{
 "domain": "www.medicaid.gov",
 "week": "2026-W25",
 "generatedAt": "2026-07-12T18:37:21.527Z",
 "reports": [
  {
   "instance_id": "VS-4a75bb4e",
   "pattern_id": "VS-179ad9b3",
   "a11y_pattern_fingerprint": "6289c3141138c0f42775f98b28ae763a8dca8a79a47e2f6515a0d82b87159a69",
   "a11y_pattern_display_id": "A11Y-PAT-6289C3141138",
   "a11y_occurrence_fingerprint": "d6d59ee08ddbb122f3581aacf69fe5a2709fbb893a9aac00dcbb0be98b1ae7fb",
   "a11y_occurrence_display_id": "A11Y-OCC-D6D59EE08DDB",
   "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
   "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
   "html_snippet": null,
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "frequency": {
    "instances": 550,
    "pages_affected": 257,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)",
   "description": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 257 of 8293 scanned pages (550 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q="
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=13&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=15&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=796&page=4&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=53&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=16&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=966&page=1&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=911&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=901&page=29&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=0&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8741&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=3&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=996&page=29&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=35&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=49&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=33&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=736&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=47&q="
   ],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=.",
    "Locate the element: <textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "obligation": "required",
   "handling": "review",
   "policy_source": "target",
   "policy_reason": "WCAG 2.5.8 target-size results can require manual verification of spacing, equivalent controls, and essential-size exceptions.",
   "policy_evidence": [
    "https://alfa.siteimprove.com/rules/sia-r113"
   ],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r113.csv"
  },
  {
   "instance_id": "VS-915bb1ce",
   "pattern_id": "VS-f7dba940",
   "a11y_pattern_fingerprint": "50c8c661b023dbfd5affed8d5af8109b4ad0da533ce32fe85d275900c6fabcaa",
   "a11y_pattern_display_id": "A11Y-PAT-50C8C661B023",
   "a11y_occurrence_fingerprint": "c7441c0ad8f00b4bb5f594ae0b92bc309a69b98f5ff4e852912dd4d9a0429925",
   "a11y_occurrence_display_id": "A11Y-OCC-C7441C0AD8F0",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
   "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
   "html_snippet": null,
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "frequency": {
    "instances": 1221,
    "pages_affected": 1216,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "description": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 1216 of 8293 scanned pages (1221 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-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"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7782",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-54-012-12",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-48-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7380",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003174",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-1-014-5",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-25-005-5",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-27-017-17",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-1-026-33",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx001001",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/tpl-4-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/tpl-third-party-liability/tpl-medicaid-eligible-person-health-insurance-coverage-info",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002024"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7.",
    "Locate the element: <a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r14.csv"
  },
  {
   "instance_id": "VS-d2b8a747",
   "pattern_id": "VS-9429bb8d",
   "a11y_pattern_fingerprint": "41421730b8811402e7a4e38fdb39d1db020db07cfff56e0caa653dd8a363684f",
   "a11y_pattern_display_id": "A11Y-PAT-41421730B881",
   "a11y_occurrence_fingerprint": "da51a5f46d3eeb538b6aa513c9724bfc38ea05c0b3effd0ea6cf78e734d8dfd9",
   "a11y_occurrence_display_id": "A11Y-OCC-DA51A5F46D3E",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
   "xpath": ".nav",
   "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-required-children",
   "rule_label": "Certain ARIA roles must contain particular children",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 1743,
    "pages_affected": 1743,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "Certain ARIA roles must contain particular children (WCAG 1.3.1)",
   "description": "Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 1743 of 8293 scanned pages (1743 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg001003",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003174",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003092",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv004062",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002143",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg004064",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111.",
    "Locate the element: .nav",
    "Confirm the axe-core finding for rule aria-required-children against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "Add the child roles this container role requires (e.g. a list needs listitem children).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__aria-required-children.csv"
  },
  {
   "instance_id": "VS-9f3e2ed0",
   "pattern_id": "VS-d6097011",
   "a11y_pattern_fingerprint": "493e962bd4bb3feb113124db2324ed84522dc7ee49658ade2136b2d15f93601c",
   "a11y_pattern_display_id": "A11Y-PAT-493E962BD4BB",
   "a11y_occurrence_fingerprint": "a2797f79a25dbe39842ab1245199d8b38d2c1cd5a92097c98e57ae7ea326ac0a",
   "a11y_occurrence_display_id": "A11Y-OCC-A2797F79A25D",
   "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
   "xpath": "<ul class=\"select2-selection__rendered\" id=\"select2-edit-field-authority-container\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "frequency": {
    "instances": 956,
    "pages_affected": 919,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 919 of 8293 scanned pages (956 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
     "xpath": "<ul class=\"select2-selection__rendered\" id=\"select2-edit-field-authority-container\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
     "xpath": "<ul class=\"select2-selection__rendered\" id=\"select2-edit-field-status-container\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003174",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx001001",
    "https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/tpl-third-party-liability/tpl-medicaid-eligible-person-health-insurance-coverage-info",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002024",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002219",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg008133",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002163",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/mcr010117",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003227",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=1&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg006110"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=.",
    "Locate the element: <ul class=\"select2-selection__rendered\" id=\"select2-edit-field-authority-container\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "possible_duplicate_of": "VS-d2b8a747",
   "possible_duplicate_pattern": "VS-9429bb8d",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r68.csv"
  },
  {
   "instance_id": "VS-ab2f02e5",
   "pattern_id": "VS-e9fe47ac",
   "a11y_pattern_fingerprint": "1522d60eb8d0134d3fcfb4ca00a574869bb69a304db52e52797e4ad461c944cd",
   "a11y_pattern_display_id": "A11Y-PAT-1522D60EB8D0",
   "a11y_occurrence_fingerprint": "280adf79285968cbeb3268a55ff83723bdab83d3c57c8c3b6d00600e92dfa4cd",
   "a11y_occurrence_display_id": "A11Y-OCC-280ADF792859",
   "url": "https://www.medicaid.gov/style-guide",
   "xpath": "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\"]",
   "html_snippet": "<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-",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 7,
    "pages_affected": 1,
    "total_pages_scanned": 8293
   },
   "likely_source": "content",
   "summary": "Links must have discernible text (WCAG 2.4.4)",
   "description": "Links must have discernible text. Detected by axe-core rule link-name on 1 of 8293 scanned pages (7 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/style-guide",
     "xpath": "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\"]",
     "html_snippet": "<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-"
    },
    {
     "url": "https://www.medicaid.gov/style-guide",
     "xpath": "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\"]",
     "html_snippet": "<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\" "
    },
    {
     "url": "https://www.medicaid.gov/style-guide",
     "xpath": ".ribbon-image > .display-flex[href$=\"scorecard/\"][data-listener-attached=\"true\"]",
     "html_snippet": "<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>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/style-guide"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/style-guide"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/style-guide.",
    "Locate the element: aside > .grid-gap.grid-row > .ribbon-wrapper.tablet-lg\\:grid-col.tablet-lg\\:margin-bottom-0:nth-child(1) > .ribbon-image > .display-flex[data-listener-attached=\"true\"]",
    "Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context)."
