# Accessibility bug reports — www.medicaid.gov, week 2026-W25

36 issue type(s) from 8293 pages scanned. Generated 2026-07-12 by [vital-scans](https://github.com/mgifford/vital-core), following [accessibility bug-reporting best practices](https://mgifford.github.io/ACCESSIBILITY.md/examples/ACCESSIBILITY_BUG_REPORTING_BEST_PRACTICES.html).

> Automated checks find roughly a third of accessibility barriers. Fields marked "requires manual testing" cannot be observed by an automated scan and need a human with assistive technology.

---
## Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)

**Bug ID:** `VS-4a75bb4e`  
**Pattern ID:** `VS-179ad9b3`  
**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">`  
**WCAG SC:** 2.5.8 — Target Size (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r113` ([reference](https://alfa.siteimprove.com/rules/sia-r113))  
**Severity:** Moderate  
**Frequency:** 550 instances; 257 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### 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
1. 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=.
2. Locate the element: <textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">
3. Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum).

### Impact
Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%).
- **Limited manipulation/strength** (13.0% of population)
- **Limited reach** (2.0% of population)
- **Limited vision** (2.4% of population)

### Affected pages
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=2&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=13&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=15&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=796&page=4&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=53&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=16&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=966&page=1&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=911&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=901&page=29&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=0&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=8741&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%5B0%5D=1001&page=3&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=996&page=29&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=35&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=49&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=33&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=736&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=47&q=

…and more — 257 pages total ([download CSV](csv/alfa__sia-r113.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

### Example pages
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=

---

## Accessible name of link or button matches visible label (WCAG 2.5.3)

**Bug ID:** `VS-915bb1ce`  
**Pattern ID:** `VS-f7dba940`  
**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">`  
**WCAG SC:** 2.5.3 — Label in Name (Level A)  
**Rule:** Siteimprove Alfa — `sia-r14` ([reference](https://alfa.siteimprove.com/rules/sia-r14))  
**Severity:** Moderate  
**Frequency:** 1221 instances; 1216 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### 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
1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7.
2. Locate the element: <a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">
3. Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name.

### Impact
Affects Without vision (1.0%), Without speech (0.5%).
- **Without vision** (1.0% of population)
- **Without speech** (0.5% of population)

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7782
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-54-012-12
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-48-001-1
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7380
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003174
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-1-014-5
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-25-005-5
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-27-017-17
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-1-026-33
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx001001
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/tpl-4-001-1
- https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/tpl-third-party-liability/tpl-medicaid-eligible-person-health-insurance-coverage-info
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002024

…and more — 1216 pages total ([download CSV](csv/alfa__sia-r14.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028

---

## Certain ARIA roles must contain particular children (WCAG 1.3.1)

**Bug ID:** `VS-d2b8a747`  
**Pattern ID:** `VS-9429bb8d`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111  
**XPath / selector:** `.nav`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `aria-required-children` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 1743 instances; 1743 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<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
1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111.
2. Locate the element: .nav
3. Confirm the axe-core finding for rule aria-required-children against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg001003
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003174
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003092
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv004062
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002143
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg004064
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023

…and more — 1743 pages total ([download CSV](csv/axe-core__aria-required-children.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095

---

## Presentational children of an element are not focusable (WCAG 1.3.1)

**Bug ID:** `VS-9f3e2ed0`  
**Pattern ID:** `VS-d6097011`  
**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">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r68` ([reference](https://alfa.siteimprove.com/rules/sia-r68))  
**Severity:** Moderate  
**Frequency:** 956 instances; 919 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### 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
1. 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=.
2. Locate the element: <ul class="select2-selection__rendered" id="select2-edit-field-authority-container">
3. Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003174
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx001001
- https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/tpl-third-party-liability/tpl-medicaid-eligible-person-health-insurance-coverage-info
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002024
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002219
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg008133
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002163
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/mcr010117
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003227
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=1&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg006110

…and more — 919 pages total ([download CSV](csv/alfa__sia-r68.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

### Example pages
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028

---

## Links must have discernible text (WCAG 2.4.4)

**Bug ID:** `VS-ab2f02e5`  
**Pattern ID:** `VS-e9fe47ac`  
**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"]`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** axe-core — `link-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 7 instances; 1 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<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
1. Open https://www.medicaid.gov/style-guide.
2. 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"]
3. Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context).

