{
 "schema_version": "0.1",
 "site": "www.medicaid.gov",
 "scan_week": "2026-W25",
 "generated_at": "2026-09-30T18:09:20.739Z",
 "source_files": [
  "docs/reports/www.medicaid.gov/2026-W25/",
  "data/www.medicaid.gov/findings.json",
  "data/www.medicaid.gov/2026-W25/summary.json"
 ],
 "summary": {
  "pages_known": 56276,
  "pages_scanned_this_week": 8293,
  "pages_with_known_issues": 48052,
  "findings": 36,
  "clusters": 32,
  "new_findings": 0,
  "persistent_findings": 35,
  "high_priority_findings": 27
 },
 "top_risks": [
  {
   "finding_id": "VS-f18df681",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "severity": "Serious",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 6004,
   "rationale": "Serious severity; affects 6004 pages; worsening trend",
   "top_url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26"
  },
  {
   "finding_id": "VS-fa44f293",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "severity": "Serious",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 5984,
   "rationale": "Serious severity; affects 5984 pages; worsening trend",
   "top_url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26"
  },
  {
   "finding_id": "VS-d5d82446",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "severity": "Serious",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 5978,
   "rationale": "Serious severity; affects 5978 pages; worsening trend",
   "top_url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26"
  },
  {
   "finding_id": "VS-9429bb8d",
   "rule_id": "aria-required-children",
   "rule_label": "Certain ARIA roles must contain particular children",
   "severity": "Critical",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 1743,
   "rationale": "Critical severity; affects 1743 pages; worsening trend",
   "top_url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111"
  },
  {
   "finding_id": "VS-1467ea8a",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "severity": "Critical",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 1743,
   "rationale": "Critical severity; affects 1743 pages; worsening trend",
   "top_url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111"
  },
  {
   "finding_id": "VS-0841abc2",
   "rule_id": "aria-input-field-name",
   "rule_label": "ARIA input fields must have an accessible name",
   "severity": "Serious",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 600,
   "rationale": "Serious severity; affects 600 pages; worsening trend",
   "top_url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q="
  },
  {
   "finding_id": "VS-33841929",
   "rule_id": "label-title-only",
   "rule_label": "Form elements should have a visible label",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 8,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing"
  },
  {
   "finding_id": "VS-ebb1c464",
   "rule_id": "aria-prohibited-attr",
   "rule_label": "Elements must only use permitted ARIA attributes",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 7,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "http://medicaid.gov/eligibility"
  },
  {
   "finding_id": "VS-be8d563e",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 2,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://www.medicaid.gov/style-guide"
  },
  {
   "finding_id": "VS-fab92378",
   "rule_id": "select-name",
   "rule_label": "Select element must have an accessible name",
   "severity": "Critical",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 1,
   "rationale": "Critical severity; persistent across weeks",
   "top_url": "https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog"
  }
 ],
 "findings": [
  {
   "finding_id": "VS-f18df681",
   "fingerprint": "09987718",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 6004 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 6004,
    "affected_pages_previous": 1046
   },
   "frequency": {
    "instances": 27789,
    "pages_affected": 6004,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 6004 of 8293 scanned pages (27789 instances).",
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule region.",
   "actual_behavior": "All page content should be contained by landmarks. Detected by axe-core rule region on 6004 of 8293 scanned pages (27789 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "b8db5cfb",
     "html": "<div class=\"small p-1\">",
     "selectors": [
      ".small"
     ]
    },
    {
     "fingerprint": "658adb3f",
     "html": "<div class=\"d-flex justify-content-between m-2 mb-2\">",
     "selectors": [
      ".justify-content-between"
     ]
    },
    {
     "fingerprint": "ffcbeb49",
     "html": "<p class=\"font-weight-bold m-0 mr-1\">Version:</p>",
     "selectors": [
      ".font-weight-bold"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/cot002111",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-fa44f293",
   "fingerprint": "a01b2a6c",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 5984 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 5984,
    "affected_pages_previous": 1041
   },
   "frequency": {
    "instances": 5984,
    "pages_affected": 5984,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Page should contain a level-one heading (WCAG criterion undetermined)",
   "description": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 5984 of 8293 scanned pages (5984 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule page-has-heading-one.",
   "actual_behavior": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 5984 of 8293 scanned pages (5984 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "c30e96bb",
     "html": "<html class=\"no-js\" lang=\"en\">",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/cot002111",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d5d82446",
   "fingerprint": "3627341e",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 5978 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 5978,
    "affected_pages_previous": 1041
   },
   "frequency": {
    "instances": 5978,
    "pages_affected": 5978,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Document should have one main landmark (WCAG criterion undetermined)",
   "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 5978 of 8293 scanned pages (5978 instances).",
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-one-main.",
   "actual_behavior": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 5978 of 8293 scanned pages (5978 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "c30e96bb",
     "html": "<html class=\"no-js\" lang=\"en\">",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/cot002111",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-9429bb8d",
   "fingerprint": "d9ef25ac",
   "rule_id": "aria-required-children",
   "rule_label": "Certain ARIA roles must contain particular children",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Critical severity; affects 1743 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 1743,
    "affected_pages_previous": 224
   },
   "frequency": {
    "instances": 1743,
    "pages_affected": 1743,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Certain ARIA roles must contain particular children (WCAG 1.3.1)",
   "description": "Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 1743 of 8293 scanned pages (1743 instances).",
   "remediation_tip": "Add the child roles this container role requires (e.g. a list needs listitem children).",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-required-children (WCAG 1.3.1).",
