vital-scans open quality ledger

www.medicaid.gov: Accessibility — week 2026-W27

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 4143 1
2.5.5 WCAG 2.5.5 4143 1
1.3.1 Info and Relationships (semantic structure) 2328 3
4.1.2 Name, Role, Value (ARIA) 2127 5
1.4.8 WCAG 1.4.8 1431 2

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 ~5369 finding(s) on 5369 page(s).
XPath / selector: html
<html class="no-js" lang="en">
 Serious 5369 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 ~5357 finding(s) on 5357 page(s).
XPath / selector: html
<html class="no-js" lang="en">
 Serious 5357 Requires manual testing. Each page should have exactly one <main> landmark. pages (CSV)
Certain ARIA roles must contain particular children · unattributed component
Fix one place, resolve ~1399 finding(s) on 1399 page(s).
XPath / selector: .nav
<div class="nav nav-tabs nav-justified" role="tablist">
 Critical 1399 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)
First focusable element is link to main content · unattributed component
Fix one place, resolve ~2770 finding(s) on 2770 page(s).
XPath / selector: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
 Moderate 2770 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 ~2735 finding(s) on 2735 page(s).
XPath / selector: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
 Moderate 2735 Requires manual testing. See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61 pages (CSV)
All page content should be contained by landmarks · unattributed component
Fix one place, resolve ~5385 finding(s) on 5385 page(s).
XPath / selector: .small
<div class="small p-1">
 Serious 5385 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 ~5375 finding(s) on 5375 page(s).
XPath / selector: .justify-content-between
<div class="d-flex justify-content-between m-2 mb-2">
 Serious 5375 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 ~5373 finding(s) on 5373 page(s).
XPath / selector: .font-weight-bold
<p class="font-weight-bold m-0 mr-1">Version:</p>
 Serious 5373 Requires manual testing. Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. pages (CSV)
Accessible name of link or button matches visible label · unattributed component
Fix one place, resolve ~1366 finding(s) on 1366 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 1366 Without vision, Without speech See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14 pages (CSV)
Elements must only use supported ARIA attributes · unattributed component
Fix one place, resolve ~1333 finding(s) on 1333 page(s).
XPath / selector: a[href$="#overview"]
<a class="nav-item nav-link active" href="#overview" role="link" aria-selected="true" aria-controls="overview" data-toggle="tab">Overview</a>
 Critical 1333 Without vision, Limited vision, Limited manipulation/strength Remove ARIA attributes that aren't allowed on this role/element. pages (CSV)

Bug reports

16 issue type(s) are shown by default out of 37 total. Prioritized by severity, key pages, WCAG level, and prevalence; use the toggle to show everything.

Overall severity mix: 4 critical, 8 serious, 24 moderate, 1 minor. By WCAG category: 13 WCAG 2.0 A, 1 WCAG 2.0 AA, 1 WCAG 2.1 A, 1 WCAG 2.2 AA, 4 WCAG 2.x AAA, 8 Best Practice, 9 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 16 prioritized issue type(s); 21 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) 1399/8292 pages · 6797 instances Likely template
Bug ID
VS-f236911d
Pattern ID
VS-1467ea8a
Combined ID
VS-f236911d (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-W27 (4 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 1399 of 8292 scanned pages (6797 instances).

Steps to reproduce

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

Impact

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

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

Affected pages

…and more — all 1399 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) 1399/8292 pages · 1399 instances Likely template
Bug ID
VS-d2b8a747
Pattern ID
VS-9429bb8d
Combined ID
VS-d2b8a747 (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-W27 (4 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 1399 of 8292 scanned pages (1399 instances).