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.medicaid.gov/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.

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

---

## Elements must only use supported ARIA attributes (WCAG 4.1.2)

**Bug ID:** `VS-f236911d`  
**Pattern ID:** `VS-1467ea8a`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111  
**XPath / selector:** `a[href$="#overview"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-allowed-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 8406 instances; 1743 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg001003
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003174
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003092
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv004062
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002143
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg004064
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023

…and more — 1743 pages total ([download CSV](csv/axe-core__aria-allowed-attr.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095

---

## Select element must have an accessible name (WCAG 4.1.2)

**Bug ID:** `VS-bfdec3d2`  
**Pattern ID:** `VS-fab92378`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog  
**XPath / selector:** `#items-per-page`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `select-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 1 instances; 1 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://www.medicaid.gov/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

---

## ARIA input fields must have an accessible name (WCAG 4.1.2)

**Bug ID:** `VS-01934140`  
**Pattern ID:** `VS-0841abc2`  
**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"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-input-field-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1285 instances; 600 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<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
1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.
2. Locate the element: span[data-select2-id="select2-data-1-wbkv"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]
3. Confirm the axe-core finding for rule aria-input-field-name against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=44&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=941&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=16&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=946&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=9&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=4&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=996&page=31&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=1&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=27&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=2&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=14&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=11&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=13&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=756&q=
- http://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=2276&limit=10&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=941&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=0&q=

…and more — 600 pages total ([download CSV](csv/axe-core__aria-input-field-name.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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=

---

## Elements must only use permitted ARIA attributes (WCAG 4.1.2)

**Bug ID:** `VS-5cfc2d94`  
**Pattern ID:** `VS-ebb1c464`  
**URL:** http://medicaid.gov/eligibility  
**XPath / selector:** `#map-svg-map-1749492555669`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-prohibited-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 8 instances; 7 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- http://medicaid.gov/eligibility
- http://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
- http://medicaid.gov/chip/state-program-information
- http://medicaid.gov/medicaid/data-systems/it-procurement-opportunities
- http://medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa
- https://www.medicaid.gov/state-overviews/state-profiles
- http://medicaid.gov/state-overviews/state-profiles

### 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

### Example pages
- http://medicaid.gov/eligibility
- http://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
- http://medicaid.gov/chip/state-program-information

