vital-scans open quality ledger

www.medicaid.gov: Accessibility — week 2026-W26

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

Training priorities

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

SCCriterionPagesRulesNotes
1.4.6 WCAG 1.4.6 4074 1
2.5.5 WCAG 2.5.5 4074 1
1.3.1 Info and Relationships (semantic structure) 2467 3
4.1.2 Name, Role, Value (ARIA) 2197 5
2.5.3 WCAG 2.5.3 1732 1

Next 10 actions

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

Top 10 clustered component fixes for this week.
ClusterSeverityPagesWho it affectsHow to fixEvidenceDecision
Page should contain a level-one heading · unattributed component
Fix one place, resolve ~6356 finding(s) on 6356 page(s).
XPath / selector: html
<html class="no-js" lang="en">
 Serious 6356 Requires manual testing. See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI pages (CSV)
Document should have one main landmark · unattributed component
Fix one place, resolve ~6351 finding(s) on 6351 page(s).
XPath / selector: html
<html class="no-js" lang="en">
 Serious 6351 Requires manual testing. Each page should have exactly one <main> landmark. pages (CSV)
First focusable element is link to main content · unattributed component
Fix one place, resolve ~3176 finding(s) on 3176 page(s).
XPath / selector: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
 Moderate 3176 Requires manual testing. See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87 pages (CSV)
Form field label is visible · unattributed component
Fix one place, resolve ~3157 finding(s) on 3157 page(s).
XPath / selector: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
 Moderate 3157 Requires manual testing. See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61 pages (CSV)
Certain ARIA roles must contain particular children · unattributed component
Fix one place, resolve ~1495 finding(s) on 1495 page(s).
XPath / selector: .nav
<div class="nav nav-tabs nav-justified" role="tablist">
 Critical 1495 Without vision, Limited vision, Limited cognitive, language, or learning ability Add the child roles this container role requires (e.g. a list needs listitem children). pages (CSV)
Accessible name of link or button matches visible label · unattributed component
Fix one place, resolve ~1732 finding(s) on 1732 page(s).
XPath / selector: <a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">
 Moderate 1732 Without vision, Without speech See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14 pages (CSV)
All page content should be contained by landmarks · unattributed component
Fix one place, resolve ~6382 finding(s) on 6382 page(s).
XPath / selector: .small
<div class="small p-1">
 Serious 6382 Requires manual testing. Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. pages (CSV)
All page content should be contained by landmarks · unattributed component
Fix one place, resolve ~6375 finding(s) on 6375 page(s).
XPath / selector: .justify-content-between
<div class="d-flex justify-content-between m-2 mb-2">
 Serious 6375 Requires manual testing. Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. pages (CSV)
All page content should be contained by landmarks · unattributed component
Fix one place, resolve ~6374 finding(s) on 6374 page(s).
XPath / selector: .font-weight-bold
<p class="font-weight-bold m-0 mr-1">Version:</p>
 Serious 6374 Requires manual testing. Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. pages (CSV)
Scrolling content can be accessed by keyboard · unattributed component
Fix one place, resolve ~3165 finding(s) on 3165 page(s).
XPath / selector: text: " An official website of the United States government "
 Moderate 3165 Requires manual testing. See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57 pages (CSV)

Bug reports

15 issue type(s) are shown by default out of 35 total. Prioritized by severity, key pages, WCAG level, and prevalence; use the toggle to show everything.

Overall severity mix: 4 critical, 7 serious, 23 moderate, 1 minor. By WCAG category: 12 WCAG 2.0 A, 1 WCAG 2.1 A, 1 WCAG 2.2 AA, 4 WCAG 2.x AAA, 7 Best Practice, 10 Undetermined. Ordered by severity, key-page impact, WCAG level, and prevalence. Following accessibility bug-reporting best practices. Download: Markdown · JSON (full archive) · JSON (AI diagnostic) · CSV (all findings) · Priority pages CSV · Priority pages JSON.

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

Default view shows 15 prioritized issue type(s); 20 more are available if you switch to "Show everything".

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

Findings needing review

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

Critical axe aria-allowed-attr WCAG 2.0 A Elements must only use supported ARIA attributes (WCAG 4.1.2) 1495/8291 pages · 7382 instances Likely template
Bug ID
VS-52fcb9f0
Pattern ID
VS-1467ea8a
Combined ID
VS-52fcb9f0 (pattern VS-1467ea8a) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
a[href$="#overview"]
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

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

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

Description

Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 1495 of 8291 scanned pages (7382 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236.
  2. Locate the element: a[href$="#overview"]
  3. Confirm the axe-core finding for rule aria-allowed-attr against WCAG 4.1.2 Name, Role, Value.

Impact

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

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

Affected pages

…and more — all 1495 pages (CSV).

