.8 Target Size (Minimum) (Level AA, WCAG 2.2)
Rule: Siteimprove Alfa — Target size is at least 24×24 CSS pixels or has spacing (Minimum) [sia-r113]
Example URL: https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
XPath / selector: <textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

Description

Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 257 of 8293 scanned pages (550 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&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).

Impact

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

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

Affected pages

…and more — all 257 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r8 WCAG 2.0 A Form field has accessible name (WCAG 4.1.2) 256/8293 pages · 549 instances Likely template

Bug ID: VS-e27a24d3
Pattern ID: VS-a48e6078
Combined ID: VS-e27a24d3 (pattern VS-a48e6078) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 4.1.2 Name, Role, Value (Level A, WCAG 2.0)
Rule: Siteimprove Alfa — Form field has accessible name [sia-r8]
Example URL: https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
XPath / selector: <span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

Description

Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 256 of 8293 scanned pages (549 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&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.

Impact

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

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

Affected pages

…and more — all 256 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Moderate alfa sia-r66 WCAG 2.x AAA Text has enhanced contrast (WCAG 1.4.6) 3216/8293 pages · 62640 instances Likely template

Bug ID: VS-c691c18c
Pattern ID: VS-646b1e0b
Combined ID: VS-c691c18c (pattern VS-646b1e0b) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.x AAA
Obligation: aspirational
Handling: review
WCAG SC: 1.4.6 Contrast (Enhanced) (Level AAA, WCAG 2.0)
Rule: Siteimprove Alfa — Text has enhanced contrast [sia-r66]
Example URL: https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656
XPath / selector: text: "Here’s how you know"
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

Description

Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 3216 of 8293 scanned pages (62640 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656.
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).

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 3216 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Moderate alfa sia-r111 WCAG 2.x AAA Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5) 3216/8293 pages · 36853 instances Likely template

Bug ID: VS-899f8753
Pattern ID: VS-cb53cc4d
Combined ID: VS-899f8753 (pattern VS-cb53cc4d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.x AAA
Obligation: aspirational
Handling: review
WCAG SC: 2.5.5 Target Size (Enhanced) (Level AAA, WCAG 2.1)
Rule: Siteimprove Alfa — Target size is at least 44×44 CSS pixels (Enhanced) [sia-r111]
Example URL: https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656
XPath / selector: <button class="usa-button" type="submit">
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

Description

Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 3216 of 8293 scanned pages (36853 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656.
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).

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 3216 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r57 Undetermined Scrolling content can be accessed by keyboard (WCAG criterion undetermined) 3206/8293 pages · 120197 instances Likely template

Bug ID: VS-e61eb469
Pattern ID: VS-c18be945
Combined ID: VS-e61eb469 (pattern VS-c18be945) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — Scrolling content can be accessed by keyboard [sia-r57]
Example URL: https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656
XPath / selector: text: " Feedback "
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

Description

Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3206 of 8293 scanned pages (120197 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656.
Locate the element: text: " Feedback "
Confirm the Siteimprove Alfa finding for rule sia-r57.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 3206 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r87 Undetermined First focusable element is link to main content (WCAG criterion undetermined) 2368/8293 pages · 2368 instances Likely template

Bug ID: VS-18974126
Pattern ID: VS-aa242c2d
Combined ID: VS-18974126 (pattern VS-aa242c2d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — First focusable element is link to main content [sia-r87]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
XPath / selector: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

Description

First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 2368 of 8293 scanned pages (2368 instances).

Steps to reproduce

Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7.
Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
Confirm the Siteimprove Alfa finding for rule sia-r87.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 2368 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r61 Undetermined Form field label is visible (WCAG criterion undetermined) 2341/8293 pages · 2341 instances Likely template

Bug ID: VS-31388146
Pattern ID: VS-7118fead
Combined ID: VS-31388146 (pattern VS-7118fead) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — Form field label is visible [sia-r61]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
XPath / selector: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

Description

Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 2341 of 8293 scanned pages (2341 instances).

Steps to reproduce

Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7.
Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
Confirm the Siteimprove Alfa finding for rule sia-r61.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 2341 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate deprecated-html presentational-attr Undetermined Presentational attribute (use CSS) (WCAG criterion undetermined) 1226/8293 pages · 1489 instances Likely template

Bug ID: VS-d35b89f2
Pattern ID: VS-04a9d28c
Combined ID: VS-d35b89f2 (pattern VS-04a9d28c) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: deprecated-html — Presentational attribute (use CSS) [presentational-attr]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157
XPath / selector: td
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

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

<td valign="top" colspan="6" class="dataTables_empty">No data available in table</td>

Description

Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 1226 of 8293 scanned pages (1489 instances).