---

## Interactive controls must not be nested (WCAG 4.1.2)

**Bug ID:** `VS-9740f00a`  
**Pattern ID:** `VS-58301a87`  
**URL:** https://www.medicaid.gov/style-guide  
**XPath / selector:** `.row-group:nth-child(7) > .button-row > .button-style:nth-child(1)`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `nested-interactive` ([reference](https://dequeuniversity.com/rules/axe/4.12/nested-interactive?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 5 instances; 1 of 8293 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### HTML snippet
```html
<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
1. Open https://www.medicaid.gov/style-guide.
2. Locate the element: .row-group:nth-child(7) > .button-row > .button-style:nth-child(1)
3. 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
- https://www.medicaid.gov/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

---

## Form field has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-e27a24d3`  
**Pattern ID:** `VS-a48e6078`  
**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">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r8` ([reference](https://alfa.siteimprove.com/rules/sia-r8))  
**Severity:** Moderate  
**Frequency:** 549 instances; 256 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

### Steps to reproduce
1. 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=.
2. Locate the element: <span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">
3. Confirm the Siteimprove Alfa finding for rule sia-r8 against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=2&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=13&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=15&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=796&page=4&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=53&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=16&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=966&page=1&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=911&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=901&page=29&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=0&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=8741&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%5B0%5D=1001&page=3&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=996&page=29&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=35&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=49&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=33&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=736&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=47&q=

…and more — 256 pages total ([download CSV](csv/alfa__sia-r8.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

### Example pages
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=

---

## Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)

**Bug ID:** `VS-dab03fb1`  
**Pattern ID:** `VS-be8d563e`  
**URL:** https://www.medicaid.gov/style-guide  
**XPath / selector:** `.headings-row:nth-child(2) > .heading-styles`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** axe-core — `color-contrast` ([reference](https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 16 instances; 2 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

### Impact
Affects Limited vision (2.4%), Without color perception (4.5%).
- **Limited vision** (2.4% of population)
- **Without color perception** (4.5% of population)

### Affected pages
- https://www.medicaid.gov/style-guide
- http://medicaid.gov/chip/reports-evaluations

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

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

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

### Example pages
- https://www.medicaid.gov/style-guide
- http://medicaid.gov/chip/reports-evaluations

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-c691c18c`  
**Pattern ID:** `VS-646b1e0b`  
**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"`  
**WCAG SC:** 1.4.6 — Contrast (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r66` ([reference](https://alfa.siteimprove.com/rules/sia-r66))  
**Severity:** Moderate  
**Frequency:** 62640 instances; 3216 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

### Steps to reproduce
1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656.
2. Locate the element: text: "Here’s how you know"
3. Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced).

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149
- https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83561
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A681&f%5B1%5D=state%3A696&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A921&f%5B12%5D=topics%3A1031&f%5B13%5D=topics%3A1511&f%5B14%5D=topics%3A3101&f%5B15%5D=topics%3A3356&f%5B16%5D=topics%3A6476&f%5B17%5D=topics%3A7296&f%5B18%5D=topics%3A7316&f%5B2%5D=state%3A716&f%5B3%5D=state%3A806&f%5B4%5D=state%3A836&f%5B5%5D=state%3A876&f%5B6%5D=state%3A991&f%5B7%5D=state%3A1051&f%5B8%5D=state%3A7971&f%5B9%5D=topics%3A761&page=1653
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-613
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83496
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7782
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-54-012-12
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-48-001-1
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126

…and more — 3216 pages total ([download CSV](csv/alfa__sia-r66.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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149

---

## Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)

**Bug ID:** `VS-9f176a22`  
**Pattern ID:** `VS-2208081b`  
**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">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r73` ([reference](https://alfa.siteimprove.com/rules/sia-r73))  
**Severity:** Moderate  
**Frequency:** 11573 instances; 863 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### 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
1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656.
