# Accessibility bug reports — www.medicaid.gov, week 2026-W27

37 issue type(s) from 8292 pages scanned. Generated 2026-07-18 by [vital-scans](https://github.com/mgifford/vital-core), following [accessibility bug-reporting best practices](https://mgifford.github.io/ACCESSIBILITY.md/examples/ACCESSIBILITY_BUG_REPORTING_BEST_PRACTICES.html).

> Automated checks find roughly a third of accessibility barriers. Fields marked "requires manual testing" cannot be observed by an automated scan and need a human with assistive technology.

---
## Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)

**Bug ID:** `VS-feb8a341`  
**Pattern ID:** `VS-179ad9b3`  
**URL:** https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=  
**XPath / selector:** `<textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">`  
**WCAG SC:** 2.5.8 — Target Size (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r113` ([reference](https://alfa.siteimprove.com/rules/sia-r113))  
**Severity:** Moderate  
**Frequency:** 512 instances; 239 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### 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
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=15&q=
- http://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=2271&limit=10&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=16&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=4&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=831&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=756&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=0&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=2&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=886&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=53&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=966&page=1&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=766&page=1&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=18&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=5&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=4&q=
- https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8816&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=956&page=0&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=796&q=
- https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=4&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=6&q=

…and more — 239 pages total ([download CSV](csv/alfa__sia-r113.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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=15&q=
- http://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=2271&limit=10&q=&sort=field_faq_date%3Adesc

---

## Accessible name of link or button matches visible label (WCAG 2.5.3)

**Bug ID:** `VS-142949df`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236  
**XPath / selector:** `<a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">`  
**WCAG SC:** 2.5.3 — Label in Name (Level A)  
**Rule:** Siteimprove Alfa — `sia-r14` ([reference](https://alfa.siteimprove.com/rules/sia-r14))  
**Severity:** Moderate  
**Frequency:** 1366 instances; 1366 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### 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
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7634
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-793
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-15-006-6
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7836
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-25-005-5
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2188
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7549
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/tpl-4-001-1
- https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/tpl-third-party-liability/tpl-medicaid-eligible-person-health-insurance-coverage-info
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg014189
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-17-006-6
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002219
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003040
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv004066
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7943
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-31-007-7
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7627
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7472
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2498
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-16-004-5
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004108

…and more — 1366 pages total ([download CSV](csv/alfa__sia-r14.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7634

---

## Images must have alternative text (WCAG 1.1.1)

**Bug ID:** `VS-64562f0f`  
**Pattern ID:** `VS-9074b4dd`  
**URL:** http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation  
**XPath / selector:** `p:nth-child(1) > a > img`  
**WCAG SC:** 1.1.1 — Non-text Content (Level A)  
**Rule:** axe-core — `image-alt` ([reference](https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 1 instances; 1 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (3 weeks)