Steps to reproduce

Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157.
Locate the element: td
Confirm the deprecated-html finding for rule presentational-attr.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 1226 pages (CSV).

Testing environment

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

Suggested fix

Not captured by automated scan — requires manual testing.

Triage status Notes

Moderate alfa sia-r73 WCAG 2.x AAA Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8) 863/8293 pages · 11573 instances Likely template

Bug ID: VS-9f176a22
Pattern ID: VS-2208081b
Combined ID: VS-9f176a22 (pattern VS-2208081b) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.x AAA
Obligation: aspirational
Handling: review
WCAG SC: 1.4.8 Visual Presentation (Level AAA, WCAG 2.0)
Rule: Siteimprove Alfa — Text has minimum contrast ratio of 4.5:1 [sia-r73]
Example URL: https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656
XPath / selector: <p class="usa-footer__contact-info margin-bottom-0">
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

Description

Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 863 of 8293 scanned pages (11573 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656.
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.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 863 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r18 Undetermined aria attribute is permitted for element role (WCAG criterion undetermined) 689/8293 pages · 3293 instances Likely template

Bug ID: VS-582dca8a
Pattern ID: VS-e05344b9
Combined ID: VS-582dca8a (pattern VS-e05344b9) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — aria attribute is permitted for element role [sia-r18]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
XPath / selector: @aria-selected="true"
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

Description

aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 689 of 8293 scanned pages (3293 instances).

Steps to reproduce

Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128.
Locate the element: @aria-selected="true"
Confirm the Siteimprove Alfa finding for rule sia-r18.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 689 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Minor axe aria-allowed-role Best Practice ARIA role should be appropriate for the element (WCAG criterion undetermined) 606/8293 pages · 1294 instances Likely template

Bug ID: VS-ca10dd9b
Pattern ID: VS-4fac2f41
Combined ID: VS-ca10dd9b (pattern VS-4fac2f41) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — ARIA role should be appropriate for the element [aria-allowed-role]
Example URL: https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
XPath / selector: span[data-select2-id="select2-data-1-wbkv"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

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

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

Description

ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 606 of 8293 scanned pages (1294 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.
Locate the element: span[data-select2-id="select2-data-1-wbkv"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea
Confirm the axe-core finding for rule aria-allowed-role.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 606 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Moderate axe heading-order Best Practice Heading levels should only increase by one (WCAG criterion undetermined) 519/8293 pages · 569 instances Likely template

Bug ID: VS-7c8f0191
Pattern ID: VS-d25f622d
Combined ID: VS-7c8f0191 (pattern VS-d25f622d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — Heading levels should only increase by one [heading-order]
Example URL: https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments
XPath / selector: .region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

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

<h4 class="usa-footer__primary-link">Related Sites</h4>

Description

Heading levels should only increase by one. Detected by axe-core rule heading-order on 519 of 8293 scanned pages (569 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments.
Locate the element: .region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4
Confirm the axe-core finding for rule heading-order.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 519 pages (CSV).

Testing environment

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

Suggested fix

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

Drupal tip: Drupal Views and blocks can insert headings at arbitrary levels. In the Views UI, set "Title tag" for each display. For block titles, configure the heading level in the block's layout settings.

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

Triage status Notes

Moderate alfa sia-r53 Undetermined Headings are structured hierarchically (WCAG criterion undetermined) 211/8293 pages · 231 instances Likely template

Bug ID: VS-445ff332
Pattern ID: VS-f054f4a4
Combined ID: VS-445ff332 (pattern VS-f054f4a4) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — Headings are structured hierarchically [sia-r53]
Example URL: https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments
XPath / selector: <h4 class="usa-footer__primary-link">
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

Description

Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 211 of 8293 scanned pages (231 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments.
Locate the element: <h4 class="usa-footer__primary-link">
Confirm the Siteimprove Alfa finding for rule sia-r53.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 211 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Moderate axe landmark-unique Best Practice Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined) 130/8293 pages · 130 instances Likely template

Bug ID: VS-01f01755
Pattern ID: VS-8806389c
Combined ID: VS-01f01755 (pattern VS-8806389c) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — Landmarks should have a unique role or role/label/title (i.e. accessible name) c [landmark-unique]
Example URL: https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments
XPath / selector: .section
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

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

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

Description

Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 130 of 8293 scanned pages (130 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments.
Locate the element: .section
Confirm the axe-core finding for rule landmark-unique.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 130 pages (CSV).

