{ "domain": "www.medicaid.gov", "week": "2026-W25", "generated_at": "2026-07-12T18:37:21.527Z", "description": "Pages ranked by composite accessibility + performance priority score. Critical a11y bugs = 40 pts, Serious = 20, Moderate = 8, Minor = 2. Lighthouse performance penalty up to 30 pts. 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"https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157", "priority_score": 148, "a11y_critical_bugs": 2, "a11y_serious_bugs": 3, "a11y_moderate_bugs": 1, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Critical] Elements must only use supported ARIA attributes | [Serious] All page content should be contained by landmarks | [Serious] Page should contain a level-one heading | [Serious] Document should have one main landmark" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068", "priority_score": 148, "a11y_critical_bugs": 2, "a11y_serious_bugs": 3, "a11y_moderate_bugs": 1, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Critical] Elements must only use supported ARIA attributes | [Serious] All page content should be contained by landmarks | [Serious] Page should contain a level-one heading | [Serious] Document should have one main landmark" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041", "priority_score": 144, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 8, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Critical] Certain ARIA roles must contain particular children | [Moderate] Presentational children of an element are not focusable | [Critical] Elements must only use supported ARIA attributes | [Moderate] Text has enhanced contrast" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr004061", "priority_score": 144, "a11y_critical_bugs": 2, 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by landmarks | [Serious] Page should contain a level-one heading | [Serious] Document should have one main landmark" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095", "priority_score": 140, "a11y_critical_bugs": 2, "a11y_serious_bugs": 3, "a11y_moderate_bugs": 0, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Critical] Elements must only use supported ARIA attributes | [Serious] All page content should be contained by landmarks | [Serious] Page should contain a level-one heading | [Serious] Document should have one main landmark" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236", "priority_score": 140, "a11y_critical_bugs": 2, "a11y_serious_bugs": 3, "a11y_moderate_bugs": 0, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Critical] Elements must only use supported ARIA attributes | [Serious] All page content should be contained by landmarks | [Serious] Page should contain a level-one heading | [Serious] Document should have one main landmark" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003174", "priority_score": 120, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 5, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Critical] Certain ARIA roles must contain particular children | [Moderate] Presentational children of an element are not focusable | [Critical] Elements must only use supported ARIA attributes | [Moderate] First focusable element is link to main content" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008", "priority_score": 120, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 5, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Critical] Certain ARIA roles must contain particular children | [Moderate] Presentational children of an element are not focusable | [Critical] Elements must only use supported ARIA attributes | [Moderate] First focusable element is link to main content" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044", "priority_score": 112, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 4, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Moderate] Presentational children of an element are not focusable | [Critical] Elements must only use supported ARIA attributes | [Moderate] First focusable element is link to main content | [Moderate] Form field label is visible" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7", "priority_score": 108, "a11y_critical_bugs": 0, "a11y_serious_bugs": 3, "a11y_moderate_bugs": 6, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Moderate] Text has enhanced contrast | [Moderate] Target size is at least 44×44 CSS pixels (Enhanced) | [Serious] All page content should be contained by landmarks | [Serious] Page should contain a level-one heading" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-002-2", "priority_score": 108, "a11y_critical_bugs": 0, "a11y_serious_bugs": 3, "a11y_moderate_bugs": 6, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Moderate] Text has enhanced contrast | [Moderate] Target size is at least 44×44 CSS pixels (Enhanced) | [Serious] All page content should be contained by landmarks | [Serious] Page should contain a level-one heading" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274", "priority_score": 104, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 3, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Critical] Certain ARIA roles must contain particular children | [Moderate] Presentational children of an element are not focusable | [Critical] Elements must only use supported ARIA attributes | [Moderate] aria attribute is permitted for element role" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149", "priority_score": 100, "a11y_critical_bugs": 0, "a11y_serious_bugs": 3, "a11y_moderate_bugs": 5, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Text has enhanced contrast | [Moderate] Target size is at least 44×44 CSS pixels (Enhanced) | [Serious] All page content should be contained by landmarks | [Serious] Page should contain a level-one heading | [Serious] Document should have one main landmark" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806", "priority_score": 100, "a11y_critical_bugs": 0, 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heading | [Serious] Document should have one main landmark" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942", "priority_score": 100, "a11y_critical_bugs": 0, "a11y_serious_bugs": 3, "a11y_moderate_bugs": 5, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Text has enhanced contrast | [Moderate] Target size is at least 44×44 CSS pixels (Enhanced) | [Serious] All page content should be contained by landmarks | [Serious] Page should contain a level-one heading | [Serious] Document should have one main landmark" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003092", "priority_score": 88, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 1, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Critical] Elements must only use supported ARIA attributes | [Moderate] Presentational attribute (use CSS)" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv004062", "priority_score": 88, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 1, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Critical] Elements must only use supported ARIA attributes | [Moderate] Presentational attribute (use CSS)" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235", "priority_score": 88, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 1, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Critical] Elements must only use supported ARIA attributes | [Moderate] Presentational attribute (use CSS)" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization", "priority_score": 80, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 0, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Critical] Elements must only use supported ARIA attributes" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg001003", "priority_score": 80, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 0, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, 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"https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=", "priority_score": 78, "a11y_critical_bugs": 0, "a11y_serious_bugs": 1, "a11y_moderate_bugs": 7, "a11y_minor_bugs": 1, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Target size is at least 24×24 CSS pixels or has spacing (Minimum) | [Moderate] Presentational children of an element are not focusable | [Serious] ARIA input fields must have an accessible name | [Moderate] Form field has accessible name | [Moderate] Text has enhanced contrast" }, { "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=17&q=", "priority_score": 78, "a11y_critical_bugs": 0, "a11y_serious_bugs": 1, "a11y_moderate_bugs": 7, "a11y_minor_bugs": 1, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, 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Target size is at least 24×24 CSS pixels or has spacing (Minimum) | [Moderate] Form field has accessible name" }, { "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=1&q=", "priority_score": 16, "a11y_critical_bugs": 0, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 2, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Target size is at least 24×24 CSS pixels or has spacing (Minimum) | [Moderate] Form field has accessible name" }, { "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=996&page=29&q=", "priority_score": 16, "a11y_critical_bugs": 0, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 2, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Target size is at least 24×24 CSS pixels or has spacing (Minimum) | [Moderate] Form field has accessible name" }, { "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=35&q=", "priority_score": 16, "a11y_critical_bugs": 0, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 2, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Target size is at least 24×24 CSS pixels or has spacing (Minimum) | [Moderate] Form field has accessible name" }, { "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=49&q=", "priority_score": 16, "a11y_critical_bugs": 0, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 2, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Target size is at least 24×24 CSS pixels or has spacing (Minimum) | [Moderate] Form field has accessible name" }, { "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=33&q=", "priority_score": 16, "a11y_critical_bugs": 0, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 2, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Target size is at least 24×24 CSS pixels or has spacing (Minimum) | [Moderate] Form field has accessible name" }, { "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=736&q=", "priority_score": 16, "a11y_critical_bugs": 0, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 2, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] 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