### HTML snippet
```html
<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
- http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation

### 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.

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

---

## Image has accessible name (WCAG 1.1.1)

**Bug ID:** `VS-3ceba623`  
**Pattern ID:** `VS-a24eaa8c`  
**URL:** http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation  
**XPath / selector:** `<img src="/media/file/monitor-eval-1115-demonstrations0.png/">`  
**WCAG SC:** 1.1.1 — Non-text Content (Level A)  
**Rule:** Siteimprove Alfa — `sia-r2` ([reference](https://alfa.siteimprove.com/rules/sia-r2))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (3 weeks)

### 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
- http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation

### 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

---

## Certain ARIA roles must contain particular children (WCAG 1.3.1)

**Bug ID:** `VS-d2b8a747`  
**Pattern ID:** `VS-9429bb8d`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111  
**XPath / selector:** `.nav`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `aria-required-children` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 1399 instances; 1399 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<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
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv007100
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003030
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002026
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg001003
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003092
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl003037
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002052
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg013184
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002220
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002240
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014
- https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/tpl-third-party-liability/tpl-medicaid-eligible-person-health-insurance-coverage-info
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053

…and more — 1399 pages total ([download CSV](csv/axe-core__aria-required-children.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv007100

---

## Presentational children of an element are not focusable (WCAG 1.3.1)

**Bug ID:** `VS-567b3489`  
**Pattern ID:** `VS-d6097011`  
**URL:** https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=  
**XPath / selector:** `<ul class="select2-selection__rendered" id="select2-edit-field-topics-container">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r68` ([reference](https://alfa.siteimprove.com/rules/sia-r68))  
**Severity:** Moderate  
**Frequency:** 962 instances; 928 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### 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
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=15&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002026
- https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/tpl-third-party-liability/tpl-medicaid-eligible-person-health-insurance-coverage-info
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg014189
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088
- http://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=2271&limit=10&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002219
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=16&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003040
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv004066
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004108
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx003191
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002033
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=4&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=1&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx006205
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl001001
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002016
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002068
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx007243

…and more — 928 pages total ([download CSV](csv/alfa__sia-r68.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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247

---

## Element has required aria-owns (WCAG 1.3.1)

**Bug ID:** `VS-2b06a2a3`  
**Pattern ID:** `VS-4408605e`  
**URL:** http://medicaid.gov/medicaid/outreach-tools/helping-connect-enrollees-care  
**XPath / selector:** `<th>`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r46` ([reference](https://alfa.siteimprove.com/rules/sia-r46))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (3 weeks)

### 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
- http://medicaid.gov/medicaid/outreach-tools/helping-connect-enrollees-care

### 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

---

## Link in text block is visually distinguishable without color (WCAG 1.4.1)

**Bug ID:** `VS-4946bd71`  
**Pattern ID:** `VS-efd91fdd`  
**URL:** http://medicaid.gov/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity  
**XPath / selector:** `<a style="text-decoration:none;" href="#three" title="">`  
**WCAG SC:** 1.4.1 — Use of Color (Level A)  
**Rule:** Siteimprove Alfa — `sia-r62` ([reference](https://alfa.siteimprove.com/rules/sia-r62))  
**Severity:** Moderate  
**Frequency:** 3 instances; 1 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (2 weeks)

### 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
- http://medicaid.gov/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity

### 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

---

## Links must have discernible text (WCAG 2.4.4)

**Bug ID:** `VS-10f338a8`  
**Pattern ID:** `VS-e9fe47ac`  
**URL:** http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation  
**XPath / selector:** `p:nth-child(1) > a`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** axe-core — `link-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1 instances; 1 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<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
- http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation

### 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.

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

---

## Link has accessible name (WCAG 2.4.4)

**Bug ID:** `VS-ea121e34`  
**Pattern ID:** `VS-28ebd979`  
**URL:** http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation  
**XPath / selector:** `<a href="/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf">`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** Siteimprove Alfa — `sia-r11` ([reference](https://alfa.siteimprove.com/rules/sia-r11))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (3 weeks)

### 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
- http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation

### 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

---

## Elements must only use supported ARIA attributes (WCAG 4.1.2)

**Bug ID:** `VS-f236911d`  
**Pattern ID:** `VS-1467ea8a`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111  
**XPath / selector:** `a[href$="#overview"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-allowed-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 6797 instances; 1399 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<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
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv007100
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot004276
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003030
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002026
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg001003
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003092
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl003037
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002052
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg013184
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002220
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002240
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014
- https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/tpl-third-party-liability/tpl-medicaid-eligible-person-health-insurance-coverage-info
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053

…and more — 1399 pages total ([download CSV](csv/axe-core__aria-allowed-attr.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv007100

---

## Select element must have an accessible name (WCAG 4.1.2)

**Bug ID:** `VS-3684156b`  
**Pattern ID:** `VS-fab92378`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/t-msis-coding-blog  
**XPath / selector:** `#items-per-page`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `select-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 1 instances; 1 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<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
- https://www.medicaid.gov/tmsis/dataguide/v3/t-msis-coding-blog

### 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

---

## ARIA input fields must have an accessible name (WCAG 4.1.2)

**Bug ID:** `VS-365ed22b`  
**Pattern ID:** `VS-0841abc2`  
**URL:** https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=  
**XPath / selector:** `span[data-select2-id="select2-data-1-jygx"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-input-field-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1023 instances; 482 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<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
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=15&q=
- http://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=2271&limit=10&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=16&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=34&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=4&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=1&q=
- https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=1&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=831&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=28&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=2&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=14&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=11&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=756&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=0&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=2&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1006&page=12&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=886&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=881&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=53&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=24&q=

…and more — 482 pages total ([download CSV](csv/axe-core__aria-input-field-name.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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=15&q=
- http://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=2271&limit=10&q=&sort=field_faq_date%3Adesc

---

## Elements must only use permitted ARIA attributes (WCAG 4.1.2)

**Bug ID:** `VS-a85402ed`  
**Pattern ID:** `VS-ebb1c464`  
**URL:** 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  
**XPath / selector:** `#map-svg-map-1749492515862`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-prohibited-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 5 instances; 5 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<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
- 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
- https://www.medicaid.gov/state-overviews/state-profiles/index.html
- http://medicaid.gov/about-us/where-can-people-get-help-medicaid-chip
- https://www.medicaid.gov/state-overviews/state-profiles
- http://medicaid.gov/state-overviews/state-profiles

### 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

### Example pages
- 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
- https://www.medicaid.gov/state-overviews/state-profiles/index.html
- http://medicaid.gov/about-us/where-can-people-get-help-medicaid-chip

---

## Form field has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-3d5d66d2`  
**Pattern ID:** `VS-a48e6078`  
**URL:** https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=  
**XPath / selector:** `<span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r8` ([reference](https://alfa.siteimprove.com/rules/sia-r8))  
**Severity:** Moderate  
**Frequency:** 513 instances; 240 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### 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
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=15&q=
- http://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=2271&limit=10&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=16&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=4&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=831&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=756&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=0&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=2&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=886&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=53&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=966&page=1&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=766&page=1&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=18&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=5&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=4&q=
- https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8816&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=956&page=0&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=796&q=
- https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=4&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=6&q=

…and more — 240 pages total ([download CSV](csv/alfa__sia-r8.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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=15&q=
- http://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=2271&limit=10&q=&sort=field_faq_date%3Adesc

---

## Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)

**Bug ID:** `VS-a9773a65`  
**Pattern ID:** `VS-be8d563e`  
**URL:** http://medicaid.gov/chip/reports-evaluations  
**XPath / selector:** `.helpful-box-gray-sm > p > span`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** axe-core — `color-contrast` ([reference](https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 2 instances; 1 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (3 weeks)

### HTML snippet
```html
<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
- http://medicaid.gov/chip/reports-evaluations

