{
 "domain": "www.medicaid.gov",
 "week": "2026-W28",
 "generatedAt": "2026-07-24T13:07:01.404Z",
 "reports": [
  {
   "instance_id": "VS-b5fa69fb",
   "pattern_id": "VS-179ad9b3",
   "a11y_pattern_fingerprint": "6289c3141138c0f42775f98b28ae763a8dca8a79a47e2f6515a0d82b87159a69",
   "a11y_pattern_display_id": "A11Y-PAT-6289C3141138",
   "a11y_occurrence_fingerprint": "f7f2b9de918a462ae57d869299e0803fe392233c0894a1cd77ee1b9334012ccf",
   "a11y_occurrence_display_id": "A11Y-OCC-F7F2B9DE918A",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=",
   "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
   "html_snippet": null,
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "frequency": {
    "instances": 483,
    "pages_affected": 226,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)",
   "description": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 226 of 8593 scanned pages (483 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=34&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&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="
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&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/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=47&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=996&page=31&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=31&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/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=776&page=15&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=1&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=786&page=81&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=32&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/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=831&page=29&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=956&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=54&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8741&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=6&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=996&page=28&q="
   ],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=.",
    "Locate the element: <textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "obligation": "required",
   "handling": "review",
   "policy_source": "target",
   "policy_reason": "WCAG 2.5.8 target-size results can require manual verification of spacing, equivalent controls, and essential-size exceptions.",
   "policy_evidence": [
    "https://alfa.siteimprove.com/rules/sia-r113"
   ],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r113.csv"
  },
  {
   "instance_id": "VS-256d2834",
   "pattern_id": "VS-f7dba940",
   "a11y_pattern_fingerprint": "50c8c661b023dbfd5affed8d5af8109b4ad0da533ce32fe85d275900c6fabcaa",
   "a11y_pattern_display_id": "A11Y-PAT-50C8C661B023",
   "a11y_occurrence_fingerprint": "40e9f94d75b41506a51459e69b29df483cbf20668fce4561e69475934aeeee4c",
   "a11y_occurrence_display_id": "A11Y-OCC-40E9F94D75B4",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
   "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
   "html_snippet": null,
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "frequency": {
    "instances": 1325,
    "pages_affected": 1325,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "description": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 1325 of 8593 scanned pages (1325 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-4-042-42",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-15-006-6",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-60-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6238",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002143",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-81-032-32",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg004064",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2188",
    "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-quality-measures/tpl-4-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-009-9",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv001002",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-350"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26.",
    "Locate the element: <a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r14.csv"
  },
  {
   "instance_id": "VS-38918f70",
   "pattern_id": "VS-9074b4dd",
   "a11y_pattern_fingerprint": "d602109ce30ecd7108f60385da4d867eb410d788f1d545f1444544ed98e3ab4d",
   "a11y_pattern_display_id": "A11Y-PAT-D602109CE30E",
   "a11y_occurrence_fingerprint": "7ad73248768bda9af8bb831e53006d5e4314e9aa12a8d9f3fba69f402fed3433",
   "a11y_occurrence_display_id": "A11Y-OCC-7AD73248768B",
   "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
   "xpath": "p:nth-child(1) > a > img",
   "html_snippet": "<img src=\"/media/file/monitor-eval-1115-demonstrations0.png/\">",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "image-alt",
   "rule_label": "Images must have alternative text",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8593
   },
   "likely_source": "content",
   "summary": "Images must have alternative text (WCAG 1.1.1)",
   "description": "Images must have alternative text. Detected by axe-core rule image-alt on 1 of 8593 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
     "xpath": "p:nth-child(1) > a > img",
     "html_snippet": "<img src=\"/media/file/monitor-eval-1115-demonstrations0.png/\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation.",
    "Locate the element: p:nth-child(1) > a > img",
    "Confirm the axe-core finding for rule image-alt against WCAG 1.1.1 Non-text Content."
   ],
   "remediation_tip": "Give every <img> a meaningful alt attribute. Use alt=\"\" only for decorative images so screen readers skip them.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "In Drupal's Media Library, fill the \"Alternative text\" field when uploading or editing an image. For images in body fields, the CKEditor \"Image Properties\" dialog includes an Alt Text field.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__image-alt.csv"
  },
  {
   "instance_id": "VS-29ab8ed7",
   "pattern_id": "VS-a24eaa8c",
   "a11y_pattern_fingerprint": "1831702ecb04f598f453e540f57e8ed5c7ac044fe1ca318502bcf0fac3f23fe8",
   "a11y_pattern_display_id": "A11Y-PAT-1831702ECB04",
   "a11y_occurrence_fingerprint": "a3ffa1ad2fb1407ced393995e67c87845db9d9c452ac3fd7302c9249c538e764",
   "a11y_occurrence_display_id": "A11Y-OCC-A3FFA1AD2FB1",
   "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
   "xpath": "<img src=\"/media/file/monitor-eval-1115-demonstrations0.png/\">",
   "html_snippet": null,
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r2",
   "rule_label": "Image has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r2",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8593
   },
   "likely_source": "content",
   "summary": "Image has accessible name (WCAG 1.1.1)",
   "description": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 1 of 8593 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
     "xpath": "<img src=\"/media/file/monitor-eval-1115-demonstrations0.png/\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation.",
    "Locate the element: <img src=\"/media/file/monitor-eval-1115-demonstrations0.png/\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r2 against WCAG 1.1.1 Non-text Content."