Steps to reproduce

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

Impact

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

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

Affected pages

…and more — all 1399 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) 482/8292 pages · 1023 instances Likely template
Bug ID
VS-365ed22b
Pattern ID
VS-0841abc2
Combined ID
VS-365ed22b (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-jygx"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]
History
first seen 2026-W24, last seen 2026-W27 (4 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 482 of 8292 scanned pages (1023 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.
  2. Locate the element: span[data-select2-id="select2-data-1-jygx"] > .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 482 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) 5/8292 pages · 5 instances
Bug ID
VS-a85402ed
Pattern ID
VS-ebb1c464
Combined ID
VS-a85402ed (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-1749492515862
History
first seen 2026-W24, last seen 2026-W27 (4 wk)

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

<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

Description

Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 5 of 8292 scanned pages (5 instances).

Steps to reproduce

  1. Open https://www.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.
  2. Locate the element: #map-svg-map-1749492515862
  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) 1/8292 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-W27 (3 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 8292 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) 1/8292 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-W27 (4 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 8292 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 color-contrast WCAG 2.0 AA Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3) 1/8292 pages · 2 instances Likely content
Bug ID
VS-a9773a65
Pattern ID
VS-be8d563e
Combined ID
VS-a9773a65 (pattern VS-be8d563e) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 AA
Obligation
required
Handling
review
WCAG SC
1.4.3 Contrast (Minimum) (Level AA, WCAG 2.0)
XPath / selector
.helpful-box-gray-sm > p > span
History
first seen 2026-W24, last seen 2026-W27 (3 wk)

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

<span id="nav-icon">🛈</span>

Description

Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 1 of 8292 scanned pages (2 instances).

Steps to reproduce

  1. Open http://medicaid.gov/chip/reports-evaluations.
  2. Locate the element: .helpful-box-gray-sm > p > span
  3. Confirm the axe-core finding for rule color-contrast against WCAG 1.4.3 Contrast (Minimum).

Impact

Affects Limited vision (2.4%), Without color perception (4.5%).

  • Limited vision — 2.4% of population
  • Without color perception — 4.5% of population

Affected pages

Testing environment

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

Suggested fix

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

Drupal 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.

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

Serious axe link-name WCAG 2.0 A Links must have discernible text (WCAG 2.4.4) 1/8292 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-W27 (4 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 8292 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) 5385/8292 pages · 24533 instances Likely template
Bug ID
VS-d2fce1ff
Pattern ID
VS-f18df681
Combined ID
VS-d2fce1ff (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-W27 (4 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 5385 of 8292 scanned pages (24533 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 5385 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) 5369/8292 pages · 5369 instances Likely template
Bug ID
VS-8c598fec
Pattern ID
VS-fa44f293
Combined ID
VS-8c598fec (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-W27 (4 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 5369 of 8292 scanned pages (5369 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 5369 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) 5357/8292 pages · 5357 instances Likely template
Bug ID
VS-779780d9
Pattern ID
VS-d5d82446
Combined ID
VS-779780d9 (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-W27 (4 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 5357 of 8292 scanned pages (5357 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 5357 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) 8/8292 pages · 34 instances
Bug ID
VS-4d3feba0
Pattern ID
VS-33841929
Combined ID
VS-4d3feba0 (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-87376-0"]
History
first seen 2026-W24, last seen 2026-W27 (4 wk)

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

<select aria-labelledby="filter-th-87376-0" class="usa-select height-1" data-col-index="0" title="Filter by Year">

Description

Form elements should have a visible label. Detected by axe-core rule label-title-only on 8 of 8292 scanned pages (34 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices.
  2. Locate the element: select[aria-labelledby="filter-th-87376-0"]
  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) 1366/8292 pages · 1366 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-W27 (4 wk)

Description

Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 1366 of 8292 scanned pages (1366 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 1366 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) 928/8292 pages · 962 instances · possible duplicate Likely template
Bug ID
VS-567b3489
Pattern ID
VS-d6097011
Combined ID
VS-567b3489 (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
<ul class="select2-selection__rendered" id="select2-edit-field-topics-container">
History
first seen 2026-W24, last seen 2026-W27 (4 wk)
Possible duplicate
Same WCAG SC covered by axe report VS-d2b8a747 (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 928 of 8292 scanned pages (962 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.
  2. Locate the element: <ul class="select2-selection__rendered" id="select2-edit-field-topics-container">
  3. Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships.