### 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.

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

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-918198f0`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=  
**XPath / selector:** `text: "Here’s how you know"`  
**WCAG SC:** 1.4.6 — Contrast (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r66` ([reference](https://alfa.siteimprove.com/rules/sia-r66))  
**Severity:** Moderate  
**Frequency:** 87291 instances; 4143 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### 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
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6866
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A871&f%5B1%5D=waiver_state_facet%3A991&page=3&sl=yes&usid=MO
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A681&f%5B1%5D=state%3A696&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A921&f%5B12%5D=topics%3A1031&f%5B13%5D=topics%3A1511&f%5B14%5D=topics%3A3101&f%5B15%5D=topics%3A3356&f%5B16%5D=topics%3A6476&f%5B17%5D=topics%3A7296&f%5B18%5D=topics%3A7316&f%5B2%5D=state%3A716&f%5B3%5D=state%3A806&f%5B4%5D=state%3A836&f%5B5%5D=state%3A876&f%5B6%5D=state%3A991&f%5B7%5D=state%3A1051&f%5B8%5D=state%3A7971&f%5B9%5D=topics%3A761&page=1653
- https://www.medicaid.gov/faq?fcf=&fd=09%2F13%2F2017&page=2&sb=-published&sl=yes&stid=22%2C23&td=09%2F13%2F2017&tid=6
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1851&f%5B1%5D=sub_topic_faq_library_facet%3A1976&f%5B2%5D=sub_topic_faq_library_facet%3A2026&f%5B3%5D=sub_topic_faq_library_facet%3A2346&f%5B4%5D=sub_topic_faq_library_facet%3A2521&page=0
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6155
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7634
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-793
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/survey-and-certification-guidance
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2021&fcf=41212&page=0&sl=yes
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=15&q=
- http://medicaid.gov/faq?page=0
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-337
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-15-006-6
- http://medicaid.gov/medicaid/managed-care/guidance/medicaid-and-chip-managed-care-final-rules
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002026
- http://medicaid.gov/medicaid/prescription-drugs/program-releases?page=2
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8165&f%5B0%5D=waiver_state_facet%3A791&f%5B1%5D=waiver_state_facet%3A846&page=69

…and more — 4143 pages total ([download CSV](csv/alfa__sia-r66.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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie

---

## Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)