   ],
   "remediation_tip": "Give every <img> an accessible name (alt text), or alt=\"\" if purely decorative.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2",
   "possible_duplicate_of": "VS-38918f70",
   "possible_duplicate_pattern": "VS-9074b4dd",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r2.csv"
  },
  {
   "instance_id": "VS-d2b8a747",
   "pattern_id": "VS-9429bb8d",
   "a11y_pattern_fingerprint": "41421730b8811402e7a4e38fdb39d1db020db07cfff56e0caa653dd8a363684f",
   "a11y_pattern_display_id": "A11Y-PAT-41421730B881",
   "a11y_occurrence_fingerprint": "da51a5f46d3eeb538b6aa513c9724bfc38ea05c0b3effd0ea6cf78e734d8dfd9",
   "a11y_occurrence_display_id": "A11Y-OCC-DA51A5F46D3E",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
   "xpath": ".nav",
   "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-required-children",
   "rule_label": "Certain ARIA roles must contain particular children",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 1311,
    "pages_affected": 1311,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Certain ARIA roles must contain particular children (WCAG 1.3.1)",
   "description": "Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 1311 of 8593 scanned pages (1311 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003030",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002143",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg004064",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002074",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002106",
    "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/v3/data-elements/elg014192",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008285",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002024",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv001002"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111.",
    "Locate the element: .nav",
    "Confirm the axe-core finding for rule aria-required-children against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "Add the child roles this container role requires (e.g. a list needs listitem children).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/axe-core__aria-required-children.csv"
  },
  {
   "instance_id": "VS-f2fff492",
   "pattern_id": "VS-d6097011",
   "a11y_pattern_fingerprint": "d58821b5f058fc07b11c10534e52b0cca73054d9199406248e792d5105fd9893",
   "a11y_pattern_display_id": "A11Y-PAT-D58821B5F058",
   "a11y_occurrence_fingerprint": "07bf24e81f176d1f92c0020a6550573b28aa2eb2a5eabb00abae091289be4ae4",
   "a11y_occurrence_display_id": "A11Y-OCC-07BF24E81F17",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
   "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "frequency": {
    "instances": 890,
    "pages_affected": 858,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 858 of 8593 scanned pages (890 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002143",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg004064",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002106",
    "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/clt002053",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv001002",
    "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=1001&page=10&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003040",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002068",
    "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/tmsis/dataguide/v4/data-elements/mcr010117",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003206",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q="
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111.",
    "Locate the element: <div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "possible_duplicate_of": "VS-d2b8a747",
   "possible_duplicate_pattern": "VS-9429bb8d",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r68.csv"
  },
  {
   "instance_id": "VS-6cb7fb9e",
   "pattern_id": "VS-efd91fdd",
   "a11y_pattern_fingerprint": "2089653a613c9980734eaa6fca3b54d406f9d1dbc26f2f62f12f98b12cb8ec8c",
   "a11y_pattern_display_id": "A11Y-PAT-2089653A613C",
   "a11y_occurrence_fingerprint": "0e2ae2e812f88a8f9552ec910795b08dfe249a9ac2742a4554820476a7bbdf9a",
   "a11y_occurrence_display_id": "A11Y-OCC-0E2AE2E812F8",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
   "xpath": "<a style=\"text-decoration:none;\" href=\"#three\" title=\"\">",
   "html_snippet": null,
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r62",
   "rule_label": "Link in text block is visually distinguishable without color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r62",
   "severity": "Moderate",
   "frequency": {
    "instances": 7,
    "pages_affected": 2,
    "total_pages_scanned": 8593
   },
   "likely_source": "content",
   "summary": "Link in text block is visually distinguishable without color (WCAG 1.4.1)",
   "description": "Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 2 of 8593 scanned pages (7 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
     "xpath": "<a style=\"text-decoration:none;\" href=\"#three\" title=\"\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
     "xpath": "<a style=\"text-decoration:none;\" href=\"#one\" title=\"\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
     "xpath": "<a style=\"text-decoration:none;\" href=\"#four\" title=\"\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity",
     "xpath": "<a style=\"text-decoration:none;\" href=\"#four\" title=\"\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity",
     "xpath": "<a style=\"text-decoration:none;\" href=\"#three\" title=\"\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
    "http://medicaid.gov/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
    "http://medicaid.gov/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity"
   ],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality.",
    "Locate the element: <a style=\"text-decoration:none;\" href=\"#three\" title=\"\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r62 against WCAG 1.4.1 Use of Color."
   ],
   "remediation_tip": "Make links visually distinguishable from surrounding text (not by color alone).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 3,
   "affected_pages_csv": "csv/alfa__sia-r62.csv"
  },
  {
   "instance_id": "VS-f1a54936",
   "pattern_id": "VS-e9fe47ac",
   "a11y_pattern_fingerprint": "25968163649ff9cead4ec186bf804cc80615fd4bb33d8a14d7b6691b193ea8cb",
   "a11y_pattern_display_id": "A11Y-PAT-25968163649F",
   "a11y_occurrence_fingerprint": "57dcea95eb7892e1950931a8b57d6bdb67ff6328fbd9638d5384c8d53e7dc731",
   "a11y_occurrence_display_id": "A11Y-OCC-57DCEA95EB78",
   "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
   "xpath": "p:nth-child(1) > a",
   "html_snippet": "<a href=\"/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf\"><img src=\"/media/file/monitor-eval-1115-demonstrations0.png/\"></a>",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8593
   },
   "likely_source": "content",
   "summary": "Links must have discernible text (WCAG 2.4.4)",
   "description": "Links must have discernible text. Detected by axe-core rule link-name on 1 of 8593 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
     "xpath": "p:nth-child(1) > a",
     "html_snippet": "<a href=\"/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf\"><img src=\"/media/file/monitor-eval-1115-demonstrations0.png/\"></a>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation.",
    "Locate the element: p:nth-child(1) > a",
    "Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context)."
   ],
   "remediation_tip": "Give the link discernible text. Avoid empty links and icon-only links without an aria-label.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "\"Read more\" links from Drupal Views should use the \"Link text\" rewrite field to add context, or add aria-label via the Views rewrite output.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/axe-core__link-name.csv"
  },
  {
   "instance_id": "VS-bf3ec45d",
   "pattern_id": "VS-28ebd979",
   "a11y_pattern_fingerprint": "cc4a83ba1b0016b4f4360c710fea278af1eb4dc867ac13f2f3ef07708300c62b",
   "a11y_pattern_display_id": "A11Y-PAT-CC4A83BA1B00",
   "a11y_occurrence_fingerprint": "8a1fa75c0479dfe5e701158d74f95b776e3335c4bb9814f5a4dc254c119a820a",
   "a11y_occurrence_display_id": "A11Y-OCC-8A1FA75C0479",
   "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
   "xpath": "<a href=\"/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf\">",
   "html_snippet": null,
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r11",
   "rule_label": "Link has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r11",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8593
   },
   "likely_source": "content",
   "summary": "Link has accessible name (WCAG 2.4.4)",
   "description": "Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 1 of 8593 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
     "xpath": "<a href=\"/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation.",
    "Locate the element: <a href=\"/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r11 against WCAG 2.4.4 Link Purpose (In Context)."