   ],
   "remediation_tip": "Give the link discernible text. Avoid empty links and icon-only links without an aria-label.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "\"Read more\" links from Drupal Views should use the \"Link text\" rewrite field to add context, or add aria-label via the Views rewrite output.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__link-name.csv"
  },
  {
   "instance_id": "VS-f236911d",
   "pattern_id": "VS-1467ea8a",
   "a11y_pattern_fingerprint": "ea22cf589d655040cfcc8c1a46712ee71f0b18dab4eee39e5921a225d826d913",
   "a11y_pattern_display_id": "A11Y-PAT-EA22CF589D65",
   "a11y_occurrence_fingerprint": "67a588d471cf6034209d35f2e8d499eb88a8a8d6e625d400c015bb1ca1b1f5e1",
   "a11y_occurrence_display_id": "A11Y-OCC-67A588D471CF",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
   "xpath": "a[href$=\"#overview\"]",
   "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 8406,
    "pages_affected": 1743,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "Elements must only use supported ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 1743 of 8293 scanned pages (8406 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "a[href$=\"#overview\"]",
     "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "a[href$=\"#validvalues\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "a[href$=\"#relatedrules\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#relatedrules\" role=\"link\" aria-selected=\"false\" aria-controls=\"relatedrules\" data-toggle=\"tab\">Related Rules</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
     "xpath": "a[href$=\"#overview\"]",
     "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
     "xpath": "a[href$=\"#validvalues\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg001003",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003174",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003092",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv004062",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002143",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg004064",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111.",
    "Locate the element: a[href$=\"#overview\"]",
    "Confirm the axe-core finding for rule aria-allowed-attr against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Remove ARIA attributes that aren't allowed on this role/element.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__aria-allowed-attr.csv"
  },
  {
   "instance_id": "VS-bfdec3d2",
   "pattern_id": "VS-fab92378",
   "a11y_pattern_fingerprint": "e3f73de5d04a28f6ddf00cff89637c33f55df96995fb1209fd61e403c01cf751",
   "a11y_pattern_display_id": "A11Y-PAT-E3F73DE5D04A",
   "a11y_occurrence_fingerprint": "faf90b1e146b84b38385bb8ed006846931db76341a68245cb4e11aacef0b9e0c",
   "a11y_occurrence_display_id": "A11Y-OCC-FAF90B1E146B",
   "url": "https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog",
   "xpath": "#items-per-page",
   "html_snippet": "<select id=\"items-per-page\" class=\"form-select\">\n                                <option value=\"10\">10</option>\n                                <option value=\"25\">25</option>\n                         ",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "select-name",
   "rule_label": "Select element must have an accessible name",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8293
   },
   "likely_source": "content",
   "summary": "Select element must have an accessible name (WCAG 4.1.2)",
   "description": "Select element must have an accessible name. Detected by axe-core rule select-name on 1 of 8293 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog",
     "xpath": "#items-per-page",
     "html_snippet": "<select id=\"items-per-page\" class=\"form-select\">\n                                <option value=\"10\">10</option>\n                                <option value=\"25\">25</option>\n                         "
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog.",
    "Locate the element: #items-per-page",
    "Confirm the axe-core finding for rule select-name against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Give the <select> an accessible name via a <label> or aria-label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__select-name.csv"
  },
  {
   "instance_id": "VS-01934140",
   "pattern_id": "VS-0841abc2",
   "a11y_pattern_fingerprint": "af6965ceafae69cceb770576f5b1a1d18874e65ea64e2bffe9648ec35ac3079d",
   "a11y_pattern_display_id": "A11Y-PAT-AF6965CEAFAE",
   "a11y_occurrence_fingerprint": "97a7e134ec20cb5371405e89e8987f80b0aba0bb36b9e73896506a517e2b0aad",
   "a11y_occurrence_display_id": "A11Y-OCC-97A7E134EC20",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
   "xpath": "span[data-select2-id=\"select2-data-1-wbkv\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
   "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-input-field-name",
   "rule_label": "ARIA input fields must have an accessible name",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1285,
    "pages_affected": 600,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "ARIA input fields must have an accessible name (WCAG 4.1.2)",
   "description": "ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 600 of 8293 scanned pages (1285 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-wbkv\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-si06\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-cw55\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-3ajn\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
     "xpath": "span[data-select2-id=\"select2-data-5-uywi\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%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="
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=44&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=941&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=16&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=946&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=9&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=4&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=996&page=31&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=1&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=27&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=14&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=11&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=13&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=756&q=",
    "http://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=2276&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=941&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=0&q="
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.",
    "Locate the element: span[data-select2-id=\"select2-data-1-wbkv\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
    "Confirm the axe-core finding for rule aria-input-field-name against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__aria-input-field-name.csv"
  },
  {
   "instance_id": "VS-5cfc2d94",
   "pattern_id": "VS-ebb1c464",
   "a11y_pattern_fingerprint": "508b5ed1ea1d4971445ccfe52b61beebb549ee13c4816cfecea933f6954c5ec1",
   "a11y_pattern_display_id": "A11Y-PAT-508B5ED1EA1D",
   "a11y_occurrence_fingerprint": "08f2b54e313d275464dfdef013d6d496eb565a109a50df287e277523d265c2f3",
   "a11y_occurrence_display_id": "A11Y-OCC-08F2B54E313D",
   "url": "http://medicaid.gov/eligibility",
   "xpath": "#map-svg-map-1749492555669",
   "html_snippet": "<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",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-prohibited-attr",
   "rule_label": "Elements must only use permitted ARIA attributes",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 8,
    "pages_affected": 7,
    "total_pages_scanned": 8293
   },
   "likely_source": "unknown",
   "summary": "Elements must only use permitted ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 7 of 8293 scanned pages (8 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/eligibility",
     "xpath": "#map-svg-map-1749492555669",
     "html_snippet": "<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"
    },
    {
     "url": "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",
     "xpath": "#map-svg-map-1749492515862",
     "html_snippet": "<div id=\"map-svg-map-1749492515862\" class=\"map-container\" aria-disabled=\"true\" aria-label=\"State Map Image. Keyboard navigating users can use dropdown to select state.\" style=\"position: relative; widt"
    },
    {
     "url": "http://medicaid.gov/chip/state-program-information",
     "xpath": "#map-svg-map-default-1745254648",
     "html_snippet": "<div id=\"map-svg-map-default-1745254648\" class=\"map-container\" aria-disabled=\"true\" aria-label=\"State Map Image. Keyboard navigating users can use dropdown to select state.\" style=\"position: relative;"
    },
    {
     "url": "http://medicaid.gov/chip/state-program-information",
     "xpath": "#map-svg-map-default-1745255177",
     "html_snippet": "<div id=\"map-svg-map-default-1745255177\" class=\"map-container\" aria-disabled=\"true\" aria-label=\"State Map Image. Keyboard navigating users can use dropdown to select state.\" style=\"position: relative;"
    },
    {
     "url": "http://medicaid.gov/medicaid/data-systems/it-procurement-opportunities",
     "xpath": "#map-svg-map-default-1744055166",
     "html_snippet": "<div id=\"map-svg-map-default-1744055166\" class=\"map-container\" aria-disabled=\"true\" aria-label=\"State Map Image. Keyboard navigating users can use dropdown to select state.\" style=\"position: relative;"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "http://medicaid.gov/eligibility",
    "http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals",
    "http://medicaid.gov/chip/state-program-information",
    "http://medicaid.gov/medicaid/data-systems/it-procurement-opportunities",
    "http://medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa",