   "actual_behavior": "Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 1743 of 8293 scanned pages (1743 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "084e4684",
     "html": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "selectors": [
      ".nav"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/cot002111",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/cot003157",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/cot002095",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-1467ea8a",
   "fingerprint": "fc8886ab",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Critical severity; affects 1743 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 1743,
    "affected_pages_previous": 224
   },
   "frequency": {
    "instances": 8406,
    "pages_affected": 1743,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Elements must only use supported ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 1743 of 8293 scanned pages (8406 instances).",
   "remediation_tip": "Remove ARIA attributes that aren't allowed on this role/element.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-allowed-attr (WCAG 4.1.2).",
   "actual_behavior": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 1743 of 8293 scanned pages (8406 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "e8b33a04",
     "html": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>",
     "selectors": [
      "a[href$=\"#overview\"]"
     ]
    },
    {
     "fingerprint": "4b1aed0a",
     "html": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>",
     "selectors": [
      "a[href$=\"#validvalues\"]"
     ]
    },
    {
     "fingerprint": "0d0d83f3",
     "html": "<a class=\"nav-item nav-link\" href=\"#relatedrules\" role=\"link\" aria-selected=\"false\" aria-controls=\"relatedrules\" data-toggle=\"tab\">Related Rules</a>",
     "selectors": [
      "a[href$=\"#relatedrules\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/cot002111",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/cot003157",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/cot002095",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-0841abc2",
   "fingerprint": "a3512e8b",
   "rule_id": "aria-input-field-name",
   "rule_label": "ARIA input fields must have an accessible name",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 600 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 600,
    "affected_pages_previous": 145
   },
   "frequency": {
    "instances": 1285,
    "pages_affected": 600,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "ARIA input fields must have an accessible name (WCAG 4.1.2)",
   "description": "ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 600 of 8293 scanned pages (1285 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-input-field-name (WCAG 4.1.2).",
   "actual_behavior": "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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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="
   ],
   "html_fragments": [
    {
     "fingerprint": "b83690ed",
     "html": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">",
     "selectors": [
      "span[data-select2-id=\"select2-data-1-wbkv\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
      "span[data-select2-id=\"select2-data-4-si06\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
      "span[data-select2-id=\"select2-data-1-cw55\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 17
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 4
    },
    {
     "pattern": "/chip/state-program-information/chip-spa",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-33841929",
   "fingerprint": "e18c0475",
   "rule_id": "label-title-only",
   "rule_label": "Form elements should have a visible label",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "medium",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 8,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 37,
    "pages_affected": 8,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Form elements should have a visible label (WCAG criterion undetermined)",
   "description": "Form elements should have a visible label. Detected by axe-core rule label-title-only on 8 of 8293 scanned pages (37 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule label-title-only.",
   "actual_behavior": "Form elements should have a visible label. Detected by axe-core rule label-title-only on 8 of 8293 scanned pages (37 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "e9dcf231",
     "html": "<select aria-labelledby=\"filter-th-87386-0\" class=\"usa-select height-1\" data-col-index=\"0\" title=\"Filter by Type\">\n          <option value=\"\">All</option>\n        <option value=\"Federal Upper Limit\">F",
     "selectors": [
      "select[aria-labelledby=\"filter-th-87386-0\"]"
     ]
    },
    {
     "fingerprint": "50034708",
     "html": "<select aria-labelledby=\"filter-th-87386-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by Year\">",
     "selectors": [
      "select[aria-labelledby=\"filter-th-87386-1\"]",
      "select[aria-labelledby=\"filter-th-87376-0\"]"
     ]
    },
    {
     "fingerprint": "27f31403",
     "html": "<select aria-labelledby=\"filter-th-87386-2\" class=\"usa-select height-1\" data-col-index=\"2\" title=\"Filter by Month\">",
     "selectors": [
      "select[aria-labelledby=\"filter-th-87386-2\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/state-overviews/state-profiles",
     "count": 2
    },
    {
     "pattern": "/medicaid/prescription-drugs/pharmacy-pricing",
     "count": 1
    },
    {
     "pattern": "/medicaid/prescription-drugs/drug-utilization-review/innovative-practices",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-ebb1c464",
   "fingerprint": "62f3ac21",
   "rule_id": "aria-prohibited-attr",
   "rule_label": "Elements must only use permitted ARIA attributes",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "medium",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 7,
    "affected_pages_previous": 4
   },
   "frequency": {
    "instances": 8,
    "pages_affected": 7,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Elements must only use permitted ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 7 of 8293 scanned pages (8 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-prohibited-attr (WCAG 4.1.2).",
   "actual_behavior": "Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 7 of 8293 scanned pages (8 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "a596f33f",
     "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",
     "selectors": [
      "#map-svg-map-1749492555669",
      "#map-svg-map-1749492515862"
     ]
    },
    {
     "fingerprint": "429c27ca",
     "html": "<div id=\"map-svg-map-default-1745254648\" class=\"map-container\" aria-disabled=\"true\" aria-label=\"State Map Image. Keyboard navigating users can use dropdown to select state.\" style=\"position: relative;",
     "selectors": [
      "#map-svg-map-default-1745254648",
      "#map-svg-map-default-1745255177",
      "#map-svg-map-default-1744055166"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/state-overviews/state-profiles",
     "count": 2
    },
    {
     "pattern": "/eligibility",
     "count": 1
    },
    {
     "pattern": "/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-be8d563e",
   "fingerprint": "1820bc84",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 2,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 16,