Impact

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

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

Affected pages

…and more — all 928 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) 240/8292 pages · 513 instances Likely template
Bug ID
VS-3d5d66d2
Pattern ID
VS-a48e6078
Combined ID
VS-3d5d66d2 (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-W27 (4 wk)

Description

Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 240 of 8292 scanned pages (513 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.
  2. Locate the element: <span 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 240 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) 239/8292 pages · 512 instances Likely template
Bug ID
VS-feb8a341
Pattern ID
VS-179ad9b3
Combined ID
VS-feb8a341 (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-W27 (4 wk)

Description

Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 239 of 8292 scanned pages (512 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.
  2. Locate the element: <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 239 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) 4143/8292 pages · 87291 instances Likely template
Bug ID
VS-918198f0
Pattern ID
VS-646b1e0b
Combined ID
VS-918198f0 (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-W27 (4 wk)

Description

Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 4143 of 8292 scanned pages (87291 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.
  2. Locate the element: 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 4143 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) 4143/8292 pages · 52881 instances Likely template
Bug ID
VS-a6c7ed3f
Pattern ID
VS-cb53cc4d
Combined ID
VS-a6c7ed3f (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-W27 (4 wk)

Description

Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 4143 of 8292 scanned pages (52881 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.
  2. Locate the element: <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 4143 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) 4132/8292 pages · 107960 instances Likely template
Bug ID
VS-a8a4e7b4
Pattern ID
VS-c18be945
Combined ID
VS-a8a4e7b4 (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-W27 (4 wk)

Description

Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 4132 of 8292 scanned pages (107960 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.
  2. Locate the element: 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 4132 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) 2770/8292 pages · 2770 instances Likely template
Bug ID
VS-0905c4a8
Pattern ID
VS-aa242c2d
Combined ID
VS-0905c4a8 (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-W27 (4 wk)

Description

First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 2770 of 8292 scanned pages (2770 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236.
  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 2770 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) 2735/8292 pages · 2735 instances Likely template
Bug ID
VS-07fc5396
Pattern ID
VS-7118fead
Combined ID
VS-07fc5396 (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-W27 (4 wk)

Description

Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 2735 of 8292 scanned pages (2735 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236.
  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 2735 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) 1394/8292 pages · 13221 instances Likely template
Bug ID
VS-a3fc2f8b
Pattern ID
VS-2208081b
Combined ID
VS-a3fc2f8b (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-W27 (4 wk)

Description

Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 1394 of 8292 scanned pages (13221 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.
  2. Locate the element: <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 1394 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) 719/8292 pages · 3483 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-W27 (4 wk)

Description

aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 719 of 8292 scanned pages (3483 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 719 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

Moderate axe heading-order Best Practice Heading levels should only increase by one (WCAG criterion undetermined) 594/8292 pages · 653 instances Likely template
Bug ID
VS-a50125ce
Pattern ID
VS-d25f622d
Combined ID
VS-a50125ce (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
.field--name-field-resources-list > h3
History
first seen 2026-W24, last seen 2026-W27 (4 wk)

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

<h3>Related Resources</h3>

Description

Heading levels should only increase by one. Detected by axe-core rule heading-order on 594 of 8292 scanned pages (653 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie.
  2. Locate the element: .field--name-field-resources-list > h3
  3. Confirm the axe-core finding for rule heading-order.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 594 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

Minor axe aria-allowed-role Best Practice ARIA role should be appropriate for the element (WCAG criterion undetermined) 486/8292 pages · 1030 instances Likely template
Bug ID
VS-178907c2
Pattern ID
VS-4fac2f41
Combined ID
VS-178907c2 (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-jygx"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea
History
first seen 2026-W24, last seen 2026-W27 (4 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 486 of 8292 scanned pages (1030 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.
  2. Locate the element: span[data-select2-id="select2-data-1-jygx"] > .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 486 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) 399/8292 pages · 510 instances Likely template
Bug ID
VS-8588b937
Pattern ID
VS-04a9d28c
Combined ID
VS-8588b937 (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-W27 (4 wk)