**Bug ID:** `VS-a3fc2f8b`  
**Pattern ID:** `VS-2208081b`  
**URL:** https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=  
**XPath / selector:** `<p class="usa-footer__contact-info margin-bottom-0">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r73` ([reference](https://alfa.siteimprove.com/rules/sia-r73))  
**Severity:** Moderate  
**Frequency:** 13221 instances; 1394 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### 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
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A871&f%5B1%5D=waiver_state_facet%3A991&page=3&sl=yes&usid=MO
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A681&f%5B1%5D=state%3A696&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A921&f%5B12%5D=topics%3A1031&f%5B13%5D=topics%3A1511&f%5B14%5D=topics%3A3101&f%5B15%5D=topics%3A3356&f%5B16%5D=topics%3A6476&f%5B17%5D=topics%3A7296&f%5B18%5D=topics%3A7316&f%5B2%5D=state%3A716&f%5B3%5D=state%3A806&f%5B4%5D=state%3A836&f%5B5%5D=state%3A876&f%5B6%5D=state%3A991&f%5B7%5D=state%3A1051&f%5B8%5D=state%3A7971&f%5B9%5D=topics%3A761&page=1653
- https://www.medicaid.gov/faq?fcf=&fd=09%2F13%2F2017&page=2&sb=-published&sl=yes&stid=22%2C23&td=09%2F13%2F2017&tid=6
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1851&f%5B1%5D=sub_topic_faq_library_facet%3A1976&f%5B2%5D=sub_topic_faq_library_facet%3A2026&f%5B3%5D=sub_topic_faq_library_facet%3A2346&f%5B4%5D=sub_topic_faq_library_facet%3A2521&page=0
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/survey-and-certification-guidance
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2021&fcf=41212&page=0&sl=yes
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=15&q=
- http://medicaid.gov/faq?page=0
- http://medicaid.gov/medicaid/managed-care/guidance/medicaid-and-chip-managed-care-final-rules
- http://medicaid.gov/medicaid/prescription-drugs/program-releases?page=2
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8165&f%5B0%5D=waiver_state_facet%3A791&f%5B1%5D=waiver_state_facet%3A846&page=69
- https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1016&f%5B1%5D=fpg_topics_facet%3A8601&page=111
- https://www.medicaid.gov/faq?entry=50475&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2036&f%5B1%5D=sub_topic_faq_library_facet%3A2336&f%5B2%5D=sub_topic_faq_library_facet%3A2376&f%5B3%5D=sub_topic_faq_library_facet%3A2391&page=0&sl=yes
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1901&f%5B1%5D=sub_topic_faq_library_facet%3A1926&f%5B2%5D=sub_topic_faq_library_facet%3A2456&f%5B3%5D=sub_topic_faq_library_facet%3A2461&page=0&sl=yes
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83481
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A7321&page=1655
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8530&page=4
- http://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=2271&limit=10&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=16&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A781&f%5B10%5D=topics%3A2726&f%5B11%5D=topics%3A3141&f%5B12%5D=topics%3A3261&f%5B13%5D=topics%3A3381&f%5B14%5D=topics%3A3791&f%5B15%5D=topics%3A7296&f%5B16%5D=topics%3A7386&f%5B17%5D=topics%3A7391&f%5B18%5D=topics%3A8496&f%5B2%5D=state%3A841&f%5B3%5D=state%3A881&f%5B4%5D=state%3A891&f%5B5%5D=state%3A941&f%5B6%5D=state%3A1006&f%5B7%5D=state%3A8296&f%5B8%5D=topics%3A761&f%5B9%5D=topics%3A936&page=0

…and more — 1394 pages total ([download CSV](csv/alfa__sia-r73.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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A871&f%5B1%5D=waiver_state_facet%3A991&page=3&sl=yes&usid=MO

---

## Link is distinguishable without relying on color (WCAG 1.4.8)

**Bug ID:** `VS-a63da6ff`  
**Pattern ID:** `VS-fbf54eba`  
**URL:** https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D  
**XPath / selector:** `<p class="welcome-text core-set ng-star-inserted">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r74` ([reference](https://alfa.siteimprove.com/rules/sia-r74))  
**Severity:** Moderate  
**Frequency:** 344 instances; 37 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### 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
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/dq-atlas/landing/resources/release-notes
- https://www.medicaid.gov/privacy-policy
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=3
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22VT%22%5D
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=4
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22VI%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22WA%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CT%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22TN%22%5D
- http://medicaid.gov/state-overviews/scorecard
- https://www.medicaid.gov/dq-atlas/landing/resources/whats-new
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=21
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=50&page=0
- http://medicaid.gov/state-overviews/scorecard/welcome
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GA%22%5D
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=24
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=6
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=24
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22OH%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IA%22%5D
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=50&page=3
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=22
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AR%22%5D

…and more — 37 pages total ([download CSV](csv/alfa__sia-r74.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

### Example pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/dq-atlas/landing/resources/release-notes

---

## Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)

**Bug ID:** `VS-a6c7ed3f`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=  
**XPath / selector:** `<button class="usa-button" type="submit">`  
**WCAG SC:** 2.5.5 — Target Size (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r111` ([reference](https://alfa.siteimprove.com/rules/sia-r111))  
**Severity:** Moderate  
**Frequency:** 52881 instances; 4143 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### 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
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6866
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A871&f%5B1%5D=waiver_state_facet%3A991&page=3&sl=yes&usid=MO
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A681&f%5B1%5D=state%3A696&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A921&f%5B12%5D=topics%3A1031&f%5B13%5D=topics%3A1511&f%5B14%5D=topics%3A3101&f%5B15%5D=topics%3A3356&f%5B16%5D=topics%3A6476&f%5B17%5D=topics%3A7296&f%5B18%5D=topics%3A7316&f%5B2%5D=state%3A716&f%5B3%5D=state%3A806&f%5B4%5D=state%3A836&f%5B5%5D=state%3A876&f%5B6%5D=state%3A991&f%5B7%5D=state%3A1051&f%5B8%5D=state%3A7971&f%5B9%5D=topics%3A761&page=1653
- https://www.medicaid.gov/faq?fcf=&fd=09%2F13%2F2017&page=2&sb=-published&sl=yes&stid=22%2C23&td=09%2F13%2F2017&tid=6
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1851&f%5B1%5D=sub_topic_faq_library_facet%3A1976&f%5B2%5D=sub_topic_faq_library_facet%3A2026&f%5B3%5D=sub_topic_faq_library_facet%3A2346&f%5B4%5D=sub_topic_faq_library_facet%3A2521&page=0
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6155
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7634
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-793
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/survey-and-certification-guidance
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2021&fcf=41212&page=0&sl=yes
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=15&q=
- http://medicaid.gov/faq?page=0
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-337
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-15-006-6
- http://medicaid.gov/medicaid/managed-care/guidance/medicaid-and-chip-managed-care-final-rules
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002026
- http://medicaid.gov/medicaid/prescription-drugs/program-releases?page=2
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8165&f%5B0%5D=waiver_state_facet%3A791&f%5B1%5D=waiver_state_facet%3A846&page=69