    "https://www.medicaid.gov/state-overviews/state-profiles",
    "http://medicaid.gov/state-overviews/state-profiles"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/eligibility.",
    "Locate the element: #map-svg-map-1749492555669",
    "Confirm the axe-core finding for rule aria-prohibited-attr against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__aria-prohibited-attr.csv"
  },
  {
   "instance_id": "VS-9740f00a",
   "pattern_id": "VS-58301a87",
   "a11y_pattern_fingerprint": "891aff1eb65430a472fddb64882bf80a0f177f5c8493623b638473a028f49f94",
   "a11y_pattern_display_id": "A11Y-PAT-891AFF1EB654",
   "a11y_occurrence_fingerprint": "3c1cab1c9edb4ff07aee0bfe1203645bda7eead06d2bb86e7349ce38658ffdb2",
   "a11y_occurrence_display_id": "A11Y-OCC-3C1CAB1C9EDB",
   "url": "https://www.medicaid.gov/style-guide",
   "xpath": ".row-group:nth-child(7) > .button-row > .button-style:nth-child(1)",
   "html_snippet": "<button class=\"button-style\">\n                                                                \t\t\t\t\t<a href=\"\">Button as hyper link</a>\n                                                                \t",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "nested-interactive",
   "rule_label": "Interactive controls must not be nested",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/nested-interactive?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 5,
    "pages_affected": 1,
    "total_pages_scanned": 8293
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/style-guide",
     "xpath": ".row-group:nth-child(7) > .button-row > .button-style:nth-child(1)",
     "html_snippet": "<button class=\"button-style\">\n                                                                \t\t\t\t\t<a href=\"\">Button as hyper link</a>\n                                                                \t"
    },
    {
     "url": "https://www.medicaid.gov/style-guide",
     "xpath": ".hover",
     "html_snippet": "<button class=\"button-style hover\">\n                                                                \t\t\t\t\t<a href=\"\">Button as hyper link hover state</a>\n                                               "
    },
    {
     "url": "https://www.medicaid.gov/style-guide",
     "xpath": ".visited",
     "html_snippet": "<button class=\"button-style visited\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/style-guide"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/style-guide"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/style-guide.",
    "Locate the element: .row-group:nth-child(7) > .button-row > .button-style:nth-child(1)",
    "Confirm the axe-core finding for rule nested-interactive against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Don't nest interactive controls (e.g. a button inside a link); split them apart.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/nested-interactive?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W25",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__nested-interactive.csv"
  },
  {
   "instance_id": "VS-e27a24d3",
   "pattern_id": "VS-a48e6078",
   "a11y_pattern_fingerprint": "4e31479a6ded13f767c55899a0ecb11c41498f3083dbfe4c2f13533aecd09225",
   "a11y_pattern_display_id": "A11Y-PAT-4E31479A6DED",
   "a11y_occurrence_fingerprint": "0cb02d96b0a5d7c18b53e3ab62e71f9b42b00d70d318286f8326f25932e448df",
   "a11y_occurrence_display_id": "A11Y-OCC-0CB02D96B0A5",
   "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
   "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
   "html_snippet": null,
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r8",
   "rule_label": "Form field has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r8",
   "severity": "Moderate",
   "frequency": {
    "instances": 549,
    "pages_affected": 256,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "Form field has accessible name (WCAG 4.1.2)",
   "description": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 256 of 8293 scanned pages (549 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/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="
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=13&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=15&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=796&page=4&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=53&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=16&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=966&page=1&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=911&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=901&page=29&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=0&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8741&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=3&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=996&page=29&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=35&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=49&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=33&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=736&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=47&q="
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=.",
    "Locate the element: <span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r8 against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Associate the form field with a label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r8.csv"
  },
  {
   "instance_id": "VS-dab03fb1",
   "pattern_id": "VS-be8d563e",
   "a11y_pattern_fingerprint": "53b06a977a8b53c9b507c21663cd8bb0631a7885c1ddd44d46693b66e76e260e",
   "a11y_pattern_display_id": "A11Y-PAT-53B06A977A8B",
   "a11y_occurrence_fingerprint": "4a4c495eabef3e877541f3483955318f04a375bc475424821a25bbb05e3b7b6b",
   "a11y_occurrence_display_id": "A11Y-OCC-4A4C495EABEF",
   "url": "https://www.medicaid.gov/style-guide",
   "xpath": ".headings-row:nth-child(2) > .heading-styles",
   "html_snippet": "<div class=\"heading-styles\">font-family: Merriweather<br>font-weight: 700<br>font-size: 40px<br>line-height: 1.3em/52px</div>",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 16,
    "pages_affected": 2,
    "total_pages_scanned": 8293
   },
   "likely_source": "content",
   "summary": "Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)",
   "description": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 2 of 8293 scanned pages (16 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/style-guide",
     "xpath": ".headings-row:nth-child(2) > .heading-styles",
     "html_snippet": "<div class=\"heading-styles\">font-family: Merriweather<br>font-weight: 700<br>font-size: 40px<br>line-height: 1.3em/52px</div>"
    },
    {
     "url": "https://www.medicaid.gov/style-guide",
     "xpath": ".headings-row:nth-child(3) > .heading-styles",
     "html_snippet": "<div class=\"heading-styles\">font-family: Merriweather<br>font-weight: 700<br>font-size: 30px<br>line-height: 1.3em/39px</div>"
    },
    {
     "url": "https://www.medicaid.gov/style-guide",
     "xpath": ".headings-row:nth-child(4) > .heading-styles",
     "html_snippet": "<div class=\"heading-styles\">font-family: Merriweather<br>font-weight: 700<br>font-size: 20px<br>line-height: 1.3em/26px</div>"
    },
    {
     "url": "http://medicaid.gov/chip/reports-evaluations",
     "xpath": ".helpful-box-gray-sm > p > span",
     "html_snippet": "<span id=\"nav-icon\">🛈</span>"
    },
    {
     "url": "http://medicaid.gov/chip/reports-evaluations",
     "xpath": ".helpful-box-gray-sm > span",
     "html_snippet": "<span id=\"nav-icon\">🛈</span>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/style-guide",
    "http://medicaid.gov/chip/reports-evaluations"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/style-guide",
    "http://medicaid.gov/chip/reports-evaluations"
   ],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/style-guide.",
    "Locate the element: .headings-row:nth-child(2) > .heading-styles",
    "Confirm the axe-core finding for rule color-contrast against WCAG 1.4.3 Contrast (Minimum)."
   ],
   "remediation_tip": "Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Check your Drupal theme's base CSS. Themes like Olivero and Bartik have contrast issues in default color schemes — override failing color pairs in your subtheme's style.css.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__color-contrast.csv"
  },
  {
   "instance_id": "VS-c691c18c",
   "pattern_id": "VS-646b1e0b",
   "a11y_pattern_fingerprint": "c222b671df04a74389e09c0bbe0acf11c4ddc21bcede2a33817524d97a9c05e6",
   "a11y_pattern_display_id": "A11Y-PAT-C222B671DF04",
   "a11y_occurrence_fingerprint": "1b8c84f56d9a64ed61e0d9bb70740079d7fa4839bac793eaa6628d36449914c5",
   "a11y_occurrence_display_id": "A11Y-OCC-1B8C84F56D9A",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
   "xpath": "text: \"Here’s how you know\"",
   "html_snippet": null,
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "frequency": {
    "instances": 62640,
    "pages_affected": 3216,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 3216 of 8293 scanned pages (62640 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
     "xpath": "text: \"Here’s how you know\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
     "xpath": "text: \"FAQs\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
     "xpath": "text: \"Home\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": "text: \"Here's how you know \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": "text: \"\n                        4.0.34\n                    \"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83561",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