   ],
   "remediation_tip": "Give the link an accessible name via text content or aria-label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r11",
   "possible_duplicate_of": "VS-f1a54936",
   "possible_duplicate_pattern": "VS-e9fe47ac",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r11.csv"
  },
  {
   "instance_id": "VS-f236911d",
   "pattern_id": "VS-1467ea8a",
   "a11y_pattern_fingerprint": "ea22cf589d655040cfcc8c1a46712ee71f0b18dab4eee39e5921a225d826d913",
   "a11y_pattern_display_id": "A11Y-PAT-EA22CF589D65",
   "a11y_occurrence_fingerprint": "67a588d471cf6034209d35f2e8d499eb88a8a8d6e625d400c015bb1ca1b1f5e1",
   "a11y_occurrence_display_id": "A11Y-OCC-67A588D471CF",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
   "xpath": "a[href$=\"#overview\"]",
   "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 6390,
    "pages_affected": 1311,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Elements must only use supported ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 1311 of 8593 scanned pages (6390 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "a[href$=\"#overview\"]",
     "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "a[href$=\"#validvalues\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "a[href$=\"#relatedrules\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#relatedrules\" role=\"link\" aria-selected=\"false\" aria-controls=\"relatedrules\" data-toggle=\"tab\">Related Rules</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
     "xpath": "a[href$=\"#overview\"]",
     "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
     "xpath": "a[href$=\"#validvalues\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003030",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002143",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg004064",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002074",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002106",
    "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/v3/data-elements/elg014192",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008285",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002024",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv001002"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111.",
    "Locate the element: a[href$=\"#overview\"]",
    "Confirm the axe-core finding for rule aria-allowed-attr against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Remove ARIA attributes that aren't allowed on this role/element.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/axe-core__aria-allowed-attr.csv"
  },
  {
   "instance_id": "VS-bfdec3d2",
   "pattern_id": "VS-fab92378",
   "a11y_pattern_fingerprint": "e3f73de5d04a28f6ddf00cff89637c33f55df96995fb1209fd61e403c01cf751",
   "a11y_pattern_display_id": "A11Y-PAT-E3F73DE5D04A",
   "a11y_occurrence_fingerprint": "faf90b1e146b84b38385bb8ed006846931db76341a68245cb4e11aacef0b9e0c",
   "a11y_occurrence_display_id": "A11Y-OCC-FAF90B1E146B",
   "url": "https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog",
   "xpath": "#items-per-page",
   "html_snippet": "<select id=\"items-per-page\" class=\"form-select\">\n                                <option value=\"10\">10</option>\n                                <option value=\"25\">25</option>\n                         ",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "select-name",
   "rule_label": "Select element must have an accessible name",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 8593
   },
   "likely_source": "content",
   "summary": "Select element must have an accessible name (WCAG 4.1.2)",
   "description": "Select element must have an accessible name. Detected by axe-core rule select-name on 2 of 8593 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog",
     "xpath": "#items-per-page",
     "html_snippet": "<select id=\"items-per-page\" class=\"form-select\">\n                                <option value=\"10\">10</option>\n                                <option value=\"25\">25</option>\n                         "
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/technical-instructions",
     "xpath": "#items-per-page",
     "html_snippet": "<select id=\"items-per-page\" class=\"form-select\">\n                                <option value=\"10\">10</option>\n                                <option value=\"25\">25</option>\n                         "
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog",
    "https://www.medicaid.gov/tmsis/dataguide/v4/technical-instructions"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog",
    "https://www.medicaid.gov/tmsis/dataguide/v4/technical-instructions"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog.",
    "Locate the element: #items-per-page",
    "Confirm the axe-core finding for rule select-name against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Give the <select> an accessible name via a <label> or aria-label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/axe-core__select-name.csv"
  },
  {
   "instance_id": "VS-b77e2914",
   "pattern_id": "VS-0841abc2",
   "a11y_pattern_fingerprint": "7018e3bb4fb29acebf799af0c6251528d625dcac263a6dab444dd6bb2e9c2493",
   "a11y_pattern_display_id": "A11Y-PAT-7018E3BB4FB2",
   "a11y_occurrence_fingerprint": "820b615c2ccc54fea4cc475e1e7538557a3b2952ab5d69853a0c08af3021815e",
   "a11y_occurrence_display_id": "A11Y-OCC-820B615C2CCC",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
   "xpath": "span[data-select2-id=\"select2-data-1-2krc\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
   "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-input-field-name",
   "rule_label": "ARIA input fields must have an accessible name",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 999,
    "pages_affected": 467,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "ARIA input fields must have an accessible name (WCAG 4.1.2)",
   "description": "ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 467 of 8593 scanned pages (999 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-2krc\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-4olz\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-tesf\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-0ovz\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-6g6z\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q="
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=44&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=731&page=6&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/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=47&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=836&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=996&page=31&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=896&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=28&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=31&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/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=781&page=27&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=13&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=756&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=46&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=15&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=36&q="
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.",
    "Locate the element: span[data-select2-id=\"select2-data-1-2krc\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
    "Confirm the axe-core finding for rule aria-input-field-name against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/axe-core__aria-input-field-name.csv"
  },
  {
   "instance_id": "VS-5f86aa07",
   "pattern_id": "VS-ebb1c464",
   "a11y_pattern_fingerprint": "9a026e2da91308044cda42125ca71df62520a87d68409013e00cd84efb607195",
   "a11y_pattern_display_id": "A11Y-PAT-9A026E2DA913",
   "a11y_occurrence_fingerprint": "4e168a1a602a5731363a57693007cc6f3cc34e1704beb3cd674971a322b195f6",
   "a11y_occurrence_display_id": "A11Y-OCC-4E168A1A602A",
   "url": "http://medicaid.gov/about-us/where-can-people-get-help-medicaid-chip",
   "xpath": "#map-svg-map-1741285150489",
   "html_snippet": "<div id=\"map-svg-map-1741285150489\" class=\"map-container\" aria-disabled=\"true\" aria-label=\"State Map Image. Keyboard navigating users can use dropdown to select state.\" style=\"position: relative; widt",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-prohibited-attr",