Testing environment

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

Suggested fix

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

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

Critical axe aria-required-children WCAG 2.0 A Certain ARIA roles must contain particular children (WCAG 1.3.1) 1495/8291 pages · 1495 instances Likely template
Bug ID
VS-388c3bd1
Pattern ID
VS-9429bb8d
Combined ID
VS-388c3bd1 (pattern VS-9429bb8d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.3.1 Info and Relationships (Level A, WCAG 2.0)
XPath / selector
.nav
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

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

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

Description

Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 1495 of 8291 scanned pages (1495 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236.
  2. Locate the element: .nav
  3. Confirm the axe-core finding for rule aria-required-children against WCAG 1.3.1 Info and Relationships.

Impact

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

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

Affected pages

…and more — all 1495 pages (CSV).

Testing environment

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

Suggested fix

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

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

Serious axe aria-input-field-name WCAG 2.0 A ARIA input fields must have an accessible name (WCAG 4.1.2) 471/8291 pages · 988 instances Likely template
Bug ID
VS-9e31a7ee
Pattern ID
VS-0841abc2
Combined ID
VS-9e31a7ee (pattern VS-0841abc2) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
span[data-select2-id="select2-data-1-0b0j"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

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

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

Description

ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 471 of 8291 scanned pages (988 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=15&q=.
  2. Locate the element: span[data-select2-id="select2-data-1-0b0j"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]
  3. Confirm the axe-core finding for rule aria-input-field-name against WCAG 4.1.2 Name, Role, Value.

Impact

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

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

Affected pages

…and more — all 471 pages (CSV).

Testing environment

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

Suggested fix

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

Serious axe aria-prohibited-attr WCAG 2.0 A Elements must only use permitted ARIA attributes (WCAG 4.1.2) 3/8291 pages · 3 instances
Bug ID
VS-39efa13b
Pattern ID
VS-ebb1c464
Combined ID
VS-39efa13b (pattern VS-ebb1c464) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
#map-svg-map-default-1744055166
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

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

<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;

Description

Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 3 of 8291 scanned pages (3 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/data-systems/it-procurement-opportunities.
  2. Locate the element: #map-svg-map-default-1744055166
  3. Confirm the axe-core finding for rule aria-prohibited-attr against WCAG 4.1.2 Name, Role, Value.

Impact

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

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

Affected pages

Testing environment

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

Suggested fix

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

Critical axe image-alt WCAG 2.0 A Images must have alternative text (WCAG 1.1.1) 1/8291 pages · 1 instances Likely content
Bug ID
VS-64562f0f
Pattern ID
VS-9074b4dd
Combined ID
VS-64562f0f (pattern VS-9074b4dd) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.1.1 Non-text Content (Level A, WCAG 2.0)
XPath / selector
p:nth-child(1) > a > img
History
first seen 2026-W24, last seen 2026-W26 (2 wk)

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

<img src="/media/file/monitor-eval-1115-demonstrations0.png/">

Description

Images must have alternative text. Detected by axe-core rule image-alt on 1 of 8291 scanned pages (1 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation.
  2. Locate the element: p:nth-child(1) > a > img
  3. Confirm the axe-core finding for rule image-alt against WCAG 1.1.1 Non-text Content.

Impact

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

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

Affected pages

Testing environment

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

Suggested fix

How to fix: Give every <img> a meaningful alt attribute. Use alt="" only for decorative images so screen readers skip them.

Drupal tip: In Drupal's Media Library, fill the "Alternative text" field when uploading or editing an image. For images in body fields, the CKEditor "Image Properties" dialog includes an Alt Text field.

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

Critical axe select-name WCAG 2.0 A Select element must have an accessible name (WCAG 4.1.2) 1/8291 pages · 1 instances Likely content
Bug ID
VS-3684156b
Pattern ID
VS-fab92378
Combined ID
VS-3684156b (pattern VS-fab92378) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
#items-per-page
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

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

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

Description

Select element must have an accessible name. Detected by axe-core rule select-name on 1 of 8291 scanned pages (1 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v3/t-msis-coding-blog.
  2. Locate the element: #items-per-page
  3. Confirm the axe-core finding for rule select-name against WCAG 4.1.2 Name, Role, Value.

Impact

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

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

Affected pages

Testing environment

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

Suggested fix

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

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

Serious axe link-name WCAG 2.0 A Links must have discernible text (WCAG 2.4.4) 1/8291 pages · 1 instances Likely content
Bug ID
VS-10f338a8
Pattern ID
VS-e9fe47ac
Combined ID
VS-10f338a8 (pattern VS-e9fe47ac) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
2.4.4 Link Purpose (In Context) (Level A, WCAG 2.0)
XPath / selector
p:nth-child(1) > a
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

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

<a href="/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf"><img src="/media/file/monitor-eval-1115-demonstrations0.png/"></a>

Description

Links must have discernible text. Detected by axe-core rule link-name on 1 of 8291 scanned pages (1 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation.
  2. Locate the element: p:nth-child(1) > a
  3. Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context).