2. Locate the element: <p class="usa-footer__contact-info margin-bottom-0">
3. Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656
- https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83561
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A681&f%5B1%5D=state%3A696&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A921&f%5B12%5D=topics%3A1031&f%5B13%5D=topics%3A1511&f%5B14%5D=topics%3A3101&f%5B15%5D=topics%3A3356&f%5B16%5D=topics%3A6476&f%5B17%5D=topics%3A7296&f%5B18%5D=topics%3A7316&f%5B2%5D=state%3A716&f%5B3%5D=state%3A806&f%5B4%5D=state%3A836&f%5B5%5D=state%3A876&f%5B6%5D=state%3A991&f%5B7%5D=state%3A1051&f%5B8%5D=state%3A7971&f%5B9%5D=topics%3A761&page=1653
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83496
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=
- http://medicaid.gov/medicaid/managed-care/guidance/medicaid-and-chip-managed-care-final-rules
- http://medicaid.gov/resources-for-states/working-families-tax-cut-legislation
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A806&f%5B1%5D=state%3A8296&page=1655
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=state_waiver_status_facet%3A1561&f%5B1%5D=state_waiver_status_facet%3A1601&f%5B10%5D=waiver_state_facet%3A806&f%5B11%5D=waiver_state_facet%3A816&f%5B12%5D=waiver_state_facet%3A826&f%5B13%5D=waiver_state_facet%3A831&f%5B14%5D=waiver_state_facet%3A851&f%5B15%5D=waiver_state_facet%3A861&f%5B16%5D=waiver_state_facet%3A876&f%5B17%5D=waiver_state_facet%3A886&f%5B18%5D=waiver_state_facet%3A916&f%5B19%5D=waiver_state_facet%3A941&f%5B2%5D=waiver_state_facet%3A681&f%5B20%5D=waiver_state_facet%3A956&f%5B21%5D=waiver_state_facet%3A961&f%5B22%5D=waiver_state_facet%3A971&f%5B23%5D=waiver_state_facet%3A976&f%5B24%5D=waiver_state_facet%3A991&f%5B25%5D=waiver_state_facet%3A1051&f%5B26%5D=waiver_state_facet%3A8296&f%5B3%5D=waiver_state_facet%3A711&f%5B4%5D=waiver_state_facet%3A716&f%5B5%5D=waiver_state_facet%3A726&f%5B6%5D=waiver_state_facet%3A746&f%5B7%5D=waiver_state_facet%3A781&f%5B8%5D=waiver_state_facet%3A791&f%5B9%5D=waiver_state_facet%3A796&items_per_page=50&page=0&search_api_fulltext=
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2081&f%5B1%5D=sub_topic_faq_library_facet%3A2101&f%5B2%5D=sub_topic_faq_library_facet%3A2346&f%5B3%5D=sub_topic_faq_library_facet%3A2531&page=1&sl=yes
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1906&f%5B1%5D=sub_topic_faq_library_facet%3A1966&page=84
- http://medicaid.gov/faq?page=3
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1901&f%5B1%5D=sub_topic_faq_library_facet%3A1926&f%5B2%5D=sub_topic_faq_library_facet%3A2456&f%5B3%5D=sub_topic_faq_library_facet%3A2461&page=0&sl=yes
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83481
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8530&page=4
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A961&page=65
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/81481
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?items_per_page=10&page=67&search_api_fulltext=New+York+
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/148711
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A816&f%5B1%5D=state%3A836&page=1657

…and more — 863 pages total ([download CSV](csv/alfa__sia-r73.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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656
- https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83561

---

## Link is distinguishable without relying on color (WCAG 1.4.8)

**Bug ID:** `VS-25a28b58`  
**Pattern ID:** `VS-fbf54eba`  
**URL:** http://medicaid.gov/medicaid/long-term-services-supports/self-directed-services  
**XPath / selector:** `<p>`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r74` ([reference](https://alfa.siteimprove.com/rules/sia-r74))  
**Severity:** Moderate  
**Frequency:** 90 instances; 28 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicaid.gov/medicaid/long-term-services-supports/self-directed-services
- http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/privacy-policy
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NE%22%5D
- https://www.medicaid.gov/medicaid-provider-reassignment-regulation-final-rule
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CT%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22TN%22%5D
- http://medicaid.gov/medicaid/enrollment-strategies/continuous-eligibility-medicaid-and-chip-coverage
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/177991
- http://medicaid.gov/state-overviews/scorecard
- https://www.medicaid.gov/dq-atlas/landing/resources/whats-new
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=21
- https://www.medicaid.gov/medicaid/benefits/assurance-of-transportation
- http://medicaid.gov/state-overviews/scorecard/welcome
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22DE%22%5D
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=6
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IA%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=22
- http://medicaid.gov/medicaid/eligibility-policy/medicaid-eligibility-quality-control-program
- http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=1
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MN%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22RI%22%5D

…and more — 28 pages total ([download CSV](csv/alfa__sia-r74.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

### Example pages
- http://medicaid.gov/medicaid/long-term-services-supports/self-directed-services
- http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D

---

## Scrollable element is keyboard accessible (WCAG 1.4.8)

**Bug ID:** `VS-5660247f`  
**Pattern ID:** `VS-388b5438`  
**URL:** https://www.medicaid.gov/dq-atlas/landing/resources/subscription  
**XPath / selector:** `<p _ngcontent-ng-c1416952416="">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r80` ([reference](https://alfa.siteimprove.com/rules/sia-r80))  
**Severity:** Moderate  
**Frequency:** 2 instances; 1 of 8293 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

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