   "rule_label": "Elements must only use permitted ARIA attributes",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 8593
   },
   "likely_source": "content",
   "summary": "Elements must only use permitted ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 2 of 8593 scanned pages (2 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/about-us/where-can-people-get-help-medicaid-chip",
     "xpath": "#map-svg-map-1741285150489",
     "html_snippet": "<div id=\"map-svg-map-1741285150489\" class=\"map-container\" aria-disabled=\"true\" aria-label=\"State Map Image. Keyboard navigating users can use dropdown to select state.\" style=\"position: relative; widt"
    },
    {
     "url": "https://www.medicaid.gov/state-overviews/state-profiles",
     "xpath": "#map",
     "html_snippet": "<div aria-disabled=\"true\" aria-label=\"State Map Image. Keyboard navigating users can use dropdown to select state.\" id=\"map\" style=\"position: relative; width: 880px; height: 502.857px; overflow: hidde"
    }
   ],
   "example_pages": [
    "http://medicaid.gov/about-us/where-can-people-get-help-medicaid-chip",
    "https://www.medicaid.gov/state-overviews/state-profiles"
   ],
   "affected_pages": [
    "http://medicaid.gov/about-us/where-can-people-get-help-medicaid-chip",
    "https://www.medicaid.gov/state-overviews/state-profiles"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/about-us/where-can-people-get-help-medicaid-chip.",
    "Locate the element: #map-svg-map-1741285150489",
    "Confirm the axe-core finding for rule aria-prohibited-attr against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/axe-core__aria-prohibited-attr.csv"
  },
  {
   "instance_id": "VS-fac38788",
   "pattern_id": "VS-a48e6078",
   "a11y_pattern_fingerprint": "4e31479a6ded13f767c55899a0ecb11c41498f3083dbfe4c2f13533aecd09225",
   "a11y_pattern_display_id": "A11Y-PAT-4E31479A6DED",
   "a11y_occurrence_fingerprint": "5337ea80a64ae7f6218207053b7f2e94cfed9b02db92fe030eac44fbe85dc9f3",
   "a11y_occurrence_display_id": "A11Y-OCC-5337EA80A64A",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=",
   "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
   "html_snippet": null,
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r8",
   "rule_label": "Form field has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r8",
   "severity": "Moderate",
   "frequency": {
    "instances": 482,
    "pages_affected": 225,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Form field has accessible name (WCAG 4.1.2)",
   "description": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 225 of 8593 scanned pages (482 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=34&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&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="
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&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/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=47&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=996&page=31&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=31&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/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=776&page=15&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=1&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=786&page=81&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=32&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/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=831&page=29&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=956&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=54&q=",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8741&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=6&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=996&page=28&q="
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=.",
    "Locate the element: <span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r8 against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Associate the form field with a label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r8.csv"
  },
  {
   "instance_id": "VS-a9773a65",
   "pattern_id": "VS-be8d563e",
   "a11y_pattern_fingerprint": "78a77d4d4ca5c7553bcaa88b2b3ab366a553cf67b6097a3d10cd7c610887bcc6",
   "a11y_pattern_display_id": "A11Y-PAT-78A77D4D4CA5",
   "a11y_occurrence_fingerprint": "87f248aa584575d178a31e9a20a4f77bdc9cbe87d80d67f04d680b7a7d8da78b",
   "a11y_occurrence_display_id": "A11Y-OCC-87F248AA5845",
   "url": "http://medicaid.gov/chip/reports-evaluations",
   "xpath": ".helpful-box-gray-sm > p > span",
   "html_snippet": "<span id=\"nav-icon\">🛈</span>",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 8593
   },
   "likely_source": "content",
   "summary": "Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)",
   "description": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 1 of 8593 scanned pages (2 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/chip/reports-evaluations",
     "xpath": ".helpful-box-gray-sm > p > span",
     "html_snippet": "<span id=\"nav-icon\">🛈</span>"
    },
    {
     "url": "http://medicaid.gov/chip/reports-evaluations",
     "xpath": ".helpful-box-gray-sm > span",
     "html_snippet": "<span id=\"nav-icon\">🛈</span>"
    }
   ],
   "example_pages": [
    "http://medicaid.gov/chip/reports-evaluations"
   ],
   "affected_pages": [
    "http://medicaid.gov/chip/reports-evaluations"
   ],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/chip/reports-evaluations.",
    "Locate the element: .helpful-box-gray-sm > p > span",
    "Confirm the axe-core finding for rule color-contrast against WCAG 1.4.3 Contrast (Minimum)."
   ],
   "remediation_tip": "Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Check your Drupal theme's base CSS. Themes like Olivero and Bartik have contrast issues in default color schemes — override failing color pairs in your subtheme's style.css.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__color-contrast.csv"
  },
  {
   "instance_id": "VS-9db52072",
   "pattern_id": "VS-646b1e0b",
   "a11y_pattern_fingerprint": "7ace717eaab36635836e8b2d7ccb240221c1cbfacafe3b71cdda08e970d9340f",
   "a11y_pattern_display_id": "A11Y-PAT-7ACE717EAAB3",
   "a11y_occurrence_fingerprint": "0a38d556e3d3cbbdedd493c3fdb3b690461f98b80c2847c4415084cca7d0ff12",
   "a11y_occurrence_display_id": "A11Y-OCC-0A38D556E3D3",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
   "xpath": "text: \"Here's how you know \"",
   "html_snippet": null,
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "frequency": {
    "instances": 94539,
    "pages_affected": 4198,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 4198 of 8593 scanned pages (94539 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": "text: \"Here's how you know \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": "text: \"\n                        4.0.35\n                    \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": "text: \"Data Guide\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "text: \"Here's how you know \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "text: \"\n                        4.0.35\n                    \"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1471&f%5B3%5D=fpg_topics_facet%3A2696&f%5B4%5D=fpg_topics_facet%3A8601&page=110",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?category12Id=1401&category3Id=140103&f%5B0%5D=topics%3A7381&page=1657",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6637",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A856&f%5B2%5D=fpg_topics_facet%3A1501&f%5B3%5D=fpg_topics_facet%3A6486&page=4",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1496&f%5B1%5D=fpg_topics_facet%3A1531&f%5B2%5D=fpg_topics_facet%3A3046&f%5B3%5D=fpg_topics_facet%3A8381&f%5B4%5D=fpg_topics_facet%3A8611&f%5B5%5D=fpg_topics_facet%3A8616&f%5B6%5D=fpg_topics_facet%3A8711&f%5B7%5D=fpg_topics_facet%3A8891&f%5B8%5D=fpg_topics_facet%3A8896&page=3",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-4-042-42",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A751&f%5B1%5D=topics%3A936&f%5B2%5D=topics%3A5811&page=1658",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-15-006-6",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2451&fcf=40870&page=4&sl=yes",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126",