Impact

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

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

Affected pages

Testing environment

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

Suggested fix

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

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

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

Serious axe region Best Practice All page content should be contained by landmarks (WCAG criterion undetermined) 6382/8291 pages · 28627 instances Likely template
Bug ID
VS-02a6a6df
Pattern ID
VS-f18df681
Combined ID
VS-02a6a6df (pattern VS-f18df681) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
.small
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

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

<div class="small p-1">

Description

All page content should be contained by landmarks. Detected by axe-core rule region on 6382 of 8291 scanned pages (28627 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117.
  2. Locate the element: .small
  3. Confirm the axe-core finding for rule region.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 6382 pages (CSV).

Testing environment

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

Suggested fix

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

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

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

Serious axe page-has-heading-one Best Practice Page should contain a level-one heading (WCAG criterion undetermined) 6356/8291 pages · 6356 instances Likely template
Bug ID
VS-9605e6ed
Pattern ID
VS-fa44f293
Combined ID
VS-9605e6ed (pattern VS-fa44f293) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
html
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

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

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

Description

Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 6356 of 8291 scanned pages (6356 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117.
  2. Locate the element: html
  3. Confirm the axe-core finding for rule page-has-heading-one.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 6356 pages (CSV).

Testing environment

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

Suggested fix

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

Serious axe landmark-one-main Best Practice Document should have one main landmark (WCAG criterion undetermined) 6351/8291 pages · 6351 instances Likely template
Bug ID
VS-37bb2542
Pattern ID
VS-d5d82446
Combined ID
VS-37bb2542 (pattern VS-d5d82446) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
html
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

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

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

Description

Document should have one main landmark. Detected by axe-core rule landmark-one-main on 6351 of 8291 scanned pages (6351 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117.
  2. Locate the element: html
  3. Confirm the axe-core finding for rule landmark-one-main.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 6351 pages (CSV).

Testing environment

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

Suggested fix

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

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

Serious axe label-title-only Best Practice Form elements should have a visible label (WCAG criterion undetermined) 2/8291 pages · 3 instances Likely content
Bug ID
VS-f8ff7b4b
Pattern ID
VS-33841929
Combined ID
VS-f8ff7b4b (pattern VS-33841929) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
select[aria-labelledby="filter-th-87371-1"]
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

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

<select aria-labelledby="filter-th-87371-1" class="usa-select height-1" data-col-index="1" title="Filter by Year">

Description

Form elements should have a visible label. Detected by axe-core rule label-title-only on 2 of 8291 scanned pages (3 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data.
  2. Locate the element: select[aria-labelledby="filter-th-87371-1"]
  3. Confirm the axe-core finding for rule label-title-only.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

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

Moderate alfa sia-r14 WCAG 2.1 A Accessible name of link or button matches visible label (WCAG 2.5.3) 1732/8291 pages · 1732 instances Likely template
Bug ID
VS-142949df
Pattern ID
VS-f7dba940
Combined ID
VS-142949df (pattern VS-f7dba940) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.1 A
Obligation
required
Handling
review
WCAG SC
2.5.3 Label in Name (Level A, WCAG 2.1)
XPath / selector
<a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

Description

Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 1732 of 8291 scanned pages (1732 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236.
  2. Locate the element: <a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">
  3. Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name.

Impact

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

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

Affected pages

…and more — all 1732 pages (CSV).

Testing environment

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

Suggested fix

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

Moderate alfa sia-r68 WCAG 2.0 A Presentational children of an element are not focusable (WCAG 1.3.1) 971/8291 pages · 992 instances · possible duplicate Likely template
Bug ID
VS-8faf6525
Pattern ID
VS-d6097011
Combined ID
VS-8faf6525 (pattern VS-d6097011) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.3.1 Info and Relationships (Level A, WCAG 2.0)
XPath / selector
<div class="nav nav-tabs nav-justified" role="tablist">
History
first seen 2026-W24, last seen 2026-W26 (3 wk)
Possible duplicate
Same WCAG SC covered by axe report VS-388c3bd1 (pattern VS-9429bb8d). If axe and this engine flag the same element, the axe report takes precedence — mark this as duplicate in JIRA.

Description

Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 971 of 8291 scanned pages (992 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236.
  2. Locate the element: <div class="nav nav-tabs nav-justified" role="tablist">
  3. Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships.

Impact

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

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

Affected pages

…and more — all 971 pages (CSV).

Testing environment

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

Suggested fix

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

Moderate alfa sia-r8 WCAG 2.0 A Form field has accessible name (WCAG 4.1.2) 227/8291 pages · 474 instances Likely template
Bug ID
VS-fac38788
Pattern ID
VS-a48e6078
Combined ID
VS-fac38788 (pattern VS-a48e6078) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
<span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

Description

Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 227 of 8291 scanned pages (474 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=.
  2. Locate the element: <span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">
  3. Confirm the Siteimprove Alfa finding for rule sia-r8 against WCAG 4.1.2 Name, Role, Value.