    "pages_affected": 2,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)",
   "description": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 2 of 8293 scanned pages (16 instances).",
   "remediation_tip": "Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule color-contrast (WCAG 1.4.3).",
   "actual_behavior": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 2 of 8293 scanned pages (16 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/style-guide",
    "http://medicaid.gov/chip/reports-evaluations"
   ],
   "html_fragments": [
    {
     "fingerprint": "bc24338e",
     "html": "<div class=\"heading-styles\">font-family: Merriweather<br>font-weight: 700<br>font-size: 40px<br>line-height: 1.3em/52px</div>",
     "selectors": [
      ".headings-row:nth-child(2) > .heading-styles"
     ]
    },
    {
     "fingerprint": "05f890aa",
     "html": "<div class=\"heading-styles\">font-family: Merriweather<br>font-weight: 700<br>font-size: 30px<br>line-height: 1.3em/39px</div>",
     "selectors": [
      ".headings-row:nth-child(3) > .heading-styles"
     ]
    },
    {
     "fingerprint": "a9cc3912",
     "html": "<div class=\"heading-styles\">font-family: Merriweather<br>font-weight: 700<br>font-size: 20px<br>line-height: 1.3em/26px</div>",
     "selectors": [
      ".headings-row:nth-child(4) > .heading-styles"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/style-guide",
     "count": 1
    },
    {
     "pattern": "/chip/reports-evaluations",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   }
  },
  {
   "finding_id": "VS-fab92378",
   "fingerprint": "56ca23c2",
   "rule_id": "select-name",
   "rule_label": "Select element must have an accessible name",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Critical severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Select element must have an accessible name (WCAG 4.1.2)",
   "description": "Select element must have an accessible name. Detected by axe-core rule select-name on 1 of 8293 scanned pages (1 instances).",
   "remediation_tip": "Give the <select> an accessible name via a <label> or aria-label.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule select-name (WCAG 4.1.2).",
   "actual_behavior": "Select element must have an accessible name. Detected by axe-core rule select-name on 1 of 8293 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog"
   ],
   "html_fragments": [
    {
     "fingerprint": "7cb1a9e7",
     "html": "<select id=\"items-per-page\" class=\"form-select\">\n                                <option value=\"10\">10</option>\n                                <option value=\"25\">25</option>\n                         ",
     "selectors": [
      "#items-per-page"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/t-msis-coding-blog",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-e9fe47ac",
   "fingerprint": "f85a6839",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 1,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 7,
    "pages_affected": 1,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Links must have discernible text (WCAG 2.4.4)",
   "description": "Links must have discernible text. Detected by axe-core rule link-name on 1 of 8293 scanned pages (7 instances).",
   "remediation_tip": "Give the link discernible text. Avoid empty links and icon-only links without an aria-label.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule link-name (WCAG 2.4.4).",
   "actual_behavior": "Links must have discernible text. Detected by axe-core rule link-name on 1 of 8293 scanned pages (7 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/style-guide"
   ],
   "html_fragments": [
    {
     "fingerprint": "60a780c9",
     "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-",
     "selectors": [
      "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\"]"
     ]
    },
    {
     "fingerprint": "3b24afef",
     "html": "<a class=\"display-flex\" href=\"/medicaid/section-1115-demo/demonstration-and-waiver-list\" data-listener-attached=\"true\"><img src=\"https://www.medicaid.gov/sites/default/files/2023-04/comment_icon.png\" ",
     "selectors": [
      "aside > .grid-gap.grid-row > .ribbon-wrapper.tablet-lg\\:grid-col.tablet-lg\\:margin-bottom-0:nth-child(2) > .ribbon-image > .display-flex[data-listener-attached=\"true\"]"
     ]
    },
    {
     "fingerprint": "ef5b49de",
     "html": "<a class=\"display-flex\" href=\"/state-overviews/scorecard/\" data-listener-attached=\"true\"><img src=\"https://www.medicaid.gov/sites/default/files/2023-04/Scorecard_ICON.png\" aria-hidden=\"true\"></a>",
     "selectors": [
      ".ribbon-image > .display-flex[href$=\"scorecard/\"][data-listener-attached=\"true\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/style-guide",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-58301a87",
   "fingerprint": "345a6415",
   "rule_id": "nested-interactive",
   "rule_label": "Interactive controls must not be nested",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/nested-interactive?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 5,
    "pages_affected": 1,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Interactive controls must not be nested (WCAG 4.1.2)",
   "description": "Interactive controls must not be nested. Detected by axe-core rule nested-interactive on 1 of 8293 scanned pages (5 instances).",
   "remediation_tip": "Don't nest interactive controls (e.g. a button inside a link); split them apart.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/nested-interactive?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule nested-interactive (WCAG 4.1.2).",
   "actual_behavior": "Interactive controls must not be nested. Detected by axe-core rule nested-interactive on 1 of 8293 scanned pages (5 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/style-guide"
   ],
   "html_fragments": [
    {
     "fingerprint": "58e1338f",
     "html": "<button class=\"button-style\">\n                                                                \t\t\t\t\t<a href=\"\">Button as hyper link</a>\n                                                                \t",
     "selectors": [
      ".row-group:nth-child(7) > .button-row > .button-style:nth-child(1)"
     ]
    },
    {
     "fingerprint": "432a6666",
     "html": "<button class=\"button-style hover\">\n                                                                \t\t\t\t\t<a href=\"\">Button as hyper link hover state</a>\n                                               ",
     "selectors": [
      ".hover"
     ]
    },
    {
     "fingerprint": "9a960d26",
     "html": "<button class=\"button-style visited\">",
     "selectors": [
      ".visited"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/style-guide",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-646b1e0b",
   "fingerprint": "afad441e",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 3216 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 3216,
    "affected_pages_previous": 3426
   },
   "frequency": {
    "instances": 62640,
    "pages_affected": 3216,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 3216 of 8293 scanned pages (62640 instances).",
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r66 (WCAG 1.4.6).",
   "actual_behavior": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 3216 of 8293 scanned pages (62640 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 3
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list/{id}",
     "count": 2
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-cb53cc4d",