### Steps to reproduce
1. Open https://www.medicaid.gov/dq-atlas/landing/resources/subscription.
2. Locate the element: <p _ngcontent-ng-c1416952416="">
3. 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
- https://www.medicaid.gov/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

---

## Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)

**Bug ID:** `VS-899f8753`  
**Pattern ID:** `VS-cb53cc4d`  
**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">`  
**WCAG SC:** 2.5.5 — Target Size (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r111` ([reference](https://alfa.siteimprove.com/rules/sia-r111))  
**Severity:** Moderate  
**Frequency:** 36853 instances; 3216 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### 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
1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656.
2. Locate the element: <button class="usa-button" type="submit">
3. Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced).

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149
- https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83561
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A681&f%5B1%5D=state%3A696&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A921&f%5B12%5D=topics%3A1031&f%5B13%5D=topics%3A1511&f%5B14%5D=topics%3A3101&f%5B15%5D=topics%3A3356&f%5B16%5D=topics%3A6476&f%5B17%5D=topics%3A7296&f%5B18%5D=topics%3A7316&f%5B2%5D=state%3A716&f%5B3%5D=state%3A806&f%5B4%5D=state%3A836&f%5B5%5D=state%3A876&f%5B6%5D=state%3A991&f%5B7%5D=state%3A1051&f%5B8%5D=state%3A7971&f%5B9%5D=topics%3A761&page=1653
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-613
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83496
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7782
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-54-012-12
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-48-001-1
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126

…and more — 3216 pages total ([download CSV](csv/alfa__sia-r111.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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149

---

## All page content should be contained by landmarks (WCAG criterion undetermined)

**Bug ID:** `VS-d2fce1ff`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26  
**XPath / selector:** `.small`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `region` ([reference](https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 27789 instances; 6004 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<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
1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26.
2. Locate the element: .small
3. Confirm the axe-core finding for rule region.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6866
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-613
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-738
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-81-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2587
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8320

…and more — 6004 pages total ([download CSV](csv/axe-core__region.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7

---

## Page should contain a level-one heading (WCAG criterion undetermined)

**Bug ID:** `VS-8c598fec`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `page-has-heading-one` ([reference](https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 5984 instances; 5984 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6866
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-613
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-738
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-81-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2587
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8320

…and more — 5984 pages total ([download CSV](csv/axe-core__page-has-heading-one.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7

---

## Document should have one main landmark (WCAG criterion undetermined)

**Bug ID:** `VS-779780d9`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-one-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 5978 instances; 5978 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6866
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-613
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-738
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-81-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2587
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8320

…and more — 5978 pages total ([download CSV](csv/axe-core__landmark-one-main.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7

---

## Form elements should have a visible label (WCAG criterion undetermined)

**Bug ID:** `VS-4f56b347`  
**Pattern ID:** `VS-33841929`  
**URL:** http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing  
**XPath / selector:** `select[aria-labelledby="filter-th-87386-0"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `label-title-only` ([reference](https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 37 instances; 8 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<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
1. Open http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing.
2. Locate the element: select[aria-labelledby="filter-th-87386-0"]
3. Confirm the axe-core finding for rule label-title-only.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing
- http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices
- http://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
- http://medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-drug-rebate-program-data
- http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report
- https://www.medicaid.gov/state-overviews/state-profiles
- http://medicaid.gov/state-overviews/state-profiles
- http://medicaid.gov/chip/reports-evaluations