Impact

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

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

Affected pages

…and more — all 227 pages (CSV).

Testing environment

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

Suggested fix

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

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

Moderate alfa sia-r113 WCAG 2.2 AA Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8) 226/8291 pages · 473 instances Likely template
Bug ID
VS-b5fa69fb
Pattern ID
VS-179ad9b3
Combined ID
VS-b5fa69fb (pattern VS-179ad9b3) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.2 AA
Obligation
required
Handling
review
WCAG SC
2.5.8 Target Size (Minimum) (Level AA, WCAG 2.2)
XPath / selector
<textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

Description

Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 226 of 8291 scanned pages (473 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=.
  2. Locate the element: <textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">
  3. Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum).

Impact

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

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

Affected pages

…and more — all 226 pages (CSV).

Testing environment

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

Suggested fix

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

Moderate alfa sia-r66 WCAG 2.x AAA Text has enhanced contrast (WCAG 1.4.6) 4074/8291 pages · 66849 instances Likely template
Bug ID
VS-1fd14477
Pattern ID
VS-646b1e0b
Combined ID
VS-1fd14477 (pattern VS-646b1e0b) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
1.4.6 Contrast (Enhanced) (Level AAA, WCAG 2.0)
XPath / selector
text: "Here’s how you know"
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

Description

Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 4074 of 8291 scanned pages (66849 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0.
  2. Locate the element: text: "Here’s how you know"
  3. Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced).

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 4074 pages (CSV).

Testing environment

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

Suggested fix

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

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

Moderate alfa sia-r111 WCAG 2.x AAA Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5) 4074/8291 pages · 42481 instances Likely template
Bug ID
VS-2de7b1f8
Pattern ID
VS-cb53cc4d
Combined ID
VS-2de7b1f8 (pattern VS-cb53cc4d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
2.5.5 Target Size (Enhanced) (Level AAA, WCAG 2.1)
XPath / selector
<button class="usa-button" type="submit">
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

Description

Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 4074 of 8291 scanned pages (42481 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0.
  2. Locate the element: <button class="usa-button" type="submit">
  3. Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced).

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 4074 pages (CSV).

Testing environment

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

Suggested fix

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

Moderate alfa sia-r57 Undetermined Scrolling content can be accessed by keyboard (WCAG criterion undetermined) 4072/8291 pages · 111891 instances Likely template
Bug ID
VS-3adb53e6
Pattern ID
VS-c18be945
Combined ID
VS-3adb53e6 (pattern VS-c18be945) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
text: " Feedback "
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

Description

Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 4072 of 8291 scanned pages (111891 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0.
  2. Locate the element: text: " Feedback "
  3. Confirm the Siteimprove Alfa finding for rule sia-r57.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 4072 pages (CSV).

Testing environment

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

Suggested fix

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

Moderate alfa sia-r87 Undetermined First focusable element is link to main content (WCAG criterion undetermined) 3176/8291 pages · 3176 instances Likely template
Bug ID
VS-5b48231c
Pattern ID
VS-aa242c2d
Combined ID
VS-5b48231c (pattern VS-aa242c2d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

Description

First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 3176 of 8291 scanned pages (3176 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229.
  2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
  3. Confirm the Siteimprove Alfa finding for rule sia-r87.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 3176 pages (CSV).

Testing environment

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

Suggested fix

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

Moderate alfa sia-r61 Undetermined Form field label is visible (WCAG criterion undetermined) 3157/8291 pages · 3157 instances Likely template
Bug ID
VS-f5a57850
Pattern ID
VS-7118fead
Combined ID
VS-f5a57850 (pattern VS-7118fead) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

Description

Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 3157 of 8291 scanned pages (3157 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229.
  2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
  3. Confirm the Siteimprove Alfa finding for rule sia-r61.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 3157 pages (CSV).

Testing environment

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

Suggested fix

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

Moderate alfa sia-r73 WCAG 2.x AAA Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8) 909/8291 pages · 7243 instances Likely template
Bug ID
VS-7e56ae53
Pattern ID
VS-2208081b
Combined ID
VS-7e56ae53 (pattern VS-2208081b) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
1.4.8 Visual Presentation (Level AAA, WCAG 2.0)
XPath / selector
<p class="usa-footer__contact-info margin-bottom-0">
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

Description

Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 909 of 8291 scanned pages (7243 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0.
  2. Locate the element: <p class="usa-footer__contact-info margin-bottom-0">
  3. Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 909 pages (CSV).