Testing environment

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

Suggested fix

How to fix: When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. "Primary" and "Footer" navigation) so screen-reader users can tell them apart.

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

Triage status Notes

Moderate alfa sia-r74 WCAG 2.x AAA Link is distinguishable without relying on color (WCAG 1.4.8) 28/8293 pages · 90 instances Likely template

Bug ID: VS-25a28b58
Pattern ID: VS-fbf54eba
Combined ID: VS-25a28b58 (pattern VS-fbf54eba) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.x AAA
Obligation: aspirational
Handling: review
WCAG SC: 1.4.8 Visual Presentation (Level AAA, WCAG 2.0)
Rule: Siteimprove Alfa — Link is distinguishable without relying on color [sia-r74]
Example URL: http://medicaid.gov/medicaid/long-term-services-supports/self-directed-services
XPath / selector: <p>
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

Description

Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 28 of 8293 scanned pages (90 instances).

Steps to reproduce

Open http://medicaid.gov/medicaid/long-term-services-supports/self-directed-services.
Locate the element: <p>
Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 28 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r78 Undetermined Table header has scope (WCAG criterion undetermined) 14/8293 pages · 26 instances Likely template

Bug ID: VS-1bc488fd
Pattern ID: VS-2cd767ca
Combined ID: VS-1bc488fd (pattern VS-2cd767ca) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — Table header has scope [sia-r78]
Example URL: https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
XPath / selector: <h3 _ngcontent-ng-c1329502141="" class="view-measures-related-to-header core-set ng-star-inserted">
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

Description

Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 14 of 8293 scanned pages (26 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%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.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r72 Undetermined Element role is consistent with ARIA landmark (WCAG criterion undetermined) 12/8293 pages · 2103 instances Likely template

Bug ID: VS-635c77d9
Pattern ID: VS-e5ec42f0
Combined ID: VS-635c77d9 (pattern VS-e5ec42f0) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — Element role is consistent with ARIA landmark [sia-r72]
Example URL: https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
XPath / selector: <p _ngcontent-ng-c2822395467="" class="title core-set">
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

Description

Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 12 of 8293 scanned pages (2103 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r85 Undetermined Keyboard trap does not exist (WCAG criterion undetermined) 12/8293 pages · 725 instances Likely template

Bug ID: VS-bb41b8ef
Pattern ID: VS-4c341c77
Combined ID: VS-bb41b8ef (pattern VS-4c341c77) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — Keyboard trap does not exist [sia-r85]
Example URL: https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
XPath / selector: <p class="selected-states-header">
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

Description

Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 12 of 8293 scanned pages (725 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate axe scope-attr-valid Best Practice scope attribute should be used correctly (WCAG criterion undetermined) 1/8293 pages · 51 instances Likely content

Bug ID: VS-432e7ba2
Pattern ID: VS-0ba8ce9d
Combined ID: VS-432e7ba2 (pattern VS-0ba8ce9d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — scope attribute should be used correctly [scope-attr-valid]
Example URL: http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels
XPath / selector: tr:nth-child(1) > td[scope="row"]
History: first seen 2026-W24, last seen 2026-W25 (2 wk)

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

<td scope="row">Alabama</td>

Description

scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 1 of 8293 scanned pages (51 instances).

Steps to reproduce

Open http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels.
Locate the element: tr:nth-child(1) > td[scope="row"]
Confirm the axe-core finding for rule scope-attr-valid.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r80 WCAG 2.x AAA Scrollable element is keyboard accessible (WCAG 1.4.8) 1/8293 pages · 2 instances Likely content

Bug ID: VS-5660247f
Pattern ID: VS-388b5438
Combined ID: VS-5660247f (pattern VS-388b5438) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.x AAA
Obligation: aspirational
Handling: review
WCAG SC: 1.4.8 Visual Presentation (Level AAA, WCAG 2.0)
Rule: Siteimprove Alfa — Scrollable element is keyboard accessible [sia-r80]
Example URL: https://www.medicaid.gov/dq-atlas/landing/resources/subscription
XPath / selector: <p _ngcontent-ng-c1416952416="">
History: first seen 2026-W25, last seen 2026-W25 (1 wk)

Description

Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 1 of 8293 scanned pages (2 instances).