   "fingerprint": "1738fa81",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 3216 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 3216,
    "affected_pages_previous": 3426
   },
   "frequency": {
    "instances": 36853,
    "pages_affected": 3216,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 3216 of 8293 scanned pages (36853 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r111 (WCAG 2.5.5).",
   "actual_behavior": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 3216 of 8293 scanned pages (36853 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 3
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list/{id}",
     "count": 2
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-c18be945",
   "fingerprint": "8634e2fd",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 3206 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 3206,
    "affected_pages_previous": 3425
   },
   "frequency": {
    "instances": 120197,
    "pages_affected": 3206,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3206 of 8293 scanned pages (120197 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r57.",
   "actual_behavior": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3206 of 8293 scanned pages (120197 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 3
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list/{id}",
     "count": 2
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-aa242c2d",
   "fingerprint": "9bf7674d",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 2368 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 2368,
    "affected_pages_previous": 543
   },
   "frequency": {
    "instances": 2368,
    "pages_affected": 2368,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "First focusable element is link to main content (WCAG criterion undetermined)",
   "description": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 2368 of 8293 scanned pages (2368 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r87.",
   "actual_behavior": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 2368 of 8293 scanned pages (2368 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-9149",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-2806",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-7118fead",
   "fingerprint": "0d932ac9",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 2341 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 2341,
    "affected_pages_previous": 539
   },
   "frequency": {
    "instances": 2341,
    "pages_affected": 2341,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 2341 of 8293 scanned pages (2341 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r61.",
   "actual_behavior": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 2341 of 8293 scanned pages (2341 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-9149",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-2806",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-04a9d28c",
   "fingerprint": "02cfba82",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine": "deprecated-html",
   "tool": "deprecated-html",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": null,
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1226 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 1226,
    "affected_pages_previous": 65
   },
   "frequency": {
    "instances": 1489,
    "pages_affected": 1226,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)",
   "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 1226 of 8293 scanned pages (1489 instances).",
   "remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "expected_behavior": "Element passes deprecated-html rule presentational-attr.",
   "actual_behavior": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 1226 of 8293 scanned pages (1489 instances).",
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "95a33b85",
     "html": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>",
     "selectors": [
      "td"
     ]
    },
    {
     "fingerprint": "8febe8a4",
     "html": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>",
     "selectors": [
      "td"
     ]
    },
    {
     "fingerprint": "fd2c7be6",
     "html": "<td valign=\"top\" colspan=\"2\" class=\"dataTables_empty\">No data available in table</td>",
     "selectors": [
      "td"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/cot003157",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-1386",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx003068",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f7dba940",
   "fingerprint": "477d8088",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1216 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 1216,
    "affected_pages_previous": 284
   },
   "frequency": {
    "instances": 1221,
    "pages_affected": 1216,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "description": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 1216 of 8293 scanned pages (1221 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r14 (WCAG 2.5.3).",
   "actual_behavior": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 1216 of 8293 scanned pages (1221 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx004128",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx002028",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   }
  },
  {
   "finding_id": "VS-d6097011",
   "fingerprint": "b46c5395",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 919 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 919,
    "affected_pages_previous": 183
   },
   "frequency": {
    "instances": 956,
    "pages_affected": 919,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 919 of 8293 scanned pages (956 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r68 (WCAG 1.3.1).",
   "actual_behavior": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 919 of 8293 scanned pages (956 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 3
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx004128",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-2208081b",
   "fingerprint": "40bbca09",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 863 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 863,
    "affected_pages_previous": 2885
   },
   "frequency": {
    "instances": 11573,
    "pages_affected": 863,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 863 of 8293 scanned pages (11573 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r73 (WCAG 1.4.8).",
   "actual_behavior": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 863 of 8293 scanned pages (11573 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 7
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list/{id}",
     "count": 5
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 5
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 3.59,
     "pages_with_both": 47
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-e05344b9",
   "fingerprint": "9d7a222a",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 689 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 689,
    "affected_pages_previous": 117
   },
   "frequency": {
    "instances": 3293,
    "pages_affected": 689,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)",
   "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 689 of 8293 scanned pages (3293 instances).",
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r18.",