Testing environment

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

Suggested fix

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

Moderate alfa sia-r18 Undetermined aria attribute is permitted for element role (WCAG criterion undetermined) 762/8291 pages · 3728 instances Likely template
Bug ID
VS-ad93c9c0
Pattern ID
VS-e05344b9
Combined ID
VS-ad93c9c0 (pattern VS-e05344b9) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
@aria-selected="true"
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

Description

aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 762 of 8291 scanned pages (3728 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236.
  2. Locate the element: @aria-selected="true"
  3. Confirm the Siteimprove Alfa finding for rule sia-r18.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 762 pages (CSV).

Testing environment

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

Suggested fix

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

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

Minor axe aria-allowed-role Best Practice ARIA role should be appropriate for the element (WCAG criterion undetermined) 473/8291 pages · 992 instances Likely template
Bug ID
VS-ffb2f87b
Pattern ID
VS-4fac2f41
Combined ID
VS-ffb2f87b (pattern VS-4fac2f41) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
span[data-select2-id="select2-data-1-0b0j"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

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

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

Description

ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 473 of 8291 scanned pages (992 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=15&q=.
  2. Locate the element: span[data-select2-id="select2-data-1-0b0j"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea
  3. Confirm the axe-core finding for rule aria-allowed-role.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 473 pages (CSV).

Testing environment

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

Suggested fix

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

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

Moderate deprecated-html presentational-attr Undetermined Presentational attribute (use CSS) (WCAG criterion undetermined) 383/8291 pages · 503 instances Likely template
Bug ID
VS-a6c844a9
Pattern ID
VS-04a9d28c
Combined ID
VS-a6c844a9 (pattern VS-04a9d28c) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
Rule
deprecated-html — Presentational attribute (use CSS) [presentational-attr]
XPath / selector
td
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

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

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

Description

Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 383 of 8291 scanned pages (503 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236.
  2. Locate the element: td
  3. Confirm the deprecated-html finding for rule presentational-attr.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 383 pages (CSV).

Testing environment

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

Suggested fix

Not captured by automated scan — requires manual testing.

Moderate axe heading-order Best Practice Heading levels should only increase by one (WCAG criterion undetermined) 300/8291 pages · 331 instances Likely template
Bug ID
VS-3fe2c472
Pattern ID
VS-d25f622d
Combined ID
VS-3fe2c472 (pattern VS-d25f622d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
.region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

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

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

Description

Heading levels should only increase by one. Detected by axe-core rule heading-order on 300 of 8291 scanned pages (331 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-and-chip-enrollment-trend-snapshot.
  2. Locate the element: .region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4
  3. Confirm the axe-core finding for rule heading-order.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 300 pages (CSV).

Testing environment

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

Suggested fix

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

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

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

Moderate alfa sia-r53 Undetermined Headings are structured hierarchically (WCAG criterion undetermined) 143/8291 pages · 159 instances Likely template
Bug ID
VS-50beed4a
Pattern ID
VS-f054f4a4
Combined ID
VS-50beed4a (pattern VS-f054f4a4) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<h4 class="usa-footer__primary-link">
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

Description

Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 143 of 8291 scanned pages (159 instances).

Steps to reproduce

  1. Open http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/survey-and-certification-guidance.
  2. Locate the element: <h4 class="usa-footer__primary-link">
  3. Confirm the Siteimprove Alfa finding for rule sia-r53.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 143 pages (CSV).

Testing environment

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

Suggested fix

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

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

Moderate axe landmark-unique Best Practice Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined) 67/8291 pages · 67 instances Likely template
Bug ID
VS-eea592cb
Pattern ID
VS-8806389c
Combined ID
VS-eea592cb (pattern VS-8806389c) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
.section
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

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

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

Description

Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 67 of 8291 scanned pages (67 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification.
  2. Locate the element: .section
  3. Confirm the axe-core finding for rule landmark-unique.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 67 pages (CSV).

Testing environment

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

Suggested fix

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

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

Moderate alfa sia-r74 WCAG 2.x AAA Link is distinguishable without relying on color (WCAG 1.4.8) 20/8291 pages · 102 instances Likely template
Bug ID
VS-b2e8e41d
Pattern ID
VS-fbf54eba
Combined ID
VS-b2e8e41d (pattern VS-fbf54eba) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
1.4.8 Visual Presentation (Level AAA, WCAG 2.0)
XPath / selector
<p class="welcome-text core-set ng-star-inserted">
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

Description

Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 20 of 8291 scanned pages (102 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D.
  2. Locate the element: <p class="welcome-text core-set ng-star-inserted">
  3. Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

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

Moderate alfa sia-r78 Undetermined Table header has scope (WCAG criterion undetermined) 11/8291 pages · 25 instances Likely template
Bug ID
VS-ec9a6590
Pattern ID
VS-2cd767ca
Combined ID
VS-ec9a6590 (pattern VS-2cd767ca) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<h3 _ngcontent-ng-c1329502141="" class="view-measures-related-to-header core-set ng-star-inserted">
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

Description

Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 11 of 8291 scanned pages (25 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