    "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A681&f%5B1%5D=state%3A696&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A921&f%5B12%5D=topics%3A1031&f%5B13%5D=topics%3A1511&f%5B14%5D=topics%3A3101&f%5B15%5D=topics%3A3356&f%5B16%5D=topics%3A6476&f%5B17%5D=topics%3A7296&f%5B18%5D=topics%3A7316&f%5B2%5D=state%3A716&f%5B3%5D=state%3A806&f%5B4%5D=state%3A836&f%5B5%5D=state%3A876&f%5B6%5D=state%3A991&f%5B7%5D=state%3A1051&f%5B8%5D=state%3A7971&f%5B9%5D=topics%3A761&page=1653",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-613",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83496",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7782",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-54-012-12",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-48-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656.",
    "Locate the element: text: \"Here’s how you know\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r66.csv"
  },
  {
   "instance_id": "VS-9f176a22",
   "pattern_id": "VS-2208081b",
   "a11y_pattern_fingerprint": "e0c097b8956c24f601b45554efc6e35e8d61b38db9473bb9ebd1420dc3da3a9d",
   "a11y_pattern_display_id": "A11Y-PAT-E0C097B8956C",
   "a11y_occurrence_fingerprint": "eb0b501f56e99a63f664cc4bd09382d6c6897768d76f98e4c39baaf9ec98f875",
   "a11y_occurrence_display_id": "A11Y-OCC-EB0B501F56E9",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
   "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "frequency": {
    "instances": 11573,
    "pages_affected": 863,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 863 of 8293 scanned pages (11573 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83561",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83561"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83561",
    "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A681&f%5B1%5D=state%3A696&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A921&f%5B12%5D=topics%3A1031&f%5B13%5D=topics%3A1511&f%5B14%5D=topics%3A3101&f%5B15%5D=topics%3A3356&f%5B16%5D=topics%3A6476&f%5B17%5D=topics%3A7296&f%5B18%5D=topics%3A7316&f%5B2%5D=state%3A716&f%5B3%5D=state%3A806&f%5B4%5D=state%3A836&f%5B5%5D=state%3A876&f%5B6%5D=state%3A991&f%5B7%5D=state%3A1051&f%5B8%5D=state%3A7971&f%5B9%5D=topics%3A761&page=1653",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83496",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=",
    "http://medicaid.gov/medicaid/managed-care/guidance/medicaid-and-chip-managed-care-final-rules",
    "http://medicaid.gov/resources-for-states/working-families-tax-cut-legislation",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A806&f%5B1%5D=state%3A8296&page=1655",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=state_waiver_status_facet%3A1561&f%5B1%5D=state_waiver_status_facet%3A1601&f%5B10%5D=waiver_state_facet%3A806&f%5B11%5D=waiver_state_facet%3A816&f%5B12%5D=waiver_state_facet%3A826&f%5B13%5D=waiver_state_facet%3A831&f%5B14%5D=waiver_state_facet%3A851&f%5B15%5D=waiver_state_facet%3A861&f%5B16%5D=waiver_state_facet%3A876&f%5B17%5D=waiver_state_facet%3A886&f%5B18%5D=waiver_state_facet%3A916&f%5B19%5D=waiver_state_facet%3A941&f%5B2%5D=waiver_state_facet%3A681&f%5B20%5D=waiver_state_facet%3A956&f%5B21%5D=waiver_state_facet%3A961&f%5B22%5D=waiver_state_facet%3A971&f%5B23%5D=waiver_state_facet%3A976&f%5B24%5D=waiver_state_facet%3A991&f%5B25%5D=waiver_state_facet%3A1051&f%5B26%5D=waiver_state_facet%3A8296&f%5B3%5D=waiver_state_facet%3A711&f%5B4%5D=waiver_state_facet%3A716&f%5B5%5D=waiver_state_facet%3A726&f%5B6%5D=waiver_state_facet%3A746&f%5B7%5D=waiver_state_facet%3A781&f%5B8%5D=waiver_state_facet%3A791&f%5B9%5D=waiver_state_facet%3A796&items_per_page=50&page=0&search_api_fulltext=",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2081&f%5B1%5D=sub_topic_faq_library_facet%3A2101&f%5B2%5D=sub_topic_faq_library_facet%3A2346&f%5B3%5D=sub_topic_faq_library_facet%3A2531&page=1&sl=yes",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1906&f%5B1%5D=sub_topic_faq_library_facet%3A1966&page=84",
    "http://medicaid.gov/faq?page=3",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1901&f%5B1%5D=sub_topic_faq_library_facet%3A1926&f%5B2%5D=sub_topic_faq_library_facet%3A2456&f%5B3%5D=sub_topic_faq_library_facet%3A2461&page=0&sl=yes",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83481",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8530&page=4",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A961&page=65",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/81481",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?items_per_page=10&page=67&search_api_fulltext=New+York+",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/148711",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A816&f%5B1%5D=state%3A836&page=1657"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656.",
    "Locate the element: <p class=\"usa-footer__contact-info margin-bottom-0\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r73.csv"
  },
  {
   "instance_id": "VS-25a28b58",
   "pattern_id": "VS-fbf54eba",
   "a11y_pattern_fingerprint": "9ff0bf6b568988b6274a436dfa2e136ed2015de13320e9df13b546bc9d2f1e54",
   "a11y_pattern_display_id": "A11Y-PAT-9FF0BF6B5689",
   "a11y_occurrence_fingerprint": "77507976052f4e93d79eaeec9c633e2bcaf6fd4be5ebaf9b20a1dd5b047d0d3b",
   "a11y_occurrence_display_id": "A11Y-OCC-77507976052F",
   "url": "http://medicaid.gov/medicaid/long-term-services-supports/self-directed-services",
   "xpath": "<p>",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "frequency": {
    "instances": 90,
    "pages_affected": 28,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "Link is distinguishable without relying on color (WCAG 1.4.8)",
   "description": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 28 of 8293 scanned pages (90 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/long-term-services-supports/self-directed-services",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/medicaid/long-term-services-supports/self-directed-services",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://medicaid.gov/medicaid/long-term-services-supports/self-directed-services",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D"
   ],
   "affected_pages": [
    "http://medicaid.gov/medicaid/long-term-services-supports/self-directed-services",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
    "https://www.medicaid.gov/privacy-policy",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NE%22%5D",
    "https://www.medicaid.gov/medicaid-provider-reassignment-regulation-final-rule",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CT%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22TN%22%5D",
    "http://medicaid.gov/medicaid/enrollment-strategies/continuous-eligibility-medicaid-and-chip-coverage",
    "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/177991",
    "http://medicaid.gov/state-overviews/scorecard",
    "https://www.medicaid.gov/dq-atlas/landing/resources/whats-new",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=21",
    "https://www.medicaid.gov/medicaid/benefits/assurance-of-transportation",
    "http://medicaid.gov/state-overviews/scorecard/welcome",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22DE%22%5D",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=6",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=22",
    "http://medicaid.gov/medicaid/eligibility-policy/medicaid-eligibility-quality-control-program",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=1",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MN%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22RI%22%5D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/long-term-services-supports/self-directed-services.",
    "Locate the element: <p>",
    "Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r74.csv"
  },
  {
   "instance_id": "VS-5660247f",
   "pattern_id": "VS-388b5438",
   "a11y_pattern_fingerprint": "ae4046b7fad27d1d1154ab2cf2669f6bd9025fa23a5092ef38f28beda50742fa",
   "a11y_pattern_display_id": "A11Y-PAT-AE4046B7FAD2",
   "a11y_occurrence_fingerprint": "f92e2979cb62ff5508e8bf15c453e48a4f4032d795223251dcd0bb03a43a3038",
   "a11y_occurrence_display_id": "A11Y-OCC-F92E2979CB62",
   "url": "https://www.medicaid.gov/dq-atlas/landing/resources/subscription",
   "xpath": "<p _ngcontent-ng-c1416952416=\"\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r80",
   "rule_label": "Scrollable element is keyboard accessible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r80",
   "severity": "Moderate",
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 8293
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/dq-atlas/landing/resources/subscription",
     "xpath": "<p _ngcontent-ng-c1416952416=\"\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/dq-atlas/landing/resources/subscription",
     "xpath": "<p _ngcontent-ng-c1416952416=\"\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/dq-atlas/landing/resources/subscription"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/dq-atlas/landing/resources/subscription"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/dq-atlas/landing/resources/subscription.",
    "Locate the element: <p _ngcontent-ng-c1416952416=\"\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r80 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r80",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W25",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r80.csv"
  },
  {
   "instance_id": "VS-899f8753",
   "pattern_id": "VS-cb53cc4d",
   "a11y_pattern_fingerprint": "f01c95b5ed8f78ffc8718bbd2753ce49117d9a33be843f9db2918655d93cd2fb",
   "a11y_pattern_display_id": "A11Y-PAT-F01C95B5ED8F",
   "a11y_occurrence_fingerprint": "fae8d64ba062c7649ec18d75247e1f0baff815fd58072935588fec9e0fd85ac2",
   "a11y_occurrence_display_id": "A11Y-OCC-FAE8D64BA062",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
   "xpath": "<button class=\"usa-button\" type=\"submit\">",
   "html_snippet": null,
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "frequency": {
    "instances": 36853,
    "pages_affected": 3216,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 3216 of 8293 scanned pages (36853 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