…and more — 4143 pages total ([download CSV](csv/alfa__sia-r111.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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie

---

## All page content should be contained by landmarks (WCAG criterion undetermined)

**Bug ID:** `VS-d2fce1ff`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26  
**XPath / selector:** `.small`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `region` ([reference](https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 24533 instances; 5385 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<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
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6794
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv007100
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6866
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7333
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3137
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6155
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7634
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-793
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247

…and more — 5385 pages total ([download CSV](csv/axe-core__region.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.

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111

---

## Page should contain a level-one heading (WCAG criterion undetermined)

**Bug ID:** `VS-8c598fec`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `page-has-heading-one` ([reference](https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 5369 instances; 5369 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<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
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6794
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv007100
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6866
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7333
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3137
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6155
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7634
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-793
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247

…and more — 5369 pages total ([download CSV](csv/axe-core__page-has-heading-one.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111

---

## Document should have one main landmark (WCAG criterion undetermined)

**Bug ID:** `VS-779780d9`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-one-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 5357 instances; 5357 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<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
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9149
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6794
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv007100
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6866
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7333
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3137
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6155
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7634
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-793
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247

…and more — 5357 pages total ([download CSV](csv/axe-core__landmark-one-main.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111

---

## Form elements should have a visible label (WCAG criterion undetermined)

**Bug ID:** `VS-4d3feba0`  
**Pattern ID:** `VS-33841929`  
**URL:** https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices  
**XPath / selector:** `select[aria-labelledby="filter-th-87376-0"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `label-title-only` ([reference](https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 34 instances; 8 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<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
- https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices
- https://www.medicaid.gov/state-overviews/state-profiles/index.html
- https://www.medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/home-community-based-services-during-public-health-emergencies/emergency-preparedness-and-response-for-home-and-community-based-hcbs-1915c-waivers
- http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report
- https://www.medicaid.gov/state-overviews/state-profiles
- http://medicaid.gov/state-overviews/state-profiles
- http://medicaid.gov/chip/reports-evaluations

### 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

### Example pages
- https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices
- https://www.medicaid.gov/state-overviews/state-profiles/index.html
- https://www.medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing

---

## Heading levels should only increase by one (WCAG criterion undetermined)

**Bug ID:** `VS-a50125ce`  
**Pattern ID:** `VS-d25f622d`  
**URL:** http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie  
**XPath / selector:** `.field--name-field-resources-list > h3`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 653 instances; 594 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<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
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/survey-and-certification-guidance
- https://www.medicaid.gov/state-overviews/stateprofile.html?state=Mississippi
- https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations
- https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106341
- https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality/contraception-medicaid-improving-maternal-and-infant-health
- http://medicaid.gov/resources-for-states/disaster-response-toolkit/section-1135-waiver-flexibilities
- http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-enrollment-data-collected-through-mbes
- 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
- https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/quality-of-care-patient-safety
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=50&page=2
- http://medicaid.gov/chip/chip-eligibility-enrollment/enrollment-strategies
- https://www.medicaid.gov/state-overviews/stateprofile.html?state=Alabama
- https://www.medicaid.gov/resources-for-states/eligibility-enrollment-and-renewal-tools-and-resources/application-and-fair-hearings-resources
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/101611
- http://medicaid.gov/medicaid/financial-management/state-budget-expenditure-reporting-for-medicaid-and-chip
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/104786
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/medicare-and-other-coverage-guidance
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/medicaid-and-chip-resources/other-resources
- http://medicaid.gov/medicaid/long-term-services-supports/self-directed-services
- http://medicaid.gov/medicaid/long-term-services-supports/institutional-long-term-care/inpatient-psychiatric-services-individuals-under-age-21
- http://medicaid.gov/medicaid/eligibility-policy/coordination-of-benefits-third-party-liability
- https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center

…and more — 594 pages total ([download CSV](csv/axe-core__heading-order.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.