### 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

### Example pages
- http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing
- http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices
- http://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

---

## Heading levels should only increase by one (WCAG criterion undetermined)

**Bug ID:** `VS-7c8f0191`  
**Pattern ID:** `VS-d25f622d`  
**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`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 569 instances; 519 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<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
1. Open https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments.
2. Locate the element: .region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4
3. Confirm the axe-core finding for rule heading-order.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=23
- http://medicaid.gov/medicaid/managed-care/guidance/contract-review
- http://medicaid.gov/medicaid/data-systems/health-information-technology/health-disparities
- http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-enrollment-data-collected-through-mbes
- http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing
- https://www.medicaid.gov/state-overviews/stateprofile.html?state=Georgia
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D
- https://www.medicaid.gov/resources-for-states/innovation-accelerator-program
- http://medicaid.gov/resources-for-states/managed-care-review-mc-review/managed-care-review-faqs
- http://medicaid.gov/medicaid/prescription-drugs/federal-upper-limit
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/medicaid-and-chip-resources/other-resources
- http://medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial/medicaid-and-chip-financial
- http://medicaid.gov/state-overviews/stateprofile.html?state=Hawaii
- http://medicaid.gov/medicaid/long-term-services-supports/self-directed-services
- https://www.medicaid.gov/medicaid/data-systems/certification
- http://medicaid.gov/medicaid/section-1115-demonstrations/budget-neutrality
- http://medicaid.gov/medicaid/long-term-services-supports/institutional-long-term-care/inpatient-psychiatric-services-individuals-under-age-21
- http://medicaid.gov/medicaid/eligibility-policy/coordination-of-benefits-third-party-liability
- http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/monthly-medicaid-chip-application-eligibility-determination-and-enrollment-reports-data
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D
- http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24
- http://medicaid.gov/medicaid/prescription-drugs/retail-price-survey
- https://www.medicaid.gov/new-notable?page=92

…and more — 519 pages total ([download CSV](csv/axe-core__heading-order.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=23

---

## Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)

**Bug ID:** `VS-01f01755`  
**Pattern ID:** `VS-8806389c`  
**URL:** https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments  
**XPath / selector:** `.section`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 130 instances; 130 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<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
1. Open https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments.
2. Locate the element: .section
3. Confirm the axe-core finding for rule landmark-unique.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=23
- https://www.medicaid.gov/resources-for-states/medicaid-and-chip-program-portal/macpro-training-help
- http://medicaid.gov/medicaid/financial-management/payment-limit-demonstrations
- http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing
- https://www.medicaid.gov/resources-for-states/innovation-accelerator-program
- https://www.medicaid.gov/medicaid/data-systems/certification
- http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24
- http://medicaid.gov/medicaid
- https://www.medicaid.gov/medicaid/data-systems/medicaid-eligibility-enrollment-toolkit
- https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas
- http://medicaid.gov/resources-for-states
- http://medicaid.gov/chip
- http://medicaid.gov/about-us/contact-us
- http://medicaid.gov/medicaid/home-community-based-services
- http://medicaid.gov/medicaid/quality-of-care/releases-announcements
- http://medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program
- https://www.medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial
- http://medicaid.gov/medicaid/quality-of-care
- http://medicaid.gov/medicaid/long-term-services-supports/real-choice-systems-change/state-profile-tool-grant-program
- http://medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center
- http://medicaid.gov/medicaid/managed-care/guidance
- http://medicaid.gov/resources-for-states/innovation-accelerator-program
- http://medicaid.gov/medicaid/managed-care/guidance/state-directed-payments
- http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities

…and more — 130 pages total ([download CSV](csv/axe-core__landmark-unique.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

### Example pages
- https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=23
- https://www.medicaid.gov/resources-for-states/medicaid-and-chip-program-portal/macpro-training-help

---

## Contentinfo landmark should not be contained in another landmark (WCAG criterion undetermined)

**Bug ID:** `VS-159e1153`  
**Pattern ID:** `VS-424cced9`  
**URL:** https://www.medicaid.gov/faq?page=5  
**XPath / selector:** `.usa-alert`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-contentinfo-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-contentinfo-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 8293 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### HTML snippet
```html
<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
1. Open https://www.medicaid.gov/faq?page=5.
2. Locate the element: .usa-alert
3. Confirm the axe-core finding for rule landmark-contentinfo-is-top-level.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/faq?page=5