     "xpath": "<button class=\"usa-button\" type=\"submit\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
     "xpath": "<a target=\"_self\" href=\"/faq\" aria-label=\"Go to Frequently Asked Questions (FAQs)\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
     "xpath": "<button class=\"usa-button usa-button-round medicaid-tooltip\" type=\"button\" aria-label=\"More information about the search\" aria-controls=\"medicaid-solr-searches-help-modal\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": "<button class=\"btn btn-outline-primary dropdown-toggle py-1 px-2\" type=\"button\" id=\"dropdownMenuButton\" data-toggle=\"dropdown\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": "<a href=\"/tmsis/dataguide/v4/\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83561",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
    "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A681&f%5B1%5D=state%3A696&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A921&f%5B12%5D=topics%3A1031&f%5B13%5D=topics%3A1511&f%5B14%5D=topics%3A3101&f%5B15%5D=topics%3A3356&f%5B16%5D=topics%3A6476&f%5B17%5D=topics%3A7296&f%5B18%5D=topics%3A7316&f%5B2%5D=state%3A716&f%5B3%5D=state%3A806&f%5B4%5D=state%3A836&f%5B5%5D=state%3A876&f%5B6%5D=state%3A991&f%5B7%5D=state%3A1051&f%5B8%5D=state%3A7971&f%5B9%5D=topics%3A761&page=1653",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-613",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83496",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7782",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-54-012-12",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-48-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656.",
    "Locate the element: <button class=\"usa-button\" type=\"submit\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r111.csv"
  },
  {
   "instance_id": "VS-d2fce1ff",
   "pattern_id": "VS-f18df681",
   "a11y_pattern_fingerprint": "fbef4ff3e32c4833d9c61a04ccc7db84d73dd7c229243df34c4072053dfeba79",
   "a11y_pattern_display_id": "A11Y-PAT-FBEF4FF3E32C",
   "a11y_occurrence_fingerprint": "39f439025f146775698508aaf17cba80893c9c01a79d6716d4c3489df4d1da23",
   "a11y_occurrence_display_id": "A11Y-OCC-39F439025F14",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
   "xpath": ".small",
   "html_snippet": "<div class=\"small p-1\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 27789,
    "pages_affected": 6004,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 6004 of 8293 scanned pages (27789 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": ".small",
     "html_snippet": "<div class=\"small p-1\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": ".justify-content-between",
     "html_snippet": "<div class=\"d-flex justify-content-between m-2 mb-2\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": ".font-weight-bold",
     "html_snippet": "<p class=\"font-weight-bold m-0 mr-1\">Version:</p>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": ".small",
     "html_snippet": "<div class=\"small p-1\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": ".justify-content-between",
     "html_snippet": "<div class=\"d-flex justify-content-between m-2 mb-2\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/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"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6866",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-613",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-738",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-81-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2587",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8320"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26.",
    "Locate the element: .small",
    "Confirm the axe-core finding for rule region."
   ],
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Use Drupal's region system (header, navigation, main, sidebar, footer) and map each to an HTML5 landmark element in your theme's page.html.twig.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__region.csv"
  },
  {
   "instance_id": "VS-8c598fec",
   "pattern_id": "VS-fa44f293",
   "a11y_pattern_fingerprint": "b9790a0b2b788597b7a0d3e5734ca98ab0938dac6abebd5b0d1acff5de0a5e31",
   "a11y_pattern_display_id": "A11Y-PAT-B9790A0B2B78",
   "a11y_occurrence_fingerprint": "e65b55f3f7962abf17c252cec61eb4cf383b51c2384be92eed3a0a3297e2f2d0",
   "a11y_occurrence_display_id": "A11Y-OCC-E65B55F3F796",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
   "xpath": "html",
   "html_snippet": "<html class=\"no-js\" lang=\"en\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 5984,
    "pages_affected": 5984,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "Page should contain a level-one heading (WCAG criterion undetermined)",
   "description": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 5984 of 8293 scanned pages (5984 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6866",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-613",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-738",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-81-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2587",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8320"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule page-has-heading-one."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__page-has-heading-one.csv"
  },
  {
   "instance_id": "VS-779780d9",
   "pattern_id": "VS-d5d82446",
   "a11y_pattern_fingerprint": "e0548b94661fca016e56f7a6e654dc2c2889714e73bcf48c1394e8cb092b990e",
   "a11y_pattern_display_id": "A11Y-PAT-E0548B94661F",
   "a11y_occurrence_fingerprint": "86368ea66dacfde1e897b0c95ba3d555b6ccdc5efc504f2cf4e35a8e791d3de0",
   "a11y_occurrence_display_id": "A11Y-OCC-86368EA66DAC",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
   "xpath": "html",
   "html_snippet": "<html class=\"no-js\" lang=\"en\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 5978,
    "pages_affected": 5978,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "Document should have one main landmark (WCAG criterion undetermined)",
   "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 5978 of 8293 scanned pages (5978 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6866",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-613",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-738",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-81-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2587",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8320"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule landmark-one-main."
   ],
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__landmark-one-main.csv"
  },
  {
   "instance_id": "VS-4f56b347",
   "pattern_id": "VS-33841929",
   "a11y_pattern_fingerprint": "1c340f2b683ff02a1da25e38aa2c095875b696176e3d85f5041b9c8162cd7c0a",
   "a11y_pattern_display_id": "A11Y-PAT-1C340F2B683F",
   "a11y_occurrence_fingerprint": "2a21ad3278a0007c21801f89d4fd8137fce4432b306dbd952c17cf8d978f8d16",
   "a11y_occurrence_display_id": "A11Y-OCC-2A21AD3278A0",
   "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
   "xpath": "select[aria-labelledby=\"filter-th-87386-0\"]",
   "html_snippet": "<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",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "label-title-only",
   "rule_label": "Form elements should have a visible label",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 37,
    "pages_affected": 8,
    "total_pages_scanned": 8293
   },
   "likely_source": "unknown",
   "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).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "select[aria-labelledby=\"filter-th-87386-0\"]",
     "html_snippet": "<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"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "select[aria-labelledby=\"filter-th-87386-1\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87386-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by Year\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "select[aria-labelledby=\"filter-th-87386-2\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87386-2\" class=\"usa-select height-1\" data-col-index=\"2\" title=\"Filter by Month\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices",
     "xpath": "select[aria-labelledby=\"filter-th-87376-0\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87376-0\" class=\"usa-select height-1\" data-col-index=\"0\" title=\"Filter by Year\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices",
     "xpath": "select[aria-labelledby=\"filter-th-87376-1\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87376-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by State Full Name\">"
    }
   ],
   "example_pages": [
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/home-community-based-services-during-public-health-emergencies/emergency-preparedness-and-response-for-home-and-community-based-hcbs-1915c-waivers"
   ],
   "affected_pages": [
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/home-community-based-services-during-public-health-emergencies/emergency-preparedness-and-response-for-home-and-community-based-hcbs-1915c-waivers",
    "http://medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-drug-rebate-program-data",
    "http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report",
    "https://www.medicaid.gov/state-overviews/state-profiles",
    "http://medicaid.gov/state-overviews/state-profiles",
    "http://medicaid.gov/chip/reports-evaluations"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing.",
    "Locate the element: select[aria-labelledby=\"filter-th-87386-0\"]",
    "Confirm the axe-core finding for rule label-title-only."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__label-title-only.csv"
  },
  {
   "instance_id": "VS-7c8f0191",
   "pattern_id": "VS-d25f622d",