    "http://medicaid.gov/medicaid/managed-care/guidance/medicaid-and-chip-managed-care-final-rules",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1491&f%5B1%5D=fpg_topics_facet%3A8601&page=108",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-60-001-1",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=state_waiver_status_facet%3A1591&f%5B1%5D=state_waiver_status_facet%3A1611&items_per_page=10&page=69&search_api_fulltext=2024",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/improving-care-for-sickle-cell-disease"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26.",
    "Locate the element: text: \"Here's how you know \"",
    "Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r66.csv"
  },
  {
   "instance_id": "VS-1f7646d5",
   "pattern_id": "VS-2208081b",
   "a11y_pattern_fingerprint": "e0c097b8956c24f601b45554efc6e35e8d61b38db9473bb9ebd1420dc3da3a9d",
   "a11y_pattern_display_id": "A11Y-PAT-E0C097B8956C",
   "a11y_occurrence_fingerprint": "5a4be7c33d8a49023c652e1109b6ddac63fd7d46f9d0c21d5835d1d0749e57e2",
   "a11y_occurrence_display_id": "A11Y-OCC-5A4BE7C33D8A",
   "url": "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1471&f%5B3%5D=fpg_topics_facet%3A2696&f%5B4%5D=fpg_topics_facet%3A8601&page=110",
   "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "frequency": {
    "instances": 10964,
    "pages_affected": 1590,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 1590 of 8593 scanned pages (10964 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1471&f%5B3%5D=fpg_topics_facet%3A2696&f%5B4%5D=fpg_topics_facet%3A8601&page=110",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?category12Id=1401&category3Id=140103&f%5B0%5D=topics%3A7381&page=1657",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A856&f%5B2%5D=fpg_topics_facet%3A1501&f%5B3%5D=fpg_topics_facet%3A6486&page=4",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1496&f%5B1%5D=fpg_topics_facet%3A1531&f%5B2%5D=fpg_topics_facet%3A3046&f%5B3%5D=fpg_topics_facet%3A8381&f%5B4%5D=fpg_topics_facet%3A8611&f%5B5%5D=fpg_topics_facet%3A8616&f%5B6%5D=fpg_topics_facet%3A8711&f%5B7%5D=fpg_topics_facet%3A8891&f%5B8%5D=fpg_topics_facet%3A8896&page=3",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A751&f%5B1%5D=topics%3A936&f%5B2%5D=topics%3A5811&page=1658",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1471&f%5B3%5D=fpg_topics_facet%3A2696&f%5B4%5D=fpg_topics_facet%3A8601&page=110",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?category12Id=1401&category3Id=140103&f%5B0%5D=topics%3A7381&page=1657",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A856&f%5B2%5D=fpg_topics_facet%3A1501&f%5B3%5D=fpg_topics_facet%3A6486&page=4"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1471&f%5B3%5D=fpg_topics_facet%3A2696&f%5B4%5D=fpg_topics_facet%3A8601&page=110",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?category12Id=1401&category3Id=140103&f%5B0%5D=topics%3A7381&page=1657",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A856&f%5B2%5D=fpg_topics_facet%3A1501&f%5B3%5D=fpg_topics_facet%3A6486&page=4",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1496&f%5B1%5D=fpg_topics_facet%3A1531&f%5B2%5D=fpg_topics_facet%3A3046&f%5B3%5D=fpg_topics_facet%3A8381&f%5B4%5D=fpg_topics_facet%3A8611&f%5B5%5D=fpg_topics_facet%3A8616&f%5B6%5D=fpg_topics_facet%3A8711&f%5B7%5D=fpg_topics_facet%3A8891&f%5B8%5D=fpg_topics_facet%3A8896&page=3",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A751&f%5B1%5D=topics%3A936&f%5B2%5D=topics%3A5811&page=1658",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2451&fcf=40870&page=4&sl=yes",
    "http://medicaid.gov/medicaid/managed-care/guidance/medicaid-and-chip-managed-care-final-rules",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1491&f%5B1%5D=fpg_topics_facet%3A8601&page=108",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=state_waiver_status_facet%3A1591&f%5B1%5D=state_waiver_status_facet%3A1611&items_per_page=10&page=69&search_api_fulltext=2024",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/improving-care-for-sickle-cell-disease",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83666",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A541&f%5B1%5D=state%3A846&f%5B2%5D=state%3A941&f%5B3%5D=state%3A7971&page=1657",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1856&f%5B1%5D=sub_topic_faq_library_facet%3A1866&f%5B10%5D=sub_topic_faq_library_facet%3A2376&f%5B11%5D=sub_topic_faq_library_facet%3A2496&f%5B12%5D=sub_topic_faq_library_facet%3A2501&f%5B13%5D=sub_topic_faq_library_facet%3A2516&f%5B2%5D=sub_topic_faq_library_facet%3A1876&f%5B3%5D=sub_topic_faq_library_facet%3A1936&f%5B4%5D=sub_topic_faq_library_facet%3A2031&f%5B5%5D=sub_topic_faq_library_facet%3A2036&f%5B6%5D=sub_topic_faq_library_facet%3A2041&f%5B7%5D=sub_topic_faq_library_facet%3A2106&f%5B8%5D=sub_topic_faq_library_facet%3A2351&f%5B9%5D=sub_topic_faq_library_facet%3A2366&page=80",
    "http://medicaid.gov/medicaid/data-systems/health-information-technology/health-disparities",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=state_waiver_status_facet%3A1561&f%5B1%5D=state_waiver_status_facet%3A1601&f%5B10%5D=waiver_state_facet%3A806&f%5B11%5D=waiver_state_facet%3A816&f%5B12%5D=waiver_state_facet%3A826&f%5B13%5D=waiver_state_facet%3A831&f%5B14%5D=waiver_state_facet%3A851&f%5B15%5D=waiver_state_facet%3A861&f%5B16%5D=waiver_state_facet%3A876&f%5B17%5D=waiver_state_facet%3A886&f%5B18%5D=waiver_state_facet%3A916&f%5B19%5D=waiver_state_facet%3A941&f%5B2%5D=waiver_state_facet%3A681&f%5B20%5D=waiver_state_facet%3A956&f%5B21%5D=waiver_state_facet%3A961&f%5B22%5D=waiver_state_facet%3A971&f%5B23%5D=waiver_state_facet%3A976&f%5B24%5D=waiver_state_facet%3A991&f%5B25%5D=waiver_state_facet%3A1051&f%5B26%5D=waiver_state_facet%3A8296&f%5B3%5D=waiver_state_facet%3A711&f%5B4%5D=waiver_state_facet%3A716&f%5B5%5D=waiver_state_facet%3A726&f%5B6%5D=waiver_state_facet%3A746&f%5B7%5D=waiver_state_facet%3A781&f%5B8%5D=waiver_state_facet%3A791&f%5B9%5D=waiver_state_facet%3A796&items_per_page=50&page=0&search_api_fulltext=",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1936&f%5B1%5D=sub_topic_faq_library_facet%3A2106&fcf=41163&page=0&sl=yes",
    "https://www.medicaid.gov/about-us/organization/adrienne-delozier",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/100706",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A806&f%5B1%5D=waiver_state_facet%3A881&f%5B2%5D=waiver_state_facet%3A8296&items_per_page=50&page=2",
    "https://www.medicaid.gov/faq?fcf=41557&page=1&sl=yes",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1856&f%5B1%5D=sub_topic_faq_library_facet%3A2056&f%5B2%5D=sub_topic_faq_library_facet%3A2441&f%5B3%5D=sub_topic_faq_library_facet%3A2526&page=84&sl=yes",
    "https://www.medicaid.gov/faq?fcf=40867&page=84&sl=yes",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q="
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1471&f%5B3%5D=fpg_topics_facet%3A2696&f%5B4%5D=fpg_topics_facet%3A8601&page=110.",
    "Locate the element: <p class=\"usa-footer__contact-info margin-bottom-0\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r73.csv"
  },
  {
   "instance_id": "VS-212a1106",
   "pattern_id": "VS-fbf54eba",
   "a11y_pattern_fingerprint": "c3f691a32ae6a306075b30c01c83f99c8d471e2d2d01bd9d94e982f8164a3996",
   "a11y_pattern_display_id": "A11Y-PAT-C3F691A32AE6",
   "a11y_occurrence_fingerprint": "6da637c9778c75edaab63e4d5249641b21d7af3e005e4febc477d5f7e2a25f58",
   "a11y_occurrence_display_id": "A11Y-OCC-6DA637C9778C",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D",
   "xpath": "<p class=\"welcome-text core-set ng-star-inserted\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "frequency": {
    "instances": 207,
    "pages_affected": 21,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Link is distinguishable without relying on color (WCAG 1.4.8)",
   "description": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 21 of 8593 scanned pages (207 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D",
     "xpath": "<p class=\"welcome-text core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
     "xpath": "<p class=\"welcome-text core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=20",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=20",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=20",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=20"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=20",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=50&page=1",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NE%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MT%22%5D",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=1",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22WA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MI%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CO%22%5D",