   "actual_behavior": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 689 of 8293 scanned pages (3293 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx004128",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx002028",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v3/data-elements/cip002085",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d25f622d",
   "fingerprint": "98ff321a",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 519 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 519,
    "affected_pages_previous": 116
   },
   "frequency": {
    "instances": 569,
    "pages_affected": 519,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 519 of 8293 scanned pages (569 instances).",
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule heading-order.",
   "actual_behavior": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 519 of 8293 scanned pages (569 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "07a7ab9b",
     "html": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>",
     "selectors": [
      ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4"
     ]
    },
    {
     "fingerprint": "c24ea3e3",
     "html": "<h3>Related Resources</h3>",
     "selectors": [
      ".field--name-field-resources-list > h3"
     ]
    },
    {
     "fingerprint": "e8e7788f",
     "html": "<h4 class=\"field-content\"><a href=\"/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/51943\" hreflang=\"en\">Louisiana Medicaid Provider Enrollment Disaster Relief</a></h4",
     "selectors": [
      ".views-row:nth-child(1) > .views-field-title.views-field > h4"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/resources-for-states/disaster-response-toolkit/federal-disaster-resources",
     "count": 2
    },
    {
     "pattern": "/state-overviews/stateprofile.html",
     "count": 2
    },
    {
     "pattern": "/medicaid/quality-of-care/core-set-data-dashboard/main",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-179ad9b3",
   "fingerprint": "0e001fcc",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 257 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 257,
    "affected_pages_previous": 69
   },
   "frequency": {
    "instances": 550,
    "pages_affected": 257,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)",
   "description": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 257 of 8293 scanned pages (550 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r113 (WCAG 2.5.8).",
   "actual_behavior": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 257 of 8293 scanned pages (550 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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="
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 19
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 4
    },
    {
     "pattern": "/chip/state-program-information/chip-spa",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 5.5,
     "pages_with_both": 25
    },
    {
     "technology": "cdnjs",
     "lift": 3.35,
     "pages_with_both": 25
    },
    {
     "technology": "Cloudflare",
     "lift": 3.35,
     "pages_with_both": 25
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-a48e6078",
   "fingerprint": "2ccef0fa",
   "rule_id": "sia-r8",
   "rule_label": "Form field has accessible name",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r8",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 256 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 256,
    "affected_pages_previous": 69
   },
   "frequency": {
    "instances": 549,
    "pages_affected": 256,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Form field has accessible name (WCAG 4.1.2)",
   "description": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 256 of 8293 scanned pages (549 instances).",
   "remediation_tip": "Associate the form field with a label.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r8 (WCAG 4.1.2).",
   "actual_behavior": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 256 of 8293 scanned pages (549 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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="
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 19
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 4
    },
    {
     "pattern": "/chip/state-program-information/chip-spa",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 5.5,
     "pages_with_both": 25
    },
    {
     "technology": "cdnjs",
     "lift": 3.35,
     "pages_with_both": 25
    },
    {
     "technology": "Cloudflare",
     "lift": 3.35,
     "pages_with_both": 25
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-f054f4a4",
   "fingerprint": "5fa3b5a6",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 211 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 211,
    "affected_pages_previous": 58
   },
   "frequency": {
    "instances": 231,
    "pages_affected": 211,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 211 of 8293 scanned pages (231 instances).",
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r53.",
   "actual_behavior": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 211 of 8293 scanned pages (231 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/managed-care/guidance/state-directed-payments",
     "count": 1
    },
    {
     "pattern": "/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
     "count": 1
    },
    {
     "pattern": "/resources-for-states/innovation-accelerator-program",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-8806389c",
   "fingerprint": "ffb2ae06",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 130 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 130,
    "affected_pages_previous": 11
   },
   "frequency": {
    "instances": 130,
    "pages_affected": 130,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)",
   "description": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 130 of 8293 scanned pages (130 instances).",
   "remediation_tip": "When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. \"Primary\" and \"Footer\" navigation) so screen-reader users can tell them apart.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-unique.",
   "actual_behavior": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 130 of 8293 scanned pages (130 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "9f8096be",
     "html": "<aside class=\"section\" role=\"complementary\">",
     "selectors": [
      ".section"
     ]
    },
    {
     "fingerprint": "b21e350e",
     "html": "<div class=\"dataTables_paginate paging_simple_numbers usa-pagination ikn-datatables-pagination\" id=\"DataTables_Table_0_paginate\" aria-label=\"Pagination\" role=\"navigation\" style=\"\">",
     "selectors": [
      "#DataTables_Table_0_paginate"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicaid/managed-care/guidance/state-directed-payments",
     "count": 2
    },
    {
     "pattern": "/resources-for-states/disaster-response-toolkit/federal-disaster-resources",
     "count": 2
    },
    {
     "pattern": "/resources-for-states/innovation-accelerator-program",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-4fac2f41",
   "fingerprint": "550210da",
   "rule_id": "aria-allowed-role",
   "rule_label": "ARIA role should be appropriate for the element",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "severity": "Minor",
   "priority": "p3",
   "confidence": "high",
   "rationale": "affects 606 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 606,
    "affected_pages_previous": 145
   },
   "frequency": {
    "instances": 1294,