   "a11y_pattern_fingerprint": "85a15a981bde8ee58844c5e56067fdeaa245cec856c3777166818f94f523a1f0",
   "a11y_pattern_display_id": "A11Y-PAT-85A15A981BDE",
   "a11y_occurrence_fingerprint": "8f36b1ebabf405270b0f84d8fb1c339b11930beb4ddcaf517f2c16fe4923d926",
   "a11y_occurrence_display_id": "A11Y-OCC-8F36B1EBABF4",
   "url": "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
   "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
   "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 569,
    "pages_affected": 519,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 519 of 8293 scanned pages (569 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
     "xpath": ".field--name-field-resources-list > h3",
     "html_snippet": "<h3>Related Resources</h3>"
    },
    {
     "url": "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=23",
     "xpath": ".views-row:nth-child(1) > .views-field-title.views-field > h4",
     "html_snippet": "<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"
    },
    {
     "url": "http://medicaid.gov/medicaid/managed-care/guidance/contract-review",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/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"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=23",
    "http://medicaid.gov/medicaid/managed-care/guidance/contract-review",
    "http://medicaid.gov/medicaid/data-systems/health-information-technology/health-disparities",
    "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-enrollment-data-collected-through-mbes",
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "https://www.medicaid.gov/state-overviews/stateprofile.html?state=Georgia",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program",
    "http://medicaid.gov/resources-for-states/managed-care-review-mc-review/managed-care-review-faqs",
    "http://medicaid.gov/medicaid/prescription-drugs/federal-upper-limit",
    "http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/medicaid-and-chip-resources/other-resources",
    "http://medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial/medicaid-and-chip-financial",
    "http://medicaid.gov/state-overviews/stateprofile.html?state=Hawaii",
    "http://medicaid.gov/medicaid/long-term-services-supports/self-directed-services",
    "https://www.medicaid.gov/medicaid/data-systems/certification",
    "http://medicaid.gov/medicaid/section-1115-demonstrations/budget-neutrality",
    "http://medicaid.gov/medicaid/long-term-services-supports/institutional-long-term-care/inpatient-psychiatric-services-individuals-under-age-21",
    "http://medicaid.gov/medicaid/eligibility-policy/coordination-of-benefits-third-party-liability",
    "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/monthly-medicaid-chip-application-eligibility-determination-and-enrollment-reports-data",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
    "http://medicaid.gov/medicaid/prescription-drugs/retail-price-survey",
    "https://www.medicaid.gov/new-notable?page=92"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments.",
    "Locate the element: .region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
    "Confirm the axe-core finding for rule heading-order."
   ],
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Drupal Views and blocks can insert headings at arbitrary levels. In the Views UI, set \"Title tag\" for each display. For block titles, configure the heading level in the block's layout settings.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__heading-order.csv"
  },
  {
   "instance_id": "VS-01f01755",
   "pattern_id": "VS-8806389c",
   "a11y_pattern_fingerprint": "94e0218b7fbdaffcb5b21134c4dc8c71ab5a17513897ab7889e76550a460aa19",
   "a11y_pattern_display_id": "A11Y-PAT-94E0218B7FBD",
   "a11y_occurrence_fingerprint": "8ce49f48ece1cbc8e8ed6a1fc04b6cba7df37a5248824e4f9f66f92de8ee49bd",
   "a11y_occurrence_display_id": "A11Y-OCC-8CE49F48ECE1",
   "url": "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
   "xpath": ".section",
   "html_snippet": "<aside class=\"section\" role=\"complementary\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 130,
    "pages_affected": 130,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)",
   "description": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 130 of 8293 scanned pages (130 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=23",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/medicaid-and-chip-program-portal/macpro-training-help",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/financial-management/payment-limit-demonstrations",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "#DataTables_Table_0_paginate",
     "html_snippet": "<div class=\"dataTables_paginate paging_simple_numbers usa-pagination ikn-datatables-pagination\" id=\"DataTables_Table_0_paginate\" aria-label=\"Pagination\" role=\"navigation\" style=\"\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=23",
    "https://www.medicaid.gov/resources-for-states/medicaid-and-chip-program-portal/macpro-training-help"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=23",
    "https://www.medicaid.gov/resources-for-states/medicaid-and-chip-program-portal/macpro-training-help",
    "http://medicaid.gov/medicaid/financial-management/payment-limit-demonstrations",
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program",
    "https://www.medicaid.gov/medicaid/data-systems/certification",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
    "http://medicaid.gov/medicaid",
    "https://www.medicaid.gov/medicaid/data-systems/medicaid-eligibility-enrollment-toolkit",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas",
    "http://medicaid.gov/resources-for-states",
    "http://medicaid.gov/chip",
    "http://medicaid.gov/about-us/contact-us",
    "http://medicaid.gov/medicaid/home-community-based-services",
    "http://medicaid.gov/medicaid/quality-of-care/releases-announcements",
    "http://medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program",
    "https://www.medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial",
    "http://medicaid.gov/medicaid/quality-of-care",
    "http://medicaid.gov/medicaid/long-term-services-supports/real-choice-systems-change/state-profile-tool-grant-program",
    "http://medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center",
    "http://medicaid.gov/medicaid/managed-care/guidance",
    "http://medicaid.gov/resources-for-states/innovation-accelerator-program",
    "http://medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments.",
    "Locate the element: .section",
    "Confirm the axe-core finding for rule landmark-unique."
   ],
   "remediation_tip": "When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. \"Primary\" and \"Footer\" navigation) so screen-reader users can tell them apart.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__landmark-unique.csv"
  },
  {
   "instance_id": "VS-159e1153",
   "pattern_id": "VS-424cced9",
   "a11y_pattern_fingerprint": "a796ce43c9e789662da650fc274c969671b8be5e22357a5b08a87ce286a20b93",
   "a11y_pattern_display_id": "A11Y-PAT-A796CE43C9E7",
   "a11y_occurrence_fingerprint": "3fe59cddc9634b6671580dad2d9aa9f48f44f57d584da77fc8b4f97ed191e343",
   "a11y_occurrence_display_id": "A11Y-OCC-3FE59CDDC963",
   "url": "https://www.medicaid.gov/faq?page=5",
   "xpath": ".usa-alert",
   "html_snippet": "<div class=\"usa-alert usa-alert--error usa-alert--slim\" role=\"contentinfo\" aria-label=\"Error message\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-contentinfo-is-top-level",
   "rule_label": "Contentinfo landmark should not be contained in another landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-contentinfo-is-top-level?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8293
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/faq?page=5",
     "xpath": ".usa-alert",
     "html_snippet": "<div class=\"usa-alert usa-alert--error usa-alert--slim\" role=\"contentinfo\" aria-label=\"Error message\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/faq?page=5"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/faq?page=5"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/faq?page=5.",
    "Locate the element: .usa-alert",
    "Confirm the axe-core finding for rule landmark-contentinfo-is-top-level."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-contentinfo-is-top-level?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W25",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__landmark-contentinfo-is-top-level.csv"
  },
  {
   "instance_id": "VS-208b7d90",
   "pattern_id": "VS-b465dfd7",
   "a11y_pattern_fingerprint": "65e2be1a15547c116912ef86d238993a9da86095ed38d3f3f696ea6e9566f021",
   "a11y_pattern_display_id": "A11Y-PAT-65E2BE1A1554",
   "a11y_occurrence_fingerprint": "473abc14dd6c6a84ebe867fee78e64e0c5a330dad960183cb3ae9d672c2a82ae",
   "a11y_occurrence_display_id": "A11Y-OCC-473ABC14DD6C",
   "url": "https://www.medicaid.gov/faq?page=5",
   "xpath": ".usa-alert",
   "html_snippet": "<div class=\"usa-alert usa-alert--error usa-alert--slim\" role=\"contentinfo\" aria-label=\"Error message\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-no-duplicate-contentinfo",
   "rule_label": "Document should not have more than one contentinfo landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-contentinfo?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8293
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/faq?page=5",
     "xpath": ".usa-alert",
     "html_snippet": "<div class=\"usa-alert usa-alert--error usa-alert--slim\" role=\"contentinfo\" aria-label=\"Error message\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/faq?page=5"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/faq?page=5"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/faq?page=5.",
    "Locate the element: .usa-alert",
    "Confirm the axe-core finding for rule landmark-no-duplicate-contentinfo."