Steps to reproduce

Open https://www.medicaid.gov/dq-atlas/landing/resources/subscription.
Locate the element: <p _ngcontent-ng-c1416952416="">
Confirm the Siteimprove Alfa finding for rule sia-r80 against WCAG 1.4.8 Visual Presentation.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

/dq-atlas/landing/resources/subscription

Testing environment

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

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r80

Triage status Notes

Moderate axe landmark-contentinfo-is-top-level Best Practice Contentinfo landmark should not be contained in another landmark (WCAG criterion undetermined) 1/8293 pages · 1 instances Likely content

Bug ID: VS-159e1153
Pattern ID: VS-424cced9
Combined ID: VS-159e1153 (pattern VS-424cced9) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — Contentinfo landmark should not be contained in another landmark [landmark-contentinfo-is-top-level]
Example URL: https://www.medicaid.gov/faq?page=5
XPath / selector: .usa-alert
History: first seen 2026-W25, last seen 2026-W25 (1 wk)

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

<div class="usa-alert usa-alert--error usa-alert--slim" role="contentinfo" aria-label="Error message">

Description

Contentinfo landmark should not be contained in another landmark. Detected by axe-core rule landmark-contentinfo-is-top-level on 1 of 8293 scanned pages (1 instances).

Steps to reproduce

Open https://www.medicaid.gov/faq?page=5.
Locate the element: .usa-alert
Confirm the axe-core finding for rule landmark-contentinfo-is-top-level.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

/faq

Testing environment

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

Suggested fix

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-contentinfo-is-top-level?application=axeAPI

Triage status Notes

Moderate axe landmark-no-duplicate-contentinfo Best Practice Document should not have more than one contentinfo landmark (WCAG criterion undetermined) 1/8293 pages · 1 instances Likely content

Bug ID: VS-208b7d90
Pattern ID: VS-b465dfd7
Combined ID: VS-208b7d90 (pattern VS-b465dfd7) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — Document should not have more than one contentinfo landmark [landmark-no-duplicate-contentinfo]
Example URL: https://www.medicaid.gov/faq?page=5
XPath / selector: .usa-alert
History: first seen 2026-W25, last seen 2026-W25 (1 wk)

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

<div class="usa-alert usa-alert--error usa-alert--slim" role="contentinfo" aria-label="Error message">

Description

Document should not have more than one contentinfo landmark. Detected by axe-core rule landmark-no-duplicate-contentinfo on 1 of 8293 scanned pages (1 instances).

Steps to reproduce

Open https://www.medicaid.gov/faq?page=5.
Locate the element: .usa-alert
Confirm the axe-core finding for rule landmark-no-duplicate-contentinfo.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

/faq

Testing environment

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

Suggested fix

How to fix: Use only one contentinfo landmark (<footer> at the top level) per page.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-contentinfo?application=axeAPI

Triage status Notes

Deque axe-core findings

Rule-level axe-core summary (18 rule type(s))