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

### Example pages
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/survey-and-certification-guidance
- https://www.medicaid.gov/state-overviews/stateprofile.html?state=Mississippi

---

## Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)

**Bug ID:** `VS-e745a5bc`  
**Pattern ID:** `VS-8806389c`  
**URL:** https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person  
**XPath / selector:** `.section`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 129 instances; 129 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<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
- https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person
- https://www.medicaid.gov/resources-for-states/medicaid-and-chip-program-portal/macpro-training-help
- http://medicaid.gov/medicaid/financial-management/payment-limit-demonstrations
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=50&page=2
- http://medicaid.gov/medicaid/financial-management/state-budget-expenditure-reporting-for-medicaid-and-chip
- https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=1
- https://www.medicaid.gov/medicaid/data-systems/medicaid-eligibility-enrollment-toolkit
- https://www.medicaid.gov/claims-under-camp-lejeune-justice-act-clja
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=3
- http://medicaid.gov/medicaid/home-community-based-services
- http://medicaid.gov/medicaid/quality-of-care/releases-announcements
- http://medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=2
- https://www.medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial
- http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review
- http://medicaid.gov/medicaid/quality-of-care
- http://medicaid.gov/medicaid/managed-care/managed-long-term-services-and-supports
- http://medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center
- http://medicaid.gov/resources-for-states/innovation-accelerator-program
- http://medicaid.gov/medicaid/managed-care/guidance/state-directed-payments
- http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation
- http://medicaid.gov/about-us
- https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/tobacco-cessation
- https://www.medicaid.gov/about-us/messages/arkansas-fast-tracks-medicaid-enrollment

…and more — 129 pages total ([download CSV](csv/axe-core__landmark-unique.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

### Example pages
- https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person
- https://www.medicaid.gov/resources-for-states/medicaid-and-chip-program-portal/macpro-training-help
- http://medicaid.gov/medicaid/financial-management/payment-limit-demonstrations

---

## scope attribute should be used correctly (WCAG criterion undetermined)

**Bug ID:** `VS-caa1d8ec`  
**Pattern ID:** `VS-0ba8ce9d`  
**URL:** https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/about  
**XPath / selector:** `tr:nth-child(1) > td[scope="row"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `scope-attr-valid` ([reference](https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 60 instances; 3 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (3 weeks)