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

Moderate alfa sia-r85 Undetermined Keyboard trap does not exist (WCAG criterion undetermined) 8/8291 pages · 429 instances
Bug ID
VS-55ff4a50
Pattern ID
VS-4c341c77
Combined ID
VS-55ff4a50 (pattern VS-4c341c77) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<p class="selected-states-header">
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

Description

Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 8 of 8291 scanned pages (429 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

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

Moderate alfa sia-r72 Undetermined Element role is consistent with ARIA landmark (WCAG criterion undetermined) 7/8291 pages · 1239 instances
Bug ID
VS-58a37786
Pattern ID
VS-e5ec42f0
Combined ID
VS-58a37786 (pattern VS-e5ec42f0) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<p _ngcontent-ng-c2822395467="" class="title core-set">
History
first seen 2026-W24, last seen 2026-W26 (3 wk)

Description

Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 7 of 8291 scanned pages (1239 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

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

Moderate alfa sia-r46 WCAG 2.0 A Element has required aria-owns (WCAG 1.3.1) 1/8291 pages · 1 instances Likely content
Bug ID
VS-2b06a2a3
Pattern ID
VS-4408605e
Combined ID
VS-2b06a2a3 (pattern VS-4408605e) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.3.1 Info and Relationships (Level A, WCAG 2.0)
XPath / selector
<th>
History
first seen 2026-W24, last seen 2026-W26 (2 wk)

Description

Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 1 of 8291 scanned pages (1 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/outreach-tools/helping-connect-enrollees-care.
  2. Locate the element: <th>
  3. Confirm the Siteimprove Alfa finding for rule sia-r46 against WCAG 1.3.1 Info and Relationships.

Impact

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

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

Affected pages

Testing environment

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

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r46

Moderate alfa sia-r2 WCAG 2.0 A Image has accessible name (WCAG 1.1.1) 1/8291 pages · 1 instances · possible duplicate Likely content
Bug ID
VS-3ceba623
Pattern ID
VS-a24eaa8c
Combined ID
VS-3ceba623 (pattern VS-a24eaa8c) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.1.1 Non-text Content (Level A, WCAG 2.0)
XPath / selector
<img src="/media/file/monitor-eval-1115-demonstrations0.png/">
History
first seen 2026-W24, last seen 2026-W26 (2 wk)
Possible duplicate
Same WCAG SC covered by axe report VS-64562f0f (pattern VS-9074b4dd). If axe and this engine flag the same element, the axe report takes precedence — mark this as duplicate in JIRA.

Description

Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 1 of 8291 scanned pages (1 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation.
  2. Locate the element: <img src="/media/file/monitor-eval-1115-demonstrations0.png/">
  3. Confirm the Siteimprove Alfa finding for rule sia-r2 against WCAG 1.1.1 Non-text Content.

Impact

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

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

Affected pages

Testing environment

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

Suggested fix

How to fix: Give every <img> an accessible name (alt text), or alt="" if purely decorative.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2

Moderate alfa sia-r60 Undetermined Input purpose can be determined (WCAG criterion undetermined) 1/8291 pages · 1 instances Likely content
Bug ID
VS-0ad31bbe
Pattern ID
VS-3fb891c5
Combined ID
VS-0ad31bbe (pattern VS-3fb891c5) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<div _ngcontent-ng-c305556689="" role="radiogroup" class="toggle-input-container">
History
first seen 2026-W26, last seen 2026-W26 (1 wk)

Description

Input purpose can be determined. Detected by Siteimprove Alfa rule sia-r60 on 1 of 8291 scanned pages (1 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/dq-atlas/landing/states.
  2. Locate the element: <div _ngcontent-ng-c305556689="" role="radiogroup" class="toggle-input-container">
  3. Confirm the Siteimprove Alfa finding for rule sia-r60.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r60

Moderate alfa sia-r11 WCAG 2.0 A Link has accessible name (WCAG 2.4.4) 1/8291 pages · 1 instances · possible duplicate Likely content
Bug ID
VS-ea121e34
Pattern ID
VS-28ebd979
Combined ID
VS-ea121e34 (pattern VS-28ebd979) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
2.4.4 Link Purpose (In Context) (Level A, WCAG 2.0)
XPath / selector
<a href="/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf">
History
first seen 2026-W24, last seen 2026-W26 (2 wk)
Possible duplicate
Same WCAG SC covered by axe report VS-10f338a8 (pattern VS-e9fe47ac). If axe and this engine flag the same element, the axe report takes precedence — mark this as duplicate in JIRA.

Description

Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 1 of 8291 scanned pages (1 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation.
  2. Locate the element: <a href="/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf">
  3. Confirm the Siteimprove Alfa finding for rule sia-r11 against WCAG 2.4.4 Link Purpose (In Context).