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

axe-core rules failing in 2026-W25, by pages affected
Rule	Impact	Pages affected	Instances	Example pages	All affected
All page content should be contained by landmarks [region]	moderate	6004	27789	/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26 /tmsis/dataguide/v4/data-elements/cot002111 /tmsis/dataguide/v4/data-quality-measures/all-21-007-7	all 6004 pages (CSV)
Page should contain a level-one heading [page-has-heading-one]	moderate	5984	5984	/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26 /tmsis/dataguide/v4/data-elements/cot002111 /tmsis/dataguide/v4/data-quality-measures/all-21-007-7	all 5984 pages (CSV)
Document should have one main landmark [landmark-one-main]	moderate	5978	5978	/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26 /tmsis/dataguide/v4/data-elements/cot002111 /tmsis/dataguide/v4/data-quality-measures/all-21-007-7	all 5978 pages (CSV)
Elements must only use supported ARIA attributes [aria-allowed-attr]	critical	1743	8406	/tmsis/dataguide/v4/data-elements/cot002111 /tmsis/dataguide/v4/data-elements/cot003157 /tmsis/dataguide/v4/data-elements/cot002095	all 1743 pages (CSV)
Certain ARIA roles must contain particular children [aria-required-children]	critical	1743	1743	/tmsis/dataguide/v4/data-elements/cot002111 /tmsis/dataguide/v4/data-elements/cot003157 /tmsis/dataguide/v4/data-elements/cot002095	all 1743 pages (CSV)
ARIA role should be appropriate for the element [aria-allowed-role]	minor	606	1294	/medicaid/medicaid-state-plan-amendments /medicaid/section-1115-demo/demonstration-and-waiver-list /medicaid/medicaid-state-plan-amendments	all 606 pages (CSV)
ARIA input fields must have an accessible name [aria-input-field-name]	serious	600	1285	/medicaid/medicaid-state-plan-amendments /medicaid/section-1115-demo/demonstration-and-waiver-list /medicaid/medicaid-state-plan-amendments	all 600 pages (CSV)
Heading levels should only increase by one [heading-order]	moderate	519	569	/medicaid/managed-care/guidance/state-directed-payments /medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie /resources-for-states/disaster-response-toolkit/federal-disaster-resources	all 519 pages (CSV)
Landmarks should have a unique role or role/label/title (i.e. accessible name) combination [landmark-unique]	moderate	130	130	/medicaid/managed-care/guidance/state-directed-payments /resources-for-states/disaster-response-toolkit/federal-disaster-resources /resources-for-states/medicaid-and-chip-program-portal/macpro-training-help	all 130 pages (CSV)
Form elements should have a visible label [label-title-only]	serious	8	37	/medicaid/prescription-drugs/pharmacy-pricing /medicaid/prescription-drugs/drug-utilization-review/innovative-practices /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	all 8 pages (CSV)
Elements must only use permitted ARIA attributes [aria-prohibited-attr]	serious	7	8	/eligibility /resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals /chip/state-program-information	all 7 pages (CSV)
Elements must meet minimum color contrast ratio thresholds [color-contrast]	serious	2	16	/style-guide /chip/reports-evaluations	all 2 pages (CSV)
scope attribute should be used correctly [scope-attr-valid]	moderate	1	51	/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels	all 1 pages (CSV)
Links must have discernible text [link-name]	serious	1	7	/style-guide	all 1 pages (CSV)
Interactive controls must not be nested [nested-interactive]	serious	1	5	/style-guide	all 1 pages (CSV)
Contentinfo landmark should not be contained in another landmark [landmark-contentinfo-is-top-level]	moderate	1	1	/faq	all 1 pages (CSV)
Document should not have more than one contentinfo landmark [landmark-no-duplicate-contentinfo]	moderate	1	1	/faq	all 1 pages (CSV)
Select element must have an accessible name [select-name]	critical	1	1	/tmsis/dataguide/t-msis-coding-blog	all 1 pages (CSV)

Siteimprove Alfa findings

Rule-level Alfa summary (17 rule type(s))