    "https://www.medicaid.gov/medicaid/benefits/assurance-of-transportation",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=6",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22WY%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/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22SD%22%5D",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=3",
    "http://medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-drug-rebate-program-change-request",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=731&page=3&q=",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=22",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PR%22%5D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D.",
    "Locate the element: <p class=\"welcome-text core-set ng-star-inserted\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r74.csv"
  },
  {
   "instance_id": "VS-5660247f",
   "pattern_id": "VS-388b5438",
   "a11y_pattern_fingerprint": "ae4046b7fad27d1d1154ab2cf2669f6bd9025fa23a5092ef38f28beda50742fa",
   "a11y_pattern_display_id": "A11Y-PAT-AE4046B7FAD2",
   "a11y_occurrence_fingerprint": "f92e2979cb62ff5508e8bf15c453e48a4f4032d795223251dcd0bb03a43a3038",
   "a11y_occurrence_display_id": "A11Y-OCC-F92E2979CB62",
   "url": "https://www.medicaid.gov/dq-atlas/landing/resources/subscription",
   "xpath": "<p _ngcontent-ng-c1416952416=\"\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r80",
   "rule_label": "Scrollable element is keyboard accessible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r80",
   "severity": "Moderate",
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 8593
   },
   "likely_source": "content",
   "summary": "Scrollable element is keyboard accessible (WCAG 1.4.8)",
   "description": "Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 1 of 8593 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/dq-atlas/landing/resources/subscription",
     "xpath": "<p _ngcontent-ng-c1416952416=\"\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/dq-atlas/landing/resources/subscription",
     "xpath": "<p _ngcontent-ng-c1416952416=\"\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/dq-atlas/landing/resources/subscription"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/dq-atlas/landing/resources/subscription"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/dq-atlas/landing/resources/subscription.",
    "Locate the element: <p _ngcontent-ng-c1416952416=\"\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r80 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r80",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W28",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r80.csv"
  },
  {
   "instance_id": "VS-5c4e71f7",
   "pattern_id": "VS-cb53cc4d",
   "a11y_pattern_fingerprint": "597e3ffea884bf162b9d8deaf6fb2580e27e411b2eb8d5018af75321ca9e6f87",
   "a11y_pattern_display_id": "A11Y-PAT-597E3FFEA884",
   "a11y_occurrence_fingerprint": "eeac0c9e8e55eb24c30a579349b990ef94ac3877c69bac65c0b30feab5cbb2fe",
   "a11y_occurrence_display_id": "A11Y-OCC-EEAC0C9E8E55",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
   "xpath": "<button class=\"btn btn-outline-primary dropdown-toggle py-1 px-2\" type=\"button\" id=\"dropdownMenuButton\" data-toggle=\"dropdown\">",
   "html_snippet": null,
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "frequency": {
    "instances": 58021,
    "pages_affected": 4198,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 4198 of 8593 scanned pages (58021 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": "<button class=\"btn btn-outline-primary dropdown-toggle py-1 px-2\" type=\"button\" id=\"dropdownMenuButton\" data-toggle=\"dropdown\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": "<a href=\"/tmsis/dataguide/v4/\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": "<a href=\"/tmsis/dataguide/v4/data-quality-measures/\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "<button class=\"btn btn-outline-primary dropdown-toggle py-1 px-2\" type=\"button\" id=\"dropdownMenuButton\" data-toggle=\"dropdown\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "<a href=\"/tmsis/dataguide/v4/\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1471&f%5B3%5D=fpg_topics_facet%3A2696&f%5B4%5D=fpg_topics_facet%3A8601&page=110",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?category12Id=1401&category3Id=140103&f%5B0%5D=topics%3A7381&page=1657",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6637",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A856&f%5B2%5D=fpg_topics_facet%3A1501&f%5B3%5D=fpg_topics_facet%3A6486&page=4",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1496&f%5B1%5D=fpg_topics_facet%3A1531&f%5B2%5D=fpg_topics_facet%3A3046&f%5B3%5D=fpg_topics_facet%3A8381&f%5B4%5D=fpg_topics_facet%3A8611&f%5B5%5D=fpg_topics_facet%3A8616&f%5B6%5D=fpg_topics_facet%3A8711&f%5B7%5D=fpg_topics_facet%3A8891&f%5B8%5D=fpg_topics_facet%3A8896&page=3",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-4-042-42",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A751&f%5B1%5D=topics%3A936&f%5B2%5D=topics%3A5811&page=1658",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-15-006-6",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2451&fcf=40870&page=4&sl=yes",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126",
    "http://medicaid.gov/medicaid/managed-care/guidance/medicaid-and-chip-managed-care-final-rules",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1491&f%5B1%5D=fpg_topics_facet%3A8601&page=108",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-60-001-1",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=state_waiver_status_facet%3A1591&f%5B1%5D=state_waiver_status_facet%3A1611&items_per_page=10&page=69&search_api_fulltext=2024",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/improving-care-for-sickle-cell-disease"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26.",
    "Locate the element: <button class=\"btn btn-outline-primary dropdown-toggle py-1 px-2\" type=\"button\" id=\"dropdownMenuButton\" data-toggle=\"dropdown\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r111.csv"
  },
  {
   "instance_id": "VS-02a6a6df",
   "pattern_id": "VS-f18df681",
   "a11y_pattern_fingerprint": "fbef4ff3e32c4833d9c61a04ccc7db84d73dd7c229243df34c4072053dfeba79",
   "a11y_pattern_display_id": "A11Y-PAT-FBEF4FF3E32C",
   "a11y_occurrence_fingerprint": "cf1d26d57eb98407e2c6dc7a9d6c863f08547b4db3c0f63fa83a03b1c23c3b6d",
   "a11y_occurrence_display_id": "A11Y-OCC-CF1D26D57EB9",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117",
   "xpath": ".small",
   "html_snippet": "<div class=\"small p-1\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 23788,
    "pages_affected": 5249,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 5249 of 8593 scanned pages (23788 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117",
     "xpath": ".small",
     "html_snippet": "<div class=\"small p-1\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117",
     "xpath": ".justify-content-between",
     "html_snippet": "<div class=\"d-flex justify-content-between m-2 mb-2\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117",
     "xpath": ".font-weight-bold",
     "html_snippet": "<p class=\"font-weight-bold m-0 mr-1\">Version:</p>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": ".small",
     "html_snippet": "<div class=\"small p-1\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": ".justify-content-between",
     "html_snippet": "<div class=\"d-flex justify-content-between m-2 mb-2\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117",
    "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"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117",
    "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/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7138",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2611",
    "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-8412",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6637",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6155",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-33-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003030",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7725",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117.",
    "Locate the element: .small",
    "Confirm the axe-core finding for rule region."