   ],
   "remediation_tip": "Use only one contentinfo landmark (<footer> at the top level) per page.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-contentinfo?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W25",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__landmark-no-duplicate-contentinfo.csv"
  },
  {
   "instance_id": "VS-432e7ba2",
   "pattern_id": "VS-0ba8ce9d",
   "a11y_pattern_fingerprint": "b2aaf6f16b8df29cc2bdf6db1f29be3254502324c2947e5078a24b1094c13d63",
   "a11y_pattern_display_id": "A11Y-PAT-B2AAF6F16B8D",
   "a11y_occurrence_fingerprint": "a44d3e57ec067ade2c1864276f08aed3880601af9c57b1325d97cbb21537ce8c",
   "a11y_occurrence_display_id": "A11Y-OCC-A44D3E57EC06",
   "url": "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels",
   "xpath": "tr:nth-child(1) > td[scope=\"row\"]",
   "html_snippet": "<td scope=\"row\">Alabama</td>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "scope-attr-valid",
   "rule_label": "scope attribute should be used correctly",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 51,
    "pages_affected": 1,
    "total_pages_scanned": 8293
   },
   "likely_source": "content",
   "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).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels",
     "xpath": "tr:nth-child(1) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">Alabama</td>"
    },
    {
     "url": "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels",
     "xpath": "tr:nth-child(2) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">Alaska<a style=\"text-decoration:none;\" href=\"#footnote5\" title=\"\"><sup>5</sup></a></td>"
    },
    {
     "url": "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels",
     "xpath": "tr:nth-child(3) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">Arizona</td>"
    }
   ],
   "example_pages": [
    "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels"
   ],
   "affected_pages": [
    "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels.",
    "Locate the element: tr:nth-child(1) > td[scope=\"row\"]",
    "Confirm the axe-core finding for rule scope-attr-valid."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__scope-attr-valid.csv"
  },
  {
   "instance_id": "VS-ca10dd9b",
   "pattern_id": "VS-4fac2f41",
   "a11y_pattern_fingerprint": "e02044fe28ee655364e8bf959de0853cc35d4d99adc2ac5d259bbaf6ea82fabf",
   "a11y_pattern_display_id": "A11Y-PAT-E02044FE28EE",
   "a11y_occurrence_fingerprint": "d94b01b4bac4c75cc284ebfc9a09dbf03a8903e513eeb7a088f3c3b9a514b8c2",
   "a11y_occurrence_display_id": "A11Y-OCC-D94B01B4BAC4",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
   "xpath": "span[data-select2-id=\"select2-data-1-wbkv\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
   "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-role",
   "rule_label": "ARIA role should be appropriate for the element",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 1294,
    "pages_affected": 606,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "ARIA role should be appropriate for the element (WCAG criterion undetermined)",
   "description": "ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 606 of 8293 scanned pages (1294 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-wbkv\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-si06\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-cw55\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-3ajn\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__fiel...\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label="
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
     "xpath": "span[data-select2-id=\"select2-data-5-uywi\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%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="
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=44&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=941&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=16&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=946&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=9&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=4&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=996&page=31&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=1&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=27&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=14&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=11&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=13&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=756&q=",
    "http://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=2276&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=941&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=0&q="
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.",
    "Locate the element: span[data-select2-id=\"select2-data-1-wbkv\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
    "Confirm the axe-core finding for rule aria-allowed-role."
   ],
   "remediation_tip": "Remove or change the ARIA role — it isn't allowed on this element type.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/axe-core__aria-allowed-role.csv"
  },
  {
   "instance_id": "VS-e61eb469",
   "pattern_id": "VS-c18be945",
   "a11y_pattern_fingerprint": "950ad6e472d0a3d13d08b0256e775cf1055f2e07b82bfa3856cbb7008e1635fe",
   "a11y_pattern_display_id": "A11Y-PAT-950AD6E472D0",
   "a11y_occurrence_fingerprint": "c1ed3eaea6fe8fa07c5b34c5956bc80559cfa94cba8df81a1470457b507c081f",
   "a11y_occurrence_display_id": "A11Y-OCC-C1ED3EAEA6FE",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
   "xpath": "text: \"  Feedback  \"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "frequency": {
    "instances": 120197,
    "pages_affected": 3206,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3206 of 8293 scanned pages (120197 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
     "xpath": "text: \"  Feedback  \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": "text: \"\n                An official website of the United States government\n                \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": "text: \"Version:\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": "text: \"\n                        4.0.34\n                    \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149",
     "xpath": "text: \"\n                An official website of the United States government\n                \"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83561",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
    "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A681&f%5B1%5D=state%3A696&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A921&f%5B12%5D=topics%3A1031&f%5B13%5D=topics%3A1511&f%5B14%5D=topics%3A3101&f%5B15%5D=topics%3A3356&f%5B16%5D=topics%3A6476&f%5B17%5D=topics%3A7296&f%5B18%5D=topics%3A7316&f%5B2%5D=state%3A716&f%5B3%5D=state%3A806&f%5B4%5D=state%3A836&f%5B5%5D=state%3A876&f%5B6%5D=state%3A991&f%5B7%5D=state%3A1051&f%5B8%5D=state%3A7971&f%5B9%5D=topics%3A761&page=1653",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-613",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83496",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7782",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-54-012-12",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-48-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656.",
    "Locate the element: text: \"  Feedback  \"",
    "Confirm the Siteimprove Alfa finding for rule sia-r57."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r57.csv"
  },
  {
   "instance_id": "VS-18974126",
   "pattern_id": "VS-aa242c2d",
   "a11y_pattern_fingerprint": "9bbfd94bd90376189a5c933a4d16c8a76c606598a68b0d2e61eecf739964bd9d",
   "a11y_pattern_display_id": "A11Y-PAT-9BBFD94BD903",
   "a11y_occurrence_fingerprint": "ff936388adc6fc7a9215f4d1fdec37ade31e1981790886a32e215e9610548ee6",
   "a11y_occurrence_display_id": "A11Y-OCC-FF936388ADC6",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "frequency": {
    "instances": 2368,
    "pages_affected": 2368,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "First focusable element is link to main content (WCAG criterion undetermined)",
   "description": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 2368 of 8293 scanned pages (2368 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-613",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7782",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-54-012-12",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-48-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1174",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7380",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-729",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003174",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9103",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6242"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r87."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r87.csv"
  },
  {
   "instance_id": "VS-31388146",
   "pattern_id": "VS-7118fead",
   "a11y_pattern_fingerprint": "d71a88e83b9226ce1c0d790a0f6c20a91532d96068ebea7e887804b7fc25ae3d",
   "a11y_pattern_display_id": "A11Y-PAT-D71A88E83B92",
   "a11y_occurrence_fingerprint": "41a74af76e7e600fc814274db903005b9e678098b4d354f71d92c12aac651c8c",
   "a11y_occurrence_display_id": "A11Y-OCC-41A74AF76E7E",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "frequency": {
    "instances": 2341,
    "pages_affected": 2341,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 2341 of 8293 scanned pages (2341 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-613",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7782",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-54-012-12",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-48-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1174",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7380",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-729",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003174",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9103",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6242"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r61."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r61.csv"
  },
  {
   "instance_id": "VS-d35b89f2",
   "pattern_id": "VS-04a9d28c",
   "a11y_pattern_fingerprint": "56a6becbcfff85f715f09e97b699bae8f9e5cd3dd97d00e80e5669888e67d9c0",
   "a11y_pattern_display_id": "A11Y-PAT-56A6BECBCFFF",
   "a11y_occurrence_fingerprint": "0e65f83aa8072f0e83b5856b685da7453863652968bb858134c92a64cfa9e353",
   "a11y_occurrence_display_id": "A11Y-OCC-0E65F83AA807",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
   "xpath": "td",
   "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine_key": "deprecated-html",
   "tool": "deprecated-html",
   "rule_url": null,
   "severity": "Moderate",
   "frequency": {
    "instances": 1489,
    "pages_affected": 1226,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"2\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-738",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2587",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6175",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-337",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1174",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003092",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv004062",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-648",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8598",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8701",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6539",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2256",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1542",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7336",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6586",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6160",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7606"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157.",
    "Locate the element: td",
    "Confirm the deprecated-html finding for rule presentational-attr."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/deprecated-html__presentational-attr.csv"
  },
  {
   "instance_id": "VS-582dca8a",
   "pattern_id": "VS-e05344b9",
   "a11y_pattern_fingerprint": "1f096d7d348a6e73ae969784c8c1abde5919a38d6f373291c1b3cdfd860d9c27",
   "a11y_pattern_display_id": "A11Y-PAT-1F096D7D348A",
   "a11y_occurrence_fingerprint": "c80b17738b715e96215d43e187e6fa12ccab46d37e0fe5d0456a66c24d6a141b",
   "a11y_occurrence_display_id": "A11Y-OCC-C80B17738B71",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
   "xpath": "@aria-selected=\"true\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "frequency": {
    "instances": 3293,
    "pages_affected": 689,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)",
   "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 689 of 8293 scanned pages (3293 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
     "xpath": "@aria-selected=\"true\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
     "xpath": "@aria-selected=\"true\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003174",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx001001",
    "https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/tpl-third-party-liability/tpl-medicaid-eligible-person-health-insurance-coverage-info",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002024",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002219",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg008133",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002163",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/mcr010117",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003227",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg006110",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/mcr002024",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg008131",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002016",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002068",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002028"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128.",
    "Locate the element: @aria-selected=\"true\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r18."