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

Alfa rules failing in 2026-W25, by pages affected
Rule	Impact	Pages affected	Instances	Example pages	All affected
Text has enhanced contrast [sia-r66]	n/a	3216	62640	/medicaid/medicaid-state-plan-amendments /tmsis/dataguide/v4/data-quality-measures/all-21-007-7 /tmsis/dataguide/v4/validation-rules/rule-9149	all 3216 pages (CSV)
Target size is at least 44×44 CSS pixels (Enhanced) [sia-r111]	n/a	3216	36853	/medicaid/medicaid-state-plan-amendments /tmsis/dataguide/v4/data-quality-measures/all-21-007-7 /tmsis/dataguide/v4/validation-rules/rule-9149	all 3216 pages (CSV)
Scrolling content can be accessed by keyboard [sia-r57]	n/a	3206	120197	/medicaid/medicaid-state-plan-amendments /tmsis/dataguide/v4/data-quality-measures/all-21-007-7 /tmsis/dataguide/v4/validation-rules/rule-9149	all 3206 pages (CSV)
First focusable element is link to main content [sia-r87]	n/a	2368	2368	/tmsis/dataguide/v4/data-quality-measures/all-21-007-7 /tmsis/dataguide/v4/validation-rules/rule-9149 /tmsis/dataguide/v4/validation-rules/rule-2806	all 2368 pages (CSV)
Form field label is visible [sia-r61]	n/a	2341	2341	/tmsis/dataguide/v4/data-quality-measures/all-21-007-7 /tmsis/dataguide/v4/validation-rules/rule-9149 /tmsis/dataguide/v4/validation-rules/rule-2806	all 2341 pages (CSV)
Accessible name of link or button matches visible label [sia-r14]	n/a	1216	1221	/tmsis/dataguide/v4/data-quality-measures/all-21-007-7 /tmsis/dataguide/v4/data-elements/ftx004128 /tmsis/dataguide/v4/data-elements/ftx002028	all 1216 pages (CSV)
Presentational children of an element are not focusable [sia-r68]	n/a	919	956	/medicaid/section-1115-demo/demonstration-and-waiver-list /tmsis/dataguide/v4/data-elements/ftx004128 /tmsis/dataguide/v4/data-elements/ftx002028	all 919 pages (CSV)
Text has minimum contrast ratio of 4.5:1 [sia-r73]	n/a	863	11573	/medicaid/medicaid-state-plan-amendments /medicaid/managed-care/guidance/state-directed-payments /medicaid/section-1115-demo/demonstration-and-waiver-list/83561	all 863 pages (CSV)
aria attribute is permitted for element role [sia-r18]	n/a	689	3293	/tmsis/dataguide/v4/data-elements/ftx004128 /tmsis/dataguide/v4/data-elements/ftx002028 /tmsis/dataguide/v3/data-elements/cip002085	all 689 pages (CSV)
Target size is at least 24×24 CSS pixels or has spacing (Minimum) [sia-r113]	n/a	257	550	/medicaid/section-1115-demo/demonstration-and-waiver-list /medicaid/medicaid-state-plan-amendments /medicaid/medicaid-state-plan-amendments	all 257 pages (CSV)
Form field has accessible name [sia-r8]	n/a	256	549	/medicaid/section-1115-demo/demonstration-and-waiver-list /medicaid/medicaid-state-plan-amendments /medicaid/medicaid-state-plan-amendments	all 256 pages (CSV)
Headings are structured hierarchically [sia-r53]	n/a	211	231	/medicaid/managed-care/guidance/state-directed-payments /medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie /resources-for-states/innovation-accelerator-program	all 211 pages (CSV)
Link is distinguishable without relying on color [sia-r74]	n/a	28	90	/medicaid/long-term-services-supports/self-directed-services /resources-for-states/disaster-response-toolkit/federal-disaster-resources /medicaid/quality-of-care/core-set-data-dashboard/main	all 28 pages (CSV)
Table header has scope [sia-r78]	n/a	14	26	/medicaid/quality-of-care/core-set-data-dashboard/main /medicaid/quality-of-care/core-set-data-dashboard/main /medicaid/quality-of-care/core-set-data-dashboard/main	all 14 pages (CSV)
Element role is consistent with ARIA landmark [sia-r72]	n/a	12	2103	/medicaid/quality-of-care/core-set-data-dashboard/main /medicaid/quality-of-care/core-set-data-dashboard/main /medicaid/quality-of-care/core-set-data-dashboard/main	all 12 pages (CSV)
Keyboard trap does not exist [sia-r85]	n/a	12	725	/medicaid/quality-of-care/core-set-data-dashboard/main /medicaid/quality-of-care/core-set-data-dashboard/main /medicaid/quality-of-care/core-set-data-dashboard/main	all 12 pages (CSV)
Scrollable element is keyboard accessible [sia-r80]	n/a	1	2	/dq-atlas/landing/resources/subscription	all 1 pages (CSV)

Unique accessibility issues (axe + Alfa consolidated)

axe and Alfa both implement W3C ACT rules, so the same issue is often caught by both. These are deduplicated by ACT rule and page, so a shared finding counts once (39189 raw engine findings → 38259 unique).

Unique issues (rule × page): 38259
Caught by both engines: 930 highest confidence
axe only: 19434
Alfa only: 17895

2 rule type(s) caught by both engines — highest confidence

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

Rules flagged by both axe-core and Alfa in 2026-W25, by pages affected.
Issue	Pages	Rule references
Elements must only use supported ARIA attributes	1765	axe aria-allowed-attr · Alfa sia-r18 · ACT 5c01ea
ARIA input fields must have an accessible name	601	axe aria-input-field-name · Alfa sia-r8 · ACT e086e5