   ],
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Use Drupal's region system (header, navigation, main, sidebar, footer) and map each to an HTML5 landmark element in your theme's page.html.twig.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/axe-core__region.csv"
  },
  {
   "instance_id": "VS-9605e6ed",
   "pattern_id": "VS-fa44f293",
   "a11y_pattern_fingerprint": "b9790a0b2b788597b7a0d3e5734ca98ab0938dac6abebd5b0d1acff5de0a5e31",
   "a11y_pattern_display_id": "A11Y-PAT-B9790A0B2B78",
   "a11y_occurrence_fingerprint": "ff414ec48c753fd670145d926926488193a6fcb888ec69d871754b706cc223ad",
   "a11y_occurrence_display_id": "A11Y-OCC-FF414EC48C75",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117",
   "xpath": "html",
   "html_snippet": "<html class=\"no-js\" lang=\"en\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 5237,
    "pages_affected": 5237,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Page should contain a level-one heading (WCAG criterion undetermined)",
   "description": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 5237 of 8593 scanned pages (5237 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117",
    "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"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117",
    "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/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7138",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2611",
    "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-8412",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6637",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6155",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-33-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003030",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7725",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule page-has-heading-one."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/axe-core__page-has-heading-one.csv"
  },
  {
   "instance_id": "VS-37bb2542",
   "pattern_id": "VS-d5d82446",
   "a11y_pattern_fingerprint": "e0548b94661fca016e56f7a6e654dc2c2889714e73bcf48c1394e8cb092b990e",
   "a11y_pattern_display_id": "A11Y-PAT-E0548B94661F",
   "a11y_occurrence_fingerprint": "0258136ffdeecfe207fe6aaa9e5423f3ceb88d303ad32298593aa8385cbfaa7e",
   "a11y_occurrence_display_id": "A11Y-OCC-0258136FFDEE",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117",
   "xpath": "html",
   "html_snippet": "<html class=\"no-js\" lang=\"en\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 5226,
    "pages_affected": 5226,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Document should have one main landmark (WCAG criterion undetermined)",
   "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 5226 of 8593 scanned pages (5226 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117",
    "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"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117",
    "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/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7138",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2611",
    "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-8412",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6637",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6155",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-33-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003030",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7725",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule landmark-one-main."
   ],
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/axe-core__landmark-one-main.csv"
  },
  {
   "instance_id": "VS-4f56b347",
   "pattern_id": "VS-33841929",
   "a11y_pattern_fingerprint": "1c340f2b683ff02a1da25e38aa2c095875b696176e3d85f5041b9c8162cd7c0a",
   "a11y_pattern_display_id": "A11Y-PAT-1C340F2B683F",
   "a11y_occurrence_fingerprint": "2a21ad3278a0007c21801f89d4fd8137fce4432b306dbd952c17cf8d978f8d16",
   "a11y_occurrence_display_id": "A11Y-OCC-2A21AD3278A0",
   "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
   "xpath": "select[aria-labelledby=\"filter-th-87386-0\"]",
   "html_snippet": "<select aria-labelledby=\"filter-th-87386-0\" class=\"usa-select height-1\" data-col-index=\"0\" title=\"Filter by Type\">\n          <option value=\"\">All</option>\n        <option value=\"Federal Upper Limit\">F",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "label-title-only",
   "rule_label": "Form elements should have a visible label",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 46,
    "pages_affected": 11,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Form elements should have a visible label (WCAG criterion undetermined)",
   "description": "Form elements should have a visible label. Detected by axe-core rule label-title-only on 11 of 8593 scanned pages (46 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "select[aria-labelledby=\"filter-th-87386-0\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87386-0\" class=\"usa-select height-1\" data-col-index=\"0\" title=\"Filter by Type\">\n          <option value=\"\">All</option>\n        <option value=\"Federal Upper Limit\">F"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "select[aria-labelledby=\"filter-th-87386-1\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87386-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by Year\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "select[aria-labelledby=\"filter-th-87386-2\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87386-2\" class=\"usa-select height-1\" data-col-index=\"2\" title=\"Filter by Month\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data",
     "xpath": "select[aria-labelledby=\"filter-th-87371-1\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87371-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by Year\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data",
     "xpath": "select[aria-labelledby=\"filter-th-87371-2\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87371-2\" class=\"usa-select height-1\" data-col-index=\"2\" title=\"Filter by View\">"
    }
   ],
   "example_pages": [
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "http://medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data",
    "https://www.medicaid.gov/prior-annual-medicaid-hospice-rate-letters"
   ],
   "affected_pages": [
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "http://medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data",
    "https://www.medicaid.gov/prior-annual-medicaid-hospice-rate-letters",
    "https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-drug-rebate-program-data",
    "http://medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-drug-rebate-program-data",
    "https://www.medicaid.gov/style-guide/components/date-picker",
    "http://medicaid.gov/medicaid/financial-management/medicaid-disproportionate-share-hospital-dsh-payments",
    "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/chip/reports-evaluations",
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing.",
    "Locate the element: select[aria-labelledby=\"filter-th-87386-0\"]",
    "Confirm the axe-core finding for rule label-title-only."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/axe-core__label-title-only.csv"
  },
  {
   "instance_id": "VS-a50125ce",
   "pattern_id": "VS-d25f622d",
   "a11y_pattern_fingerprint": "e5d214b56fa3da3785f6361eeb506a7f9c1cce92e62af432b2964b8da05cd738",
   "a11y_pattern_display_id": "A11Y-PAT-E5D214B56FA3",
   "a11y_occurrence_fingerprint": "d5e2103c0567c6d05e3cb284f2838845ed397a2b6483c229b73777dbb9c01b1d",
   "a11y_occurrence_display_id": "A11Y-OCC-D5E2103C0567",
   "url": "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
   "xpath": ".field--name-field-resources-list > h3",
   "html_snippet": "<h3>Related Resources</h3>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 679,
    "pages_affected": 615,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 615 of 8593 scanned pages (679 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
     "xpath": ".field--name-field-resources-list > h3",
     "html_snippet": "<h3>Related Resources</h3>"
    },
    {
     "url": "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
     "xpath": ".field--name-field-resources-list > h3",
     "html_snippet": "<h3>Related Resources</h3>"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-and-chip-enrollment-trend-snapshot",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    }
   ],
   "example_pages": [
    "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
    "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-and-chip-enrollment-trend-snapshot"
   ],
   "affected_pages": [
    "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
    "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-and-chip-enrollment-trend-snapshot",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/well-child-care",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
    "http://medicaid.gov/medicaid/data-systems/health-information-technology/health-disparities",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54036",
    "https://www.medicaid.gov/about-us/organization/adrienne-delozier",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/100706",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/102166",
    "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-enrollment-data-collected-through-mbes",
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/192776",
    "https://www.medicaid.gov/medicaid/program-integrity/affordable-care-act-program-integrity-provisions",
    "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/home-community-based-services/home-and-community-based-services-hcbs-quality",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/104786",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/154506",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program",
    "https://www.medicaid.gov/state-overviews/stateprofile.html?state=Oregon",
    "http://medicaid.gov/resources-for-states/managed-care-review-mc-review/managed-care-review-faqs",
    "http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/medicaid-and-chip-resources/other-resources"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie.",
    "Locate the element: .field--name-field-resources-list > h3",
    "Confirm the axe-core finding for rule heading-order."