    "pages_affected": 606,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "ARIA role should be appropriate for the element (WCAG criterion undetermined)",
   "description": "ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 606 of 8293 scanned pages (1294 instances).",
   "remediation_tip": "Remove or change the ARIA role — it isn't allowed on this element type.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-allowed-role.",
   "actual_behavior": "ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 606 of 8293 scanned pages (1294 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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="
   ],
   "html_fragments": [
    {
     "fingerprint": "e5333dd9",
     "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",
     "selectors": [
      "span[data-select2-id=\"select2-data-1-wbkv\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
      "span[data-select2-id=\"select2-data-4-si06\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
      "span[data-select2-id=\"select2-data-1-cw55\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea"
     ]
    },
    {
     "fingerprint": "50afa0dd",
     "html": "<textarea class=\"select2-search__fiel...\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=",
     "selectors": [
      "span[data-select2-id=\"select2-data-4-3ajn\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 17
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 4
    },
    {
     "pattern": "/chip/state-program-information/chip-spa",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-fbf54eba",
   "fingerprint": "773d6316",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 28,
    "affected_pages_previous": 4
   },
   "frequency": {
    "instances": 90,
    "pages_affected": 28,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Link is distinguishable without relying on color (WCAG 1.4.8)",
   "description": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 28 of 8293 scanned pages (90 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r74 (WCAG 1.4.8).",
   "actual_behavior": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 28 of 8293 scanned pages (90 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/quality-of-care/core-set-data-dashboard/main",
     "count": 10
    },
    {
     "pattern": "/resources-for-states/disaster-response-toolkit/federal-disaster-resources",
     "count": 5
    },
    {
     "pattern": "/medicaid/long-term-services-supports/self-directed-services",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-2cd767ca",
   "fingerprint": "3123e4f3",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 14,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 26,
    "pages_affected": 14,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 14 of 8293 scanned pages (26 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r78.",
   "actual_behavior": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 14 of 8293 scanned pages (26 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/quality-of-care/core-set-data-dashboard/main",
     "count": 12
    },
    {
     "pattern": "/dq-atlas/landing/resources/whats-new",
     "count": 1
    },
    {
     "pattern": "/dq-atlas/landing/resources",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-4c341c77",
   "fingerprint": "aada626a",
   "rule_id": "sia-r85",
   "rule_label": "Keyboard trap does not exist",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r85",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 12,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 725,
    "pages_affected": 12,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Keyboard trap does not exist (WCAG criterion undetermined)",
   "description": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 12 of 8293 scanned pages (725 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r85.",
   "actual_behavior": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 12 of 8293 scanned pages (725 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/quality-of-care/core-set-data-dashboard/main",
     "count": 12
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-e5ec42f0",
   "fingerprint": "5e16fc6a",
   "rule_id": "sia-r72",
   "rule_label": "Element role is consistent with ARIA landmark",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r72",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 12,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 2103,
    "pages_affected": 12,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Element role is consistent with ARIA landmark (WCAG criterion undetermined)",
   "description": "Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 12 of 8293 scanned pages (2103 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r72",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r72.",
   "actual_behavior": "Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 12 of 8293 scanned pages (2103 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/quality-of-care/core-set-data-dashboard/main",
     "count": 12
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-388b5438",
   "fingerprint": "e21585c3",
   "rule_id": "sia-r80",
   "rule_label": "Scrollable element is keyboard accessible",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r80",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Scrollable element is keyboard accessible (WCAG 1.4.8)",
   "description": "Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 1 of 8293 scanned pages (2 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r80",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r80 (WCAG 1.4.8).",
   "actual_behavior": "Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 1 of 8293 scanned pages (2 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/dq-atlas/landing/resources/subscription"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/dq-atlas/landing/resources/subscription",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-424cced9",
   "fingerprint": "921ab302",
   "rule_id": "landmark-contentinfo-is-top-level",
   "rule_label": "Contentinfo landmark should not be contained in another landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-contentinfo-is-top-level?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": 3
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Contentinfo landmark should not be contained in another landmark (WCAG criterion undetermined)",
   "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).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-contentinfo-is-top-level?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-contentinfo-is-top-level.",
   "actual_behavior": "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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/faq?page=5"
   ],
   "html_fragments": [
    {
     "fingerprint": "5108f7d4",
     "html": "<div class=\"usa-alert usa-alert--error usa-alert--slim\" role=\"contentinfo\" aria-label=\"Error message\">",
     "selectors": [
      ".usa-alert"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/faq",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-b465dfd7",
   "fingerprint": "67dd732b",
   "rule_id": "landmark-no-duplicate-contentinfo",
   "rule_label": "Document should not have more than one contentinfo landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-contentinfo?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": 3
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "Document should not have more than one contentinfo landmark (WCAG criterion undetermined)",