### HTML snippet
```html
<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
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/about
- https://www.medicaid.gov/state-overviews/scorecard/about
- https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels

### 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

### Example pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/about
- https://www.medicaid.gov/state-overviews/scorecard/about
- https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels

---

## ARIA role should be appropriate for the element (WCAG criterion undetermined)

**Bug ID:** `VS-178907c2`  
**Pattern ID:** `VS-4fac2f41`  
**URL:** https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=  
**XPath / selector:** `span[data-select2-id="select2-data-1-jygx"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `aria-allowed-role` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 1030 instances; 486 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

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

### 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
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=15&q=
- http://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=2271&limit=10&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=16&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=34&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=4&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=1&q=
- https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=1&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=831&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=28&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=2&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=14&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=11&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=756&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=871&page=18&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=0&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=2&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1006&page=12&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=886&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=881&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=53&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=24&q=

…and more — 486 pages total ([download CSV](csv/axe-core__aria-allowed-role.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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=15&q=
- http://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=2271&limit=10&q=&sort=field_faq_date%3Adesc

---

## Scrolling content can be accessed by keyboard (WCAG criterion undetermined)

**Bug ID:** `VS-a8a4e7b4`  
**Pattern ID:** `VS-c18be945`  
**URL:** https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=  
**XPath / selector:** `text: "  Feedback  "`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 107960 instances; 4132 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### 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
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6866
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A871&f%5B1%5D=waiver_state_facet%3A991&page=3&sl=yes&usid=MO
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A681&f%5B1%5D=state%3A696&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A921&f%5B12%5D=topics%3A1031&f%5B13%5D=topics%3A1511&f%5B14%5D=topics%3A3101&f%5B15%5D=topics%3A3356&f%5B16%5D=topics%3A6476&f%5B17%5D=topics%3A7296&f%5B18%5D=topics%3A7316&f%5B2%5D=state%3A716&f%5B3%5D=state%3A806&f%5B4%5D=state%3A836&f%5B5%5D=state%3A876&f%5B6%5D=state%3A991&f%5B7%5D=state%3A1051&f%5B8%5D=state%3A7971&f%5B9%5D=topics%3A761&page=1653
- https://www.medicaid.gov/faq?fcf=&fd=09%2F13%2F2017&page=2&sb=-published&sl=yes&stid=22%2C23&td=09%2F13%2F2017&tid=6
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1851&f%5B1%5D=sub_topic_faq_library_facet%3A1976&f%5B2%5D=sub_topic_faq_library_facet%3A2026&f%5B3%5D=sub_topic_faq_library_facet%3A2346&f%5B4%5D=sub_topic_faq_library_facet%3A2521&page=0
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6155
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7634
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-793
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/survey-and-certification-guidance
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2021&fcf=41212&page=0&sl=yes
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=15&q=
- http://medicaid.gov/faq?page=0
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-337
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-15-006-6
- http://medicaid.gov/medicaid/managed-care/guidance/medicaid-and-chip-managed-care-final-rules
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002026
- http://medicaid.gov/medicaid/prescription-drugs/program-releases?page=2
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8165&f%5B0%5D=waiver_state_facet%3A791&f%5B1%5D=waiver_state_facet%3A846&page=69

…and more — 4132 pages total ([download CSV](csv/alfa__sia-r57.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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie

---

## First focusable element is link to main content (WCAG criterion undetermined)

**Bug ID:** `VS-0905c4a8`  
**Pattern ID:** `VS-aa242c2d`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r87` ([reference](https://alfa.siteimprove.com/rules/sia-r87))  
**Severity:** Moderate  
**Frequency:** 2770 instances; 2770 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### 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
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6866
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6155
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7634
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-793
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-337
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-15-006-6
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002026
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9103
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7836
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-3-004-16
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-25-005-5
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1481
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-937
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2188
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-444
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7419
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8666
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7549
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8701

…and more — 2770 pages total ([download CSV](csv/alfa__sia-r87.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6866
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13

---

## Form field label is visible (WCAG criterion undetermined)

**Bug ID:** `VS-07fc5396`  
**Pattern ID:** `VS-7118fead`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r61` ([reference](https://alfa.siteimprove.com/rules/sia-r61))  
**Severity:** Moderate  
**Frequency:** 2735 instances; 2735 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### 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
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6866
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6155
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7634
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-793
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-337
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-15-006-6
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002026
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9103
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7836
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-3-004-16
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-25-005-5
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1481
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-937
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2188
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-444
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7419
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8666
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7549
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8701

…and more — 2735 pages total ([download CSV](csv/alfa__sia-r61.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6866
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13

---

## aria attribute is permitted for element role (WCAG criterion undetermined)

**Bug ID:** `VS-ad93c9c0`  
**Pattern ID:** `VS-e05344b9`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236  
**XPath / selector:** `@aria-selected="true"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18))  
**Severity:** Moderate  
**Frequency:** 3483 instances; 719 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### 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
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002026
- https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/tpl-third-party-liability/tpl-medicaid-eligible-person-health-insurance-coverage-info
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg014189
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002219
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003040
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv004066
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004108
- 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
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx003191
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002033
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx006205
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl001001
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002016
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002068
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx007243
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002137
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv008108
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002082
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002108
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip003256
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/tpl004052

…and more — 719 pages total ([download CSV](csv/alfa__sia-r18.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002026

---

## Presentational attribute (use CSS) (WCAG criterion undetermined)

**Bug ID:** `VS-8588b937`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317  
**XPath / selector:** `td`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 510 instances; 399 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### HTML snippet
```html
<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
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7419
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8701
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1485
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6656
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2011
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003040
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-601
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-612
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8809
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6968
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx007243
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6967
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6701
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/tpl004052
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1359
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2202
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7238
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg007123
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx001004
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1446
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1357
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7599
- https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/elg-eligible/primary-demographics-eligibility

…and more — 399 pages total ([download CSV](csv/deprecated-html__presentational-attr.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.

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002028
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7419

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-3a307ec2`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie  
**XPath / selector:** `<h3>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 339 instances; 310 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### 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
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/survey-and-certification-guidance
- https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581
- http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-enrollment-data-collected-through-mbes
- 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
- http://medicaid.gov/chip/chip-eligibility-enrollment/enrollment-strategies
- https://www.medicaid.gov/resources-for-states/eligibility-enrollment-and-renewal-tools-and-resources/application-and-fair-hearings-resources
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/medicare-and-other-coverage-guidance
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/medicaid-and-chip-resources/other-resources
- http://medicaid.gov/medicaid/long-term-services-supports/institutional-long-term-care/inpatient-psychiatric-services-individuals-under-age-21
- http://medicaid.gov/medicaid/eligibility-policy/coordination-of-benefits-third-party-liability
- https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center/request-health-home-planning-funds
- https://www.medicaid.gov/medicaid/managed-care/guidance/medicaid-and-chip-managed-care-reporting/how-to-use-mcpar-public-use-files
- http://medicaid.gov/medicaid/prescription-drugs/retail-price-survey
- https://www.medicaid.gov/new-notable?page=92
- https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/98321
- https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality/resources
- https://www.medicaid.gov/medicaid/data-systems/medicaid-eligibility-enrollment-toolkit
- https://www.medicaid.gov/federal-policy-guidance-sidebar-content
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/89136
- http://medicaid.gov/medicaid/enrollment-strategies/express-lane-eligibility-medicaid-and-chip-coverage
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/52304

…and more — 310 pages total ([download CSV](csv/alfa__sia-r53.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