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

<td valign="top" colspan="7" class="dataTables_empty">No data available in table</td>

Description

Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 399 of 8292 scanned pages (510 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317.
  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 399 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 alfa sia-r53 Undetermined Headings are structured hierarchically (WCAG criterion undetermined) 310/8292 pages · 339 instances Likely template
Bug ID
VS-3a307ec2
Pattern ID
VS-f054f4a4
Combined ID
VS-3a307ec2 (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
<h3>
History
first seen 2026-W24, last seen 2026-W27 (4 wk)

Description

Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 310 of 8292 scanned pages (339 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie.
  2. Locate the element: <h3>
  3. Confirm the Siteimprove Alfa finding for rule sia-r53.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 310 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) 129/8292 pages · 129 instances Likely template
Bug ID
VS-e745a5bc
Pattern ID
VS-8806389c
Combined ID
VS-e745a5bc (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-W27 (4 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 129 of 8292 scanned pages (129 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person.
  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 129 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) 37/8292 pages · 344 instances Likely template
Bug ID
VS-a63da6ff
Pattern ID
VS-fbf54eba
Combined ID
VS-a63da6ff (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-W27 (4 wk)

Description

Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 37 of 8292 scanned pages (344 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%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

…and more — all 37 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-r74

Moderate alfa sia-r78 Undetermined Table header has scope (WCAG criterion undetermined) 21/8292 pages · 34 instances Likely template
Bug ID
VS-bdb86d65
Pattern ID
VS-2cd767ca
Combined ID
VS-bdb86d65 (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-W27 (4 wk)

Description

Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 21 of 8292 scanned pages (34 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%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-r72 Undetermined Element role is consistent with ARIA landmark (WCAG criterion undetermined) 17/8292 pages · 2382 instances Likely template
Bug ID
VS-c483eeab
Pattern ID
VS-e5ec42f0
Combined ID
VS-c483eeab (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-W27 (4 wk)

Description

Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 17 of 8292 scanned pages (2382 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%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-r85 Undetermined Keyboard trap does not exist (WCAG criterion undetermined) 14/8292 pages · 758 instances Likely template
Bug ID
VS-91c1d7ee
Pattern ID
VS-4c341c77
Combined ID
VS-91c1d7ee (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-W27 (4 wk)

Description

Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 14 of 8292 scanned pages (758 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%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 axe scope-attr-valid Best Practice scope attribute should be used correctly (WCAG criterion undetermined) 3/8292 pages · 60 instances
Bug ID
VS-caa1d8ec
Pattern ID
VS-0ba8ce9d
Combined ID
VS-caa1d8ec (pattern VS-0ba8ce9d) — 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
tr:nth-child(1) > td[scope="row"]
History
first seen 2026-W24, last seen 2026-W27 (3 wk)

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

<td scope="row">Fact Sheet for Child and Adult Core Sets Reporting</td>

Description

scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 3 of 8292 scanned pages (60 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/about.
  2. Locate the element: tr:nth-child(1) > td[scope="row"]
  3. Confirm the axe-core finding for rule scope-attr-valid.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

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

Moderate alfa sia-r62 WCAG 2.0 A Link in text block is visually distinguishable without color (WCAG 1.4.1) 1/8292 pages · 3 instances Likely content
Bug ID
VS-4946bd71
Pattern ID
VS-efd91fdd
Combined ID
VS-4946bd71 (pattern VS-efd91fdd) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.4.1 Use of Color (Level A, WCAG 2.0)
XPath / selector
<a style="text-decoration:none;" href="#three" title="">
History
first seen 2026-W24, last seen 2026-W27 (2 wk)

Description

Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 1 of 8292 scanned pages (3 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity.
  2. Locate the element: <a style="text-decoration:none;" href="#three" title="">
  3. Confirm the Siteimprove Alfa finding for rule sia-r62 against WCAG 1.4.1 Use of Color.

Impact

Affects Without color perception (4.5%), Limited vision (2.4%).