   "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).",
   "remediation_tip": "Use only one contentinfo landmark (<footer> at the top level) per page.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-contentinfo?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-no-duplicate-contentinfo.",
   "actual_behavior": "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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/faq?page=5"
   ],
   "html_fragments": [
    {
     "fingerprint": "5108f7d4",
     "html": "<div class=\"usa-alert usa-alert--error usa-alert--slim\" role=\"contentinfo\" aria-label=\"Error message\">",
     "selectors": [
      ".usa-alert"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/faq",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-0ba8ce9d",
   "fingerprint": "1b1ae391",
   "rule_id": "scope-attr-valid",
   "rule_label": "scope attribute should be used correctly",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 51,
    "pages_affected": 1,
    "total_pages_scanned": 8293
   },
   "on_key_page": false,
   "summary": "scope attribute should be used correctly (WCAG criterion undetermined)",
   "description": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 1 of 8293 scanned pages (51 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule scope-attr-valid.",
   "actual_behavior": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 1 of 8293 scanned pages (51 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels"
   ],
   "html_fragments": [
    {
     "fingerprint": "688edf98",
     "html": "<td scope=\"row\">Alabama</td>",
     "selectors": [
      "tr:nth-child(1) > td[scope=\"row\"]"
     ]
    },
    {
     "fingerprint": "240ebd54",
     "html": "<td scope=\"row\">Alaska<a style=\"text-decoration:none;\" href=\"#footnote5\" title=\"\"><sup>5</sup></a></td>",
     "selectors": [
      "tr:nth-child(2) > td[scope=\"row\"]"
     ]
    },
    {
     "fingerprint": "2f6cbd53",
     "html": "<td scope=\"row\">Arizona</td>",
     "selectors": [
      "tr:nth-child(3) > td[scope=\"row\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  }
 ],
 "clusters": {
  "by_wcag_criterion": [
   {
    "cluster_id": "0649d9b9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f18df681"
    ],
    "total_pages_affected": 6004,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "b8f97020",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-fa44f293"
    ],
    "total_pages_affected": 5984,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "91fd3b4c",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d5d82446"
    ],
    "total_pages_affected": 5978,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "71f257a8",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.6",
    "wcag_name": "Contrast (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-646b1e0b"
    ],
    "total_pages_affected": 3216,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b393058c",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.5",
    "wcag_name": "Target Size (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-cb53cc4d"
    ],
    "total_pages_affected": 3216,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "36ac08de",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-c18be945"
    ],
    "total_pages_affected": 3206,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "423bd52e",
    "type": "wcag_criterion",
    "wcag_sc": "1.3.1",
    "wcag_name": "Info and Relationships",
    "wcag_level": "A",
    "findings": [
     "VS-9429bb8d",
     "VS-d6097011"
    ],
    "total_pages_affected": 2662,
    "max_severity": "Critical"
   },
   {
    "cluster_id": "a849192e",
    "type": "wcag_criterion",
    "wcag_sc": "4.1.2",
    "wcag_name": "Name, Role, Value",
    "wcag_level": "A",
    "findings": [
     "VS-1467ea8a",
     "VS-0841abc2",
     "VS-ebb1c464",
     "VS-fab92378",
     "VS-58301a87",
     "VS-a48e6078"
    ],
    "total_pages_affected": 2608,
    "max_severity": "Critical"
   },
   {
    "cluster_id": "0ba1e7fd",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-aa242c2d"
    ],
    "total_pages_affected": 2368,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "75cf28e4",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-7118fead"
    ],
    "total_pages_affected": 2341,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "66669a92",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-04a9d28c"
    ],
    "total_pages_affected": 1226,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "fd9ed1c5",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.3",
    "wcag_name": "Label in Name",
    "wcag_level": "A",
    "findings": [
     "VS-f7dba940"
    ],
    "total_pages_affected": 1216,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "140fec0b",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.8",
    "wcag_name": "Visual Presentation",
    "wcag_level": "AAA",
    "findings": [
     "VS-2208081b",
     "VS-fbf54eba",
     "VS-388b5438"
    ],
    "total_pages_affected": 892,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "0c75ddb8",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-e05344b9"
    ],
    "total_pages_affected": 689,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "97a17643",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-4fac2f41"
    ],
    "total_pages_affected": 606,
    "max_severity": "Minor"
   },
   {
    "cluster_id": "e08c8d69",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d25f622d"
    ],
    "total_pages_affected": 519,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "24c4a455",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.8",
    "wcag_name": "Target Size (Minimum)",
    "wcag_level": "AA",
    "findings": [
     "VS-179ad9b3"
    ],
    "total_pages_affected": 257,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b05da4e9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f054f4a4"
    ],
    "total_pages_affected": 211,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "c7d2a838",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-8806389c"
    ],
    "total_pages_affected": 130,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "4b43ba23",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-2cd767ca"
    ],
    "total_pages_affected": 14,
    "max_severity": "Moderate"
   }
  ],
  "by_url_pattern": [
   {
    "cluster_id": "2decabbc",
    "type": "url_pattern",
    "pattern": "/medicaid/quality-of-care/core-set-data-dashboard/main",
    "findings": [
     "VS-fbf54eba",
     "VS-2cd767ca",
     "VS-4c341c77",
     "VS-e5ec42f0"
    ],
    "total_pages": 46
   },
   {
    "cluster_id": "d2715ced",
    "type": "url_pattern",
    "pattern": "/state-overviews/state-profiles",
    "findings": [
     "VS-33841929",
     "VS-ebb1c464"
    ],
    "total_pages": 4
   },
   {
    "cluster_id": "cb22f0e1",
    "type": "url_pattern",
    "pattern": "/style-guide",
    "findings": [
     "VS-be8d563e",
     "VS-e9fe47ac",
     "VS-58301a87"
    ],
    "total_pages": 3
   },
   {
    "cluster_id": "7b80e57e",
    "type": "url_pattern",
    "pattern": "/faq",
    "findings": [
     "VS-424cced9",
     "VS-b465dfd7"
    ],
    "total_pages": 2
   }
  ]
 },
 "technology_findings": [
  {
   "technology": "jQuery UI",
   "finding": "axe:aria-allowed-role",
   "lift": 5.5,
   "pages_with_both": 42,
   "technology_pages": 86,
   "interpretation": "Pages using jQuery UI are 5.5× more likely to have finding axe:aria-allowed-role."