### Example pages
- http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/survey-and-certification-guidance
- https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-bdb86d65`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D  
**XPath / selector:** `<h3 _ngcontent-ng-c1329502141="" class="view-measures-related-to-header core-set ng-star-inserted">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 34 instances; 21 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### 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
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/dq-atlas/landing/resources/release-notes
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22VT%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22VI%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22WA%22%5D
- https://www.medicaid.gov/state-overviews/scorecard/measure/Medicaid-Per-Capita-Expenditures?chart=map&dataView=pointInTime&measure=EX.5&measureView=state&stratification=463
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CT%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22TN%22%5D
- https://www.medicaid.gov/dq-atlas/landing/resources/whats-new
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GA%22%5D
- https://www.medicaid.gov/dq-atlas/landing/resources/about
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22OH%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IA%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AR%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main
- http://medicaid.gov/resources-for-states/medicaid-and-chip-program-portal/macpro-training-help/chip-state-plan-amendments
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AZ%22%5D
- https://www.medicaid.gov/state-overviews/scorecard/measure/State-Plan-Amendment-and-1915-Waiver-Processing?chart=line&chartEntities=%5B%22SPA+%28non-disaster+related%29%22%2C%22SPA+%28disaster+related%29%22%2C%221915%28b%29+Waiver+Requests%2C+Amendments%2C+and+Renewals%22%2C%221915%28c%29+Waiver+Amendments+%28non-disaster+related%29%22%2C%221915%28c%29+Waiver+Amendments+%28disaster+related%29%22%2C%221915%28c%29+Waiver+New%2FRenewals%22%5D&chartGroups=%5B%22Percentage+Approved+Within+the+First+90-Day+Review+Period%22%2C%22Median+Number+of+Days+Between+Submission+and+Approval%22%2C%22Median+Number+of+Days+Pending+State+Response+to+a+Request+for+Additional+Information+%28RAI%29%22%2C%22Median+Number+of+Days+Under+CMS+Review%22%5D&chartGroupsCategory=Metric&dataView=acrossTime&keywords=%5B%224%22%5D&measure=FS.1&measureView=national&timePeriods=%5B%222016%22%2C%222023%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IL%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22OR%22%5D

### 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

### Example pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/dq-atlas/landing/resources/release-notes

---

## Element role is consistent with ARIA landmark (WCAG criterion undetermined)

**Bug ID:** `VS-c483eeab`  
**Pattern ID:** `VS-e5ec42f0`  
**URL:** https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D  
**XPath / selector:** `<p _ngcontent-ng-c2822395467="" class="title core-set">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r72` ([reference](https://alfa.siteimprove.com/rules/sia-r72))  
**Severity:** Moderate  
**Frequency:** 2382 instances; 17 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### 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
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/about
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22VT%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22WA%22%5D
- https://www.medicaid.gov/state-overviews/scorecard/measure/Medicaid-Per-Capita-Expenditures?chart=map&dataView=pointInTime&measure=EX.5&measureView=state&stratification=463
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CT%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22TN%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GA%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22OH%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IA%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AR%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AZ%22%5D
- https://www.medicaid.gov/state-overviews/scorecard/measure/State-Plan-Amendment-and-1915-Waiver-Processing?chart=line&chartEntities=%5B%22SPA+%28non-disaster+related%29%22%2C%22SPA+%28disaster+related%29%22%2C%221915%28b%29+Waiver+Requests%2C+Amendments%2C+and+Renewals%22%2C%221915%28c%29+Waiver+Amendments+%28non-disaster+related%29%22%2C%221915%28c%29+Waiver+Amendments+%28disaster+related%29%22%2C%221915%28c%29+Waiver+New%2FRenewals%22%5D&chartGroups=%5B%22Percentage+Approved+Within+the+First+90-Day+Review+Period%22%2C%22Median+Number+of+Days+Between+Submission+and+Approval%22%2C%22Median+Number+of+Days+Pending+State+Response+to+a+Request+for+Additional+Information+%28RAI%29%22%2C%22Median+Number+of+Days+Under+CMS+Review%22%5D&chartGroupsCategory=Metric&dataView=acrossTime&keywords=%5B%224%22%5D&measure=FS.1&measureView=national&timePeriods=%5B%222016%22%2C%222023%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IL%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22OR%22%5D

### 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

### Example pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/about

---

## Keyboard trap does not exist (WCAG criterion undetermined)

**Bug ID:** `VS-91c1d7ee`  
**Pattern ID:** `VS-4c341c77`  
**URL:** https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D  
**XPath / selector:** `<p class="selected-states-header">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r85` ([reference](https://alfa.siteimprove.com/rules/sia-r85))  
**Severity:** Moderate  
**Frequency:** 758 instances; 14 of 8292 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W27 (4 weeks)

### 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
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22VT%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22VI%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22WA%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CT%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22TN%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GA%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22OH%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IA%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AR%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AZ%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IL%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22OR%22%5D

### 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

### Example pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22VT%22%5D