  • Without color perception — 4.5% of population
  • Limited vision — 2.4% 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: Make links visually distinguishable from surrounding text (not by color alone).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62

Moderate alfa sia-r46 WCAG 2.0 A Element has required aria-owns (WCAG 1.3.1) 1/8292 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-W27 (3 wk)

Description

Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 1 of 8292 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) 1/8292 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-W27 (3 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 8292 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-r11 WCAG 2.0 A Link has accessible name (WCAG 2.4.4) 1/8292 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-W27 (3 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 8292 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 (16 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-W27, by pages affected
RuleImpactPages affectedInstancesExample pagesAll affected
All page content should be contained by landmarks [region] moderate 5385 24533 /tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
/tmsis/dataguide/v3/validation-rules/rule-7953
/tmsis/dataguide/v4/data-elements/cot002111		 all 5385 pages (CSV)
Page should contain a level-one heading [page-has-heading-one] moderate 5369 5369 /tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
/tmsis/dataguide/v3/validation-rules/rule-7953
/tmsis/dataguide/v4/data-elements/cot002111		 all 5369 pages (CSV)
Document should have one main landmark [landmark-one-main] moderate 5357 5357 /tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
/tmsis/dataguide/v3/validation-rules/rule-7953
/tmsis/dataguide/v4/data-elements/cot002111		 all 5357 pages (CSV)
Elements must only use supported ARIA attributes [aria-allowed-attr] critical 1399 6797 /tmsis/dataguide/v4/data-elements/cot002111
/tmsis/dataguide/v3/data-elements/elg018236
/tmsis/dataguide/v3/data-elements/prv007100		 all 1399 pages (CSV)
Certain ARIA roles must contain particular children [aria-required-children] critical 1399 1399 /tmsis/dataguide/v4/data-elements/cot002111
/tmsis/dataguide/v3/data-elements/elg018236
/tmsis/dataguide/v3/data-elements/prv007100		 all 1399 pages (CSV)
Heading levels should only increase by one [heading-order] moderate 594 653 /medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/survey-and-certification-guidance
/state-overviews/stateprofile.html		 all 594 pages (CSV)
ARIA role should be appropriate for the element [aria-allowed-role] minor 486 1030 /medicaid/medicaid-state-plan-amendments
/medicaid/medicaid-state-plan-amendments
/faq		 all 486 pages (CSV)
ARIA input fields must have an accessible name [aria-input-field-name] serious 482 1023 /medicaid/medicaid-state-plan-amendments
/medicaid/medicaid-state-plan-amendments
/faq		 all 482 pages (CSV)
Landmarks should have a unique role or role/label/title (i.e. accessible name) combination [landmark-unique] moderate 129 129 /medicaid/long-term-services-supports/money-follows-person
/resources-for-states/medicaid-and-chip-program-portal/macpro-training-help
/medicaid/financial-management/payment-limit-demonstrations		 all 129 pages (CSV)
Form elements should have a visible label [label-title-only] serious 8 34 /medicaid/prescription-drugs/drug-utilization-review/innovative-practices
/state-overviews/state-profiles/index.html
/medicaid/prescription-drugs/pharmacy-pricing		 all 8 pages (CSV)
Elements must only use permitted ARIA attributes [aria-prohibited-attr] serious 5 5 /resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals
/state-overviews/state-profiles/index.html
/about-us/where-can-people-get-help-medicaid-chip		 all 5 pages (CSV)
scope attribute should be used correctly [scope-attr-valid] moderate 3 60 /medicaid/quality-of-care/core-set-data-dashboard/about
/state-overviews/scorecard/about
/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels		 all 3 pages (CSV)
Elements must meet minimum color contrast ratio thresholds [color-contrast] serious 1 2 /chip/reports-evaluations all 1 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-W27, by pages affected