   ],
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r18.csv"
  },
  {
   "instance_id": "VS-445ff332",
   "pattern_id": "VS-f054f4a4",
   "a11y_pattern_fingerprint": "82f0115236489cbf7e7f113fdfd27b524072c7c43e37572941e91819b5f10cbb",
   "a11y_pattern_display_id": "A11Y-PAT-82F011523648",
   "a11y_occurrence_fingerprint": "969cd86eff7f9a76454e79136d6fedd0320ff3a73e8e3fd7889625c291ca13d7",
   "a11y_occurrence_display_id": "A11Y-OCC-969CD86EFF7F",
   "url": "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
   "xpath": "<h4 class=\"usa-footer__primary-link\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "frequency": {
    "instances": 231,
    "pages_affected": 211,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/medicaid-and-chip-resources/other-resources",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program",
    "http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/medicaid-and-chip-resources/other-resources",
    "http://medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial/medicaid-and-chip-financial",
    "http://medicaid.gov/medicaid/long-term-services-supports/self-directed-services",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
    "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/eligibility-verification-policies",
    "https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/combatting-opioid-misuse-and-abuse",
    "https://www.medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial/medicaid-budget-and-expenditure-system-mbes/cms-37-medicaid-program-budget-report",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
    "http://medicaid.gov/medicaid/benefits/reentry-services-for-incarcerated-individuals/additional-resources",
    "http://medicaid.gov/medicaid/enrollment-strategies/express-lane-eligibility-medicaid-and-chip-coverage",
    "https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/medicare-and-other-coverage-guidance",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas",
    "http://medicaid.gov/resources-for-states",
    "https://www.medicaid.gov/privacy-policy",
    "http://medicaid.gov/chip",
    "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/192741",
    "http://medicaid.gov/state-overviews/stateprofile.html?state=New-Jersey",
    "http://medicaid.gov/medicaid/long-term-services-supports/integrating-care",
    "http://medicaid.gov/medicaid/home-community-based-services",
    "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/december-2025-medicaid-chip-enrollment-data-highlights",
    "http://medicaid.gov/medicaid/eligibility-policy/magi-conversion-plans-and-results",
    "https://www.medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments.",
    "Locate the element: <h4 class=\"usa-footer__primary-link\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r53."
   ],
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r53.csv"
  },
  {
   "instance_id": "VS-1bc488fd",
   "pattern_id": "VS-2cd767ca",
   "a11y_pattern_fingerprint": "8b5c7c0abaa24199c3ae8a821e752f6c2b7d9a054b6611feaa545d0ec5680c59",
   "a11y_pattern_display_id": "A11Y-PAT-8B5C7C0ABAA2",
   "a11y_occurrence_fingerprint": "b88212f2d788fceb3aec17309f19aac1494903203b13df81cec64088dc7b3f12",
   "a11y_occurrence_display_id": "A11Y-OCC-B88212F2D788",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
   "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "frequency": {
    "instances": 26,
    "pages_affected": 14,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NE%22%5D",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CT%22%5D",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22TN%22%5D",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NE%22%5D"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NE%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CT%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22TN%22%5D",
    "https://www.medicaid.gov/dq-atlas/landing/resources/whats-new",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22DE%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MN%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22RI%22%5D",
    "https://www.medicaid.gov/dq-atlas/landing/resources",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AZ%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IL%22%5D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D.",
    "Locate the element: <h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r78."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r78.csv"
  },
  {
   "instance_id": "VS-bb41b8ef",
   "pattern_id": "VS-4c341c77",
   "a11y_pattern_fingerprint": "745ff630e526bd7a65bacc77c59576fc266fa55f2f4eddcc0cc3f42435b250d5",
   "a11y_pattern_display_id": "A11Y-PAT-745FF630E526",
   "a11y_occurrence_fingerprint": "3b416a1abf2cd25c176d1800d541e4c6d28400a4db0e5b2f6b1822465239a53f",
   "a11y_occurrence_display_id": "A11Y-OCC-3B416A1ABF2C",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
   "xpath": "<p class=\"selected-states-header\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r85",
   "rule_label": "Keyboard trap does not exist",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r85",
   "severity": "Moderate",
   "frequency": {
    "instances": 725,
    "pages_affected": 12,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%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"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NE%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CT%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22TN%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22DE%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MN%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22RI%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AZ%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IL%22%5D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D.",
    "Locate the element: <p class=\"selected-states-header\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r85."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r85.csv"
  },
  {
   "instance_id": "VS-635c77d9",
   "pattern_id": "VS-e5ec42f0",
   "a11y_pattern_fingerprint": "3567d42eeb758bb84f6a71085f5f0509ea361cbdfc808dea5fc56f7862cb94fe",
   "a11y_pattern_display_id": "A11Y-PAT-3567D42EEB75",
   "a11y_occurrence_fingerprint": "66d167975237472190954fb46ef025f1a44169647ae444642d44aa2dde7a1416",
   "a11y_occurrence_display_id": "A11Y-OCC-66D167975237",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
   "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r72",
   "rule_label": "Element role is consistent with ARIA landmark",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r72",
   "severity": "Moderate",
   "frequency": {
    "instances": 2103,
    "pages_affected": 12,
    "total_pages_scanned": 8293
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
     "xpath": "<p class=\"chart-label\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%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"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AL%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NE%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CT%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22TN%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22DE%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MN%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22RI%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AZ%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IL%22%5D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D.",
    "Locate the element: <p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r72."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r72",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W25",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r72.csv"
  }
 ],
 "policy": {
  "suppression": {
   "patterns": 0,
   "pages": 0,
   "occurrences": 0,
   "entries": []
  }
 }
}