Impact

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

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

Affected pages

Testing environment

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

Suggested fix

How to fix: Give the link an accessible name via text content or aria-label.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r11

Deque axe-core findings

Rule-level axe-core summary (14 rule type(s))

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

axe-core rules failing in 2026-W26, by pages affected
RuleImpactPages affectedInstancesExample pagesAll affected
All page content should be contained by landmarks [region] moderate 6382 28627 /tmsis/dataguide/v3/validation-rules/rule-6117
/tmsis/dataguide/v3/validation-rules/rule-7953
/tmsis/dataguide/v3/validation-rules/rule-2229		 all 6382 pages (CSV)
Page should contain a level-one heading [page-has-heading-one] moderate 6356 6356 /tmsis/dataguide/v3/validation-rules/rule-6117
/tmsis/dataguide/v3/validation-rules/rule-7953
/tmsis/dataguide/v3/validation-rules/rule-2229		 all 6356 pages (CSV)
Document should have one main landmark [landmark-one-main] moderate 6351 6351 /tmsis/dataguide/v3/validation-rules/rule-6117
/tmsis/dataguide/v3/validation-rules/rule-7953
/tmsis/dataguide/v3/validation-rules/rule-2229		 all 6351 pages (CSV)
Elements must only use supported ARIA attributes [aria-allowed-attr] critical 1495 7382 /tmsis/dataguide/v3/data-elements/elg018236
/tmsis/dataguide/v3/data-elements/prv007100
/tmsis/dataguide/v4/data-elements/crx003159		 all 1495 pages (CSV)
Certain ARIA roles must contain particular children [aria-required-children] critical 1495 1495 /tmsis/dataguide/v3/data-elements/elg018236
/tmsis/dataguide/v3/data-elements/prv007100
/tmsis/dataguide/v4/data-elements/crx003159		 all 1495 pages (CSV)
ARIA role should be appropriate for the element [aria-allowed-role] minor 473 992 /medicaid/medicaid-state-plan-amendments
/medicaid/medicaid-state-plan-amendments
/medicaid/medicaid-state-plan-amendments		 all 473 pages (CSV)
ARIA input fields must have an accessible name [aria-input-field-name] serious 471 988 /medicaid/medicaid-state-plan-amendments
/medicaid/medicaid-state-plan-amendments
/medicaid/medicaid-state-plan-amendments		 all 471 pages (CSV)
Heading levels should only increase by one [heading-order] moderate 300 331 /medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-and-chip-enrollment-trend-snapshot
/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification
/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/survey-and-certification-guidance		 all 300 pages (CSV)
Landmarks should have a unique role or role/label/title (i.e. accessible name) combination [landmark-unique] moderate 67 67 /medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification
/medicaid/financial-management/medicaid-administrative-claiming
/medicaid/financial-management/state-budget-expenditure-reporting-for-medicaid-and-chip		 all 67 pages (CSV)
Elements must only use permitted ARIA attributes [aria-prohibited-attr] serious 3 3 /medicaid/data-systems/it-procurement-opportunities
/about-us/where-can-people-get-help-medicaid-chip
/medicaid/data-systems/it-procurement-opportunities		 all 3 pages (CSV)
Form elements should have a visible label [label-title-only] serious 2 3 /medicaid/prescription-drugs/state-drug-utilization-data
/medicaid/financial-management/medicaid-disproportionate-share-hospital-dsh-payments		 all 2 pages (CSV)
Images must have alternative text [image-alt] critical 1 1 /medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation all 1 pages (CSV)
Links must have discernible text [link-name] serious 1 1 /medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation all 1 pages (CSV)
Select element must have an accessible name [select-name] critical 1 1 /tmsis/dataguide/v3/t-msis-coding-blog all 1 pages (CSV)

Siteimprove Alfa findings

Rule-level Alfa summary (20 rule type(s))