  },
  {
   "technology": "jQuery UI",
   "finding": "axe:aria-input-field-name",
   "lift": 5.5,
   "pages_with_both": 42,
   "technology_pages": 86,
   "interpretation": "Pages using jQuery UI are 5.5× more likely to have finding axe:aria-input-field-name."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r8",
   "lift": 5.5,
   "pages_with_both": 25,
   "technology_pages": 86,
   "interpretation": "Pages using jQuery UI are 5.5× more likely to have finding alfa:sia-r8."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r113",
   "lift": 5.5,
   "pages_with_both": 25,
   "technology_pages": 86,
   "interpretation": "Pages using jQuery UI are 5.5× more likely to have finding alfa:sia-r113."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r73",
   "lift": 3.59,
   "pages_with_both": 47,
   "technology_pages": 86,
   "interpretation": "Pages using jQuery UI are 3.59× more likely to have finding alfa:sia-r73."
  },
  {
   "technology": "cdnjs",
   "finding": "axe:aria-allowed-role",
   "lift": 3.35,
   "pages_with_both": 42,
   "technology_pages": 141,
   "interpretation": "Pages using cdnjs are 3.35× more likely to have finding axe:aria-allowed-role."
  },
  {
   "technology": "cdnjs",
   "finding": "axe:aria-input-field-name",
   "lift": 3.35,
   "pages_with_both": 42,
   "technology_pages": 141,
   "interpretation": "Pages using cdnjs are 3.35× more likely to have finding axe:aria-input-field-name."
  },
  {
   "technology": "Cloudflare",
   "finding": "axe:aria-allowed-role",
   "lift": 3.35,
   "pages_with_both": 42,
   "technology_pages": 141,
   "interpretation": "Pages using Cloudflare are 3.35× more likely to have finding axe:aria-allowed-role."
  },
  {
   "technology": "Cloudflare",
   "finding": "axe:aria-input-field-name",
   "lift": 3.35,
   "pages_with_both": 42,
   "technology_pages": 141,
   "interpretation": "Pages using Cloudflare are 3.35× more likely to have finding axe:aria-input-field-name."
  },
  {
   "technology": "jsDelivr",
   "finding": "axe:aria-allowed-role",
   "lift": 3.35,
   "pages_with_both": 42,
   "technology_pages": 141,
   "interpretation": "Pages using jsDelivr are 3.35× more likely to have finding axe:aria-allowed-role."
  },
  {
   "technology": "jsDelivr",
   "finding": "axe:aria-input-field-name",
   "lift": 3.35,
   "pages_with_both": 42,
   "technology_pages": 141,
   "interpretation": "Pages using jsDelivr are 3.35× more likely to have finding axe:aria-input-field-name."
  },
  {
   "technology": "Drupal",
   "finding": "axe:aria-allowed-role",
   "lift": 3.35,
   "pages_with_both": 42,
   "technology_pages": 141,
   "interpretation": "Pages using Drupal are 3.35× more likely to have finding axe:aria-allowed-role."
  },
  {
   "technology": "Drupal",
   "finding": "axe:aria-input-field-name",
   "lift": 3.35,
   "pages_with_both": 42,
   "technology_pages": 141,
   "interpretation": "Pages using Drupal are 3.35× more likely to have finding axe:aria-input-field-name."
  },
  {
   "technology": "Select2",
   "finding": "axe:aria-allowed-role",
   "lift": 3.35,
   "pages_with_both": 42,
   "technology_pages": 141,
   "interpretation": "Pages using Select2 are 3.35× more likely to have finding axe:aria-allowed-role."
  },
  {
   "technology": "Select2",
   "finding": "axe:aria-input-field-name",
   "lift": 3.35,
   "pages_with_both": 42,
   "technology_pages": 141,
   "interpretation": "Pages using Select2 are 3.35× more likely to have finding axe:aria-input-field-name."
  }
 ],
 "third_party_findings": [
  {
   "origin": "akamaihd.net",
   "pages_served": 43,
   "pages_with_findings": 42,
   "finding_co_occurrence_rate": 0.98,
   "median_bytes": 4826,
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-10-002-23",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2056&f%5B1%5D=sub_topic_faq_library_facet%3A2086&f%5B2%5D=sub_topic_faq_library_facet%3A2406&f%5B3%5D=sub_topic_faq_library_facet%3A2506&page=2"
   ]
  },
  {
   "origin": "googletagmanager.com",
   "pages_served": 950,
   "pages_with_findings": 876,
   "finding_co_occurrence_rate": 0.92,
   "median_bytes": 161097,
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83561",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q="
   ]
  },
  {
   "origin": "cloudflare.com",
   "pages_served": 276,
   "pages_with_findings": 204,
   "finding_co_occurrence_rate": 0.74,
   "median_bytes": 111813,
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83561",
    "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"
   ]
  },
  {
   "origin": "jsdelivr.net",
   "pages_served": 276,
   "pages_with_findings": 204,
   "finding_co_occurrence_rate": 0.74,
   "median_bytes": 49850,
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83561",
    "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"
   ]
  },
  {
   "origin": "qualtrics.com",
   "pages_served": 281,
   "pages_with_findings": 207,
   "finding_co_occurrence_rate": 0.74,
   "median_bytes": 869409,
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83561",
    "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"
   ]
  }
 ],
 "metadata": {
  "generator": "vital-core",
  "schema_version": "0.1",
  "total_pages_scanned": 8293,
  "notes": [
   "Healthy pages (no known issues) are intentionally excluded.",
   "Representative examples are used instead of complete occurrence lists.",
   "Fingerprints are stable hashes for tracking recurring patterns over time.",
   "Fragment fingerprints normalize volatile attributes (id, style, data-*) before hashing.",
   "Technology lift values indicate association, not causation.",
   "Confidence reflects sample size: high=10+ affected pages, medium=3-9, low=1-2."
  ]
 }
}