RuleImpactPages affectedInstancesExample pagesAll affected
Text has enhanced contrast [sia-r66] n/a 4143 87291 /medicaid/medicaid-state-plan-amendments
/tmsis/dataguide/v3/data-elements/elg018236
/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie		 all 4143 pages (CSV)
Target size is at least 44×44 CSS pixels (Enhanced) [sia-r111] n/a 4143 52881 /medicaid/medicaid-state-plan-amendments
/tmsis/dataguide/v3/data-elements/elg018236
/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie		 all 4143 pages (CSV)
Scrolling content can be accessed by keyboard [sia-r57] n/a 4132 107960 /medicaid/medicaid-state-plan-amendments
/tmsis/dataguide/v3/data-elements/elg018236
/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie		 all 4132 pages (CSV)
First focusable element is link to main content [sia-r87] n/a 2770 2770 /tmsis/dataguide/v3/data-elements/elg018236
/tmsis/dataguide/v4/validation-rules/rule-6866
/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13		 all 2770 pages (CSV)
Form field label is visible [sia-r61] n/a 2735 2735 /tmsis/dataguide/v3/data-elements/elg018236
/tmsis/dataguide/v4/validation-rules/rule-6866
/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13		 all 2735 pages (CSV)
Text has minimum contrast ratio of 4.5:1 [sia-r73] n/a 1394 13221 /medicaid/medicaid-state-plan-amendments
/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
/medicaid/section-1115-demo/demonstration-and-waiver-list		 all 1394 pages (CSV)
Accessible name of link or button matches visible label [sia-r14] n/a 1366 1366 /tmsis/dataguide/v3/data-elements/elg018236
/tmsis/dataguide/v3/validation-rules/rule-1789
/tmsis/dataguide/v3/validation-rules/rule-7634		 all 1366 pages (CSV)
Presentational children of an element are not focusable [sia-r68] n/a 928 962 /medicaid/medicaid-state-plan-amendments
/tmsis/dataguide/v3/data-elements/elg018236
/tmsis/dataguide/v4/data-elements/clt002247		 all 928 pages (CSV)
aria attribute is permitted for element role [sia-r18] n/a 719 3483 /tmsis/dataguide/v3/data-elements/elg018236
/tmsis/dataguide/v4/data-elements/clt002247
/tmsis/dataguide/v3/data-elements/cot002026		 all 719 pages (CSV)
Headings are structured hierarchically [sia-r53] n/a 310 339 /medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/survey-and-certification-guidance
/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581		 all 310 pages (CSV)
Form field has accessible name [sia-r8] n/a 240 513 /medicaid/medicaid-state-plan-amendments
/medicaid/medicaid-state-plan-amendments
/faq		 all 240 pages (CSV)
Target size is at least 24×24 CSS pixels or has spacing (Minimum) [sia-r113] n/a 239 512 /medicaid/medicaid-state-plan-amendments
/medicaid/medicaid-state-plan-amendments
/faq		 all 239 pages (CSV)
Link is distinguishable without relying on color [sia-r74] n/a 37 344 /medicaid/quality-of-care/core-set-data-dashboard/main
/medicaid/quality-of-care/core-set-data-dashboard/main
/dq-atlas/landing/resources/release-notes		 all 37 pages (CSV)
Table header has scope [sia-r78] n/a 21 34 /medicaid/quality-of-care/core-set-data-dashboard/main
/medicaid/quality-of-care/core-set-data-dashboard/main
/dq-atlas/landing/resources/release-notes		 all 21 pages (CSV)
Element role is consistent with ARIA landmark [sia-r72] n/a 17 2382 /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/about		 all 17 pages (CSV)
Keyboard trap does not exist [sia-r85] n/a 14 758 /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 14 pages (CSV)
Link in text block is visually distinguishable without color [sia-r62] n/a 1 3 /medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity 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 (42721 raw engine findings → 41780 unique).

Unique issues (rule × page)
41780
Caught by both engines
941 highest confidence
axe only
18568
Alfa only
22271
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-W27, by pages affected.
IssuePagesRule references
Elements must only use supported ARIA attributes1424axe aria-allowed-attr · Alfa sia-r18 · ACT 5c01ea
ARIA input fields must have an accessible name483axe 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