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

Alfa rules failing in 2026-W26, by pages affected
RuleImpactPages affectedInstancesExample pagesAll affected
Text has enhanced contrast [sia-r66] n/a 4074 66849 /medicaid/medicaid-state-plan-amendments
/tmsis/dataguide/v3/validation-rules/rule-2229
/federal-policy-guidance		 all 4074 pages (CSV)
Target size is at least 44×44 CSS pixels (Enhanced) [sia-r111] n/a 4074 42481 /medicaid/medicaid-state-plan-amendments
/tmsis/dataguide/v3/validation-rules/rule-2229
/federal-policy-guidance		 all 4074 pages (CSV)
Scrolling content can be accessed by keyboard [sia-r57] n/a 4072 111891 /medicaid/medicaid-state-plan-amendments
/tmsis/dataguide/v3/validation-rules/rule-2229
/federal-policy-guidance		 all 4072 pages (CSV)
First focusable element is link to main content [sia-r87] n/a 3176 3176 /tmsis/dataguide/v3/validation-rules/rule-2229
/tmsis/dataguide/v3/data-elements/elg018236
/tmsis/dataguide/v3/validation-rules/rule-7138		 all 3176 pages (CSV)
Form field label is visible [sia-r61] n/a 3157 3157 /tmsis/dataguide/v3/validation-rules/rule-2229
/tmsis/dataguide/v3/data-elements/elg018236
/tmsis/dataguide/v3/validation-rules/rule-7138		 all 3157 pages (CSV)
Accessible name of link or button matches visible label [sia-r14] n/a 1732 1732 /tmsis/dataguide/v3/data-elements/elg018236
/tmsis/dataguide/v4/data-elements/crx003159
/tmsis/dataguide/v4/data-elements/ftx005179		 all 1732 pages (CSV)
Presentational children of an element are not focusable [sia-r68] n/a 971 992 /tmsis/dataguide/v3/data-elements/elg018236
/tmsis/dataguide/v4/data-elements/crx003159
/tmsis/dataguide/v4/data-elements/ftx005179		 all 971 pages (CSV)
Text has minimum contrast ratio of 4.5:1 [sia-r73] n/a 909 7243 /medicaid/medicaid-state-plan-amendments
/federal-policy-guidance
/faq		 all 909 pages (CSV)
aria attribute is permitted for element role [sia-r18] n/a 762 3728 /tmsis/dataguide/v3/data-elements/elg018236
/tmsis/dataguide/v4/data-elements/crx003159
/tmsis/dataguide/v4/data-elements/ftx005179		 all 762 pages (CSV)
Form field has accessible name [sia-r8] n/a 227 474 /medicaid/medicaid-state-plan-amendments
/medicaid/medicaid-state-plan-amendments
/medicaid/medicaid-state-plan-amendments		 all 227 pages (CSV)
Target size is at least 24×24 CSS pixels or has spacing (Minimum) [sia-r113] n/a 226 473 /medicaid/medicaid-state-plan-amendments
/medicaid/medicaid-state-plan-amendments
/medicaid/medicaid-state-plan-amendments		 all 226 pages (CSV)
Headings are structured hierarchically [sia-r53] n/a 143 159 /resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/survey-and-certification-guidance
/medicaid/quality-of-care/quality-improvement-initiatives/well-child-care
/medicaid/quality-of-care/core-set-data-dashboard/main		 all 143 pages (CSV)
Link is distinguishable without relying on color [sia-r74] n/a 20 102 /medicaid/quality-of-care/core-set-data-dashboard/main
/medicaid/quality-of-care/core-set-data-dashboard/main
/resources-for-states/disaster-response-toolkit/federal-disaster-resources		 all 20 pages (CSV)
Table header has scope [sia-r78] n/a 11 25 /medicaid/quality-of-care/core-set-data-dashboard/main
/medicaid/quality-of-care/core-set-data-dashboard/main
/medicaid/long-term-services-supports/program-of-all-inclusive-care-for-elderly/programs-of-all-inclusive-care-for-elderly-for-states		 all 11 pages (CSV)
Keyboard trap does not exist [sia-r85] n/a 8 429 /medicaid/quality-of-care/core-set-data-dashboard/main
/medicaid/quality-of-care/core-set-data-dashboard/main
/medicaid/quality-of-care/core-set-data-dashboard/main		 all 8 pages (CSV)
Element role is consistent with ARIA landmark [sia-r72] n/a 7 1239 /medicaid/quality-of-care/core-set-data-dashboard/main
/medicaid/quality-of-care/core-set-data-dashboard/main
/medicaid/quality-of-care/core-set-data-dashboard/main		 all 7 pages (CSV)
Input purpose can be determined [sia-r60] n/a 1 1 /dq-atlas/landing/states all 1 pages (CSV)
Image has accessible name [sia-r2] n/a 1 1 /medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation all 1 pages (CSV)
Link has accessible name [sia-r11] n/a 1 1 /medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation all 1 pages (CSV)
Element has required aria-owns [sia-r46] n/a 1 1 /medicaid/outreach-tools/helping-connect-enrollees-care all 1 pages (CSV)

Unique accessibility issues (axe + Alfa consolidated)

axe and Alfa both implement W3C ACT rules, so the same issue is often caught by both. These are deduplicated by ACT rule and page, so a shared finding counts once (42882 raw engine findings → 41900 unique).

Unique issues (rule × page)
41900
Caught by both engines
982 highest confidence
axe only
18327
Alfa only
22591
4 rule type(s) caught by both engines — highest confidence

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

Rules flagged by both axe-core and Alfa in 2026-W26, by pages affected.
IssuePagesRule references
Elements must only use supported ARIA attributes1507axe aria-allowed-attr · Alfa sia-r18 · ACT 5c01ea
ARIA input fields must have an accessible name472axe aria-input-field-name · Alfa sia-r8 · ACT e086e5
Images must have alternative text1axe image-alt · Alfa sia-r2 · ACT 23a2a8
Links must have discernible text1axe link-name · Alfa sia-r11 · ACT c487ae