### 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

---

## Document should not have more than one contentinfo landmark (WCAG criterion undetermined)

**Bug ID:** `VS-208b7d90`  
**Pattern ID:** `VS-b465dfd7`  
**URL:** https://www.medicaid.gov/faq?page=5  
**XPath / selector:** `.usa-alert`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-no-duplicate-contentinfo` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-contentinfo?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 8293 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### HTML snippet
```html
<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
1. Open https://www.medicaid.gov/faq?page=5.
2. Locate the element: .usa-alert
3. Confirm the axe-core finding for rule landmark-no-duplicate-contentinfo.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/faq?page=5

### 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

---

## scope attribute should be used correctly (WCAG criterion undetermined)

**Bug ID:** `VS-432e7ba2`  
**Pattern ID:** `VS-0ba8ce9d`  
**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"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `scope-attr-valid` ([reference](https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 51 instances; 1 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicaid.gov/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

---

## ARIA role should be appropriate for the element (WCAG criterion undetermined)

**Bug ID:** `VS-ca10dd9b`  
**Pattern ID:** `VS-4fac2f41`  
**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`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `aria-allowed-role` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 1294 instances; 606 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<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
1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.
2. 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
3. Confirm the axe-core finding for rule aria-allowed-role.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=44&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=941&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=16&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=946&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=9&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=4&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=996&page=31&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=1&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=27&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=2&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=14&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=11&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=13&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=756&q=
- http://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=2276&limit=10&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=941&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=0&q=

…and more — 606 pages total ([download CSV](csv/axe-core__aria-allowed-role.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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=

---

## Scrolling content can be accessed by keyboard (WCAG criterion undetermined)

**Bug ID:** `VS-e61eb469`  
**Pattern ID:** `VS-c18be945`  
**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  "`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 120197 instances; 3206 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149
- https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83561
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A681&f%5B1%5D=state%3A696&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A921&f%5B12%5D=topics%3A1031&f%5B13%5D=topics%3A1511&f%5B14%5D=topics%3A3101&f%5B15%5D=topics%3A3356&f%5B16%5D=topics%3A6476&f%5B17%5D=topics%3A7296&f%5B18%5D=topics%3A7316&f%5B2%5D=state%3A716&f%5B3%5D=state%3A806&f%5B4%5D=state%3A836&f%5B5%5D=state%3A876&f%5B6%5D=state%3A991&f%5B7%5D=state%3A1051&f%5B8%5D=state%3A7971&f%5B9%5D=topics%3A761&page=1653
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-613
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83496
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7782
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-54-012-12
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-48-001-1
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126

…and more — 3206 pages total ([download CSV](csv/alfa__sia-r57.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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149

---

## First focusable element is link to main content (WCAG criterion undetermined)

**Bug ID:** `VS-18974126`  
**Pattern ID:** `VS-aa242c2d`  
**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`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r87` ([reference](https://alfa.siteimprove.com/rules/sia-r87))  
**Severity:** Moderate  
**Frequency:** 2368 instances; 2368 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-613
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7782
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-54-012-12
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-48-001-1
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1174
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7380
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-729
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003174
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9103
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6242

…and more — 2368 pages total ([download CSV](csv/alfa__sia-r87.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806

---

## Form field label is visible (WCAG criterion undetermined)

**Bug ID:** `VS-31388146`  
**Pattern ID:** `VS-7118fead`  
**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`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r61` ([reference](https://alfa.siteimprove.com/rules/sia-r61))  
**Severity:** Moderate  
**Frequency:** 2341 instances; 2341 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-613
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7782
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-54-012-12
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-48-001-1
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1174
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7380
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-729
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003174
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9103
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6242

…and more — 2341 pages total ([download CSV](csv/alfa__sia-r61.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806

---

## Presentational attribute (use CSS) (WCAG criterion undetermined)

**Bug ID:** `VS-d35b89f2`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157  
**XPath / selector:** `td`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 1489 instances; 1226 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<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
1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157.
2. Locate the element: td
3. Confirm the deprecated-html finding for rule presentational-attr.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-738
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2587
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6175
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-337
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1174
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003092
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv004062
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-648
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8598
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8701
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6539
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2256
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1542
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7336
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6586
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6160
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7606

…and more — 1226 pages total ([download CSV](csv/deprecated-html__presentational-attr.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.

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068

---

## aria attribute is permitted for element role (WCAG criterion undetermined)

**Bug ID:** `VS-582dca8a`  
**Pattern ID:** `VS-e05344b9`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128  
**XPath / selector:** `@aria-selected="true"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18))  
**Severity:** Moderate  
**Frequency:** 3293 instances; 689 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003174
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx001001
- https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/tpl-third-party-liability/tpl-medicaid-eligible-person-health-insurance-coverage-info
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002024
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002219
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg008133
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002163
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/mcr010117
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003227
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg006110
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/mcr002024
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg008131
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002016
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002068
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002028

…and more — 689 pages total ([download CSV](csv/alfa__sia-r18.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-445ff332`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments  
**XPath / selector:** `<h4 class="usa-footer__primary-link">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 231 instances; 211 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- https://www.medicaid.gov/resources-for-states/innovation-accelerator-program
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/medicaid-and-chip-resources/other-resources
- http://medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial/medicaid-and-chip-financial
- http://medicaid.gov/medicaid/long-term-services-supports/self-directed-services
- http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24
- http://medicaid.gov/medicaid/national-medicaid-chip-program-information/eligibility-verification-policies
- https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/combatting-opioid-misuse-and-abuse
- https://www.medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial/medicaid-budget-and-expenditure-system-mbes/cms-37-medicaid-program-budget-report
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- http://medicaid.gov/medicaid/benefits/reentry-services-for-incarcerated-individuals/additional-resources
- http://medicaid.gov/medicaid/enrollment-strategies/express-lane-eligibility-medicaid-and-chip-coverage
- https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/medicare-and-other-coverage-guidance
- https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas
- http://medicaid.gov/resources-for-states
- https://www.medicaid.gov/privacy-policy
- http://medicaid.gov/chip
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/192741
- http://medicaid.gov/state-overviews/stateprofile.html?state=New-Jersey
- http://medicaid.gov/medicaid/long-term-services-supports/integrating-care
- http://medicaid.gov/medicaid/home-community-based-services
- https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/december-2025-medicaid-chip-enrollment-data-highlights
- http://medicaid.gov/medicaid/eligibility-policy/magi-conversion-plans-and-results
- https://www.medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial

…and more — 211 pages total ([download CSV](csv/alfa__sia-r53.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

### Example pages
- https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- https://www.medicaid.gov/resources-for-states/innovation-accelerator-program

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-1bc488fd`  
**Pattern ID:** `VS-2cd767ca`  
**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">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 26 instances; 14 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NE%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CT%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22TN%22%5D
- https://www.medicaid.gov/dq-atlas/landing/resources/whats-new
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22DE%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IA%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MN%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22RI%22%5D
- https://www.medicaid.gov/dq-atlas/landing/resources
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AZ%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IL%22%5D

### 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

### Example pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NE%22%5D

---

## Keyboard trap does not exist (WCAG criterion undetermined)

**Bug ID:** `VS-bb41b8ef`  
**Pattern ID:** `VS-4c341c77`  
**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">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r85` ([reference](https://alfa.siteimprove.com/rules/sia-r85))  
**Severity:** Moderate  
**Frequency:** 725 instances; 12 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NE%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CT%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22TN%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22DE%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IA%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MN%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22RI%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AZ%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IL%22%5D

### 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

### Example pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NE%22%5D

---

## Element role is consistent with ARIA landmark (WCAG criterion undetermined)

**Bug ID:** `VS-635c77d9`  
**Pattern ID:** `VS-e5ec42f0`  
**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">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r72` ([reference](https://alfa.siteimprove.com/rules/sia-r72))  
**Severity:** Moderate  
**Frequency:** 2103 instances; 12 of 8293 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NE%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CT%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22TN%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22DE%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IA%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MN%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22RI%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AZ%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IL%22%5D

### 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

### Example pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NE%22%5D