   ],
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Drupal Views and blocks can insert headings at arbitrary levels. In the Views UI, set \"Title tag\" for each display. For block titles, configure the heading level in the block's layout settings.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/axe-core__heading-order.csv"
  },
  {
   "instance_id": "VS-e745a5bc",
   "pattern_id": "VS-8806389c",
   "a11y_pattern_fingerprint": "94e0218b7fbdaffcb5b21134c4dc8c71ab5a17513897ab7889e76550a460aa19",
   "a11y_pattern_display_id": "A11Y-PAT-94E0218B7FBD",
   "a11y_occurrence_fingerprint": "f346b4ce15b433be9b2716c9048a5fa2c7e166f4c5c6874481016d70b0bfe529",
   "a11y_occurrence_display_id": "A11Y-OCC-F346B4CE15B4",
   "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
   "xpath": ".section",
   "html_snippet": "<aside class=\"section\" role=\"complementary\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 136,
    "pages_affected": 135,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)",
   "description": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 135 of 8593 scanned pages (136 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "#DataTables_Table_0_paginate",
     "html_snippet": "<div class=\"dataTables_paginate paging_simple_numbers usa-pagination ikn-datatables-pagination\" id=\"DataTables_Table_0_paginate\" aria-label=\"Pagination\" role=\"navigation\" style=\"\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program",
     "xpath": ".landing-page-blue-ribbon > aside",
     "html_snippet": "<aside class=\"grid-container\" role=\"complementary\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/data-systems/certification",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">\n                \n              </aside>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program",
    "https://www.medicaid.gov/medicaid/data-systems/certification",
    "https://www.medicaid.gov/style-guide/foundation/typography",
    "https://www.medicaid.gov/medicaid/data-systems/medicaid-eligibility-enrollment-toolkit",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=20",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas",
    "https://www.medicaid.gov/claims-under-camp-lejeune-justice-act-clja",
    "http://medicaid.gov/resources-for-states",
    "http://medicaid.gov/about-us/contact-us",
    "http://medicaid.gov/medicaid/quality-of-care/releases-announcements",
    "http://medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program",
    "https://www.medicaid.gov/style-guide/foundation",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/program-areas/promoting-community-integration-through-long-term-services-and-supports",
    "http://medicaid.gov/medicaid/quality-of-care",
    "https://www.medicaid.gov/style-guide/foundation/breakpoints",
    "http://medicaid.gov/medicaid/long-term-services-supports/real-choice-systems-change/state-profile-tool-grant-program",
    "http://medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data",
    "http://medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities",
    "https://www.medicaid.gov/style-guide/components/select",
    "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person.",
    "Locate the element: .section",
    "Confirm the axe-core finding for rule landmark-unique."
   ],
   "remediation_tip": "When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. \"Primary\" and \"Footer\" navigation) so screen-reader users can tell them apart.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/axe-core__landmark-unique.csv"
  },
  {
   "instance_id": "VS-c5fe188d",
   "pattern_id": "VS-ff3ceb19",
   "a11y_pattern_fingerprint": "d4ecafa7c635f4162f2c52f6fc50e1661a342ddbe0094718e54496f73657cb5a",
   "a11y_pattern_display_id": "A11Y-PAT-D4ECAFA7C635",
   "a11y_occurrence_fingerprint": "870d4b6eae393df7c9d6ae9468ebc71bb0fc7faca02be869dca103d6583b266e",
   "a11y_occurrence_display_id": "A11Y-OCC-870D4B6EAE39",
   "url": "https://www.medicaid.gov/style-guide/foundation/typography",
   "xpath": ".style-guide-page > .grid-gap-sm.grid-row > main",
   "html_snippet": "<main id=\"content\" class=\"grid-col-12 desktop:grid-col-9\" role=\"main\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-main-is-top-level",
   "rule_label": "Main landmark should not be contained in another landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 19,
    "pages_affected": 19,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Main landmark should not be contained in another landmark (WCAG criterion undetermined)",
   "description": "Main landmark should not be contained in another landmark. Detected by axe-core rule landmark-main-is-top-level on 19 of 8593 scanned pages (19 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/style-guide/foundation/typography",
     "xpath": ".style-guide-page > .grid-gap-sm.grid-row > main",
     "html_snippet": "<main id=\"content\" class=\"grid-col-12 desktop:grid-col-9\" role=\"main\">"
    },
    {
     "url": "https://www.medicaid.gov/style-guide/foundation",
     "xpath": ".style-guide-page > .grid-gap-sm.grid-row > main",
     "html_snippet": "<main id=\"content\" class=\"grid-col-12 desktop:grid-col-9\" role=\"main\">"
    },
    {
     "url": "https://www.medicaid.gov/style-guide/foundation/breakpoints",
     "xpath": ".style-guide-page > .grid-gap-sm.grid-row > main",
     "html_snippet": "<main id=\"content\" class=\"grid-col-12 desktop:grid-col-9\" role=\"main\">"
    },
    {
     "url": "https://www.medicaid.gov/style-guide/components/select",
     "xpath": ".style-guide-page > .grid-gap-sm.grid-row > main",
     "html_snippet": "<main id=\"content\" class=\"grid-col-12 desktop:grid-col-9\" role=\"main\">"
    },
    {
     "url": "https://www.medicaid.gov/style-guide/foundation/color",
     "xpath": ".style-guide-page > .grid-gap-sm.grid-row > main",
     "html_snippet": "<main id=\"content\" class=\"grid-col-12 desktop:grid-col-9\" role=\"main\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/style-guide/foundation/typography",
    "https://www.medicaid.gov/style-guide/foundation",
    "https://www.medicaid.gov/style-guide/foundation/breakpoints"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/style-guide/foundation/typography",
    "https://www.medicaid.gov/style-guide/foundation",
    "https://www.medicaid.gov/style-guide/foundation/breakpoints",
    "https://www.medicaid.gov/style-guide/components/select",
    "https://www.medicaid.gov/style-guide/foundation/color",
    "https://www.medicaid.gov/style-guide",
    "https://www.medicaid.gov/style-guide/patterns",
    "https://www.medicaid.gov/style-guide/components/button",
    "https://www.medicaid.gov/style-guide/content",
    "https://www.medicaid.gov/style-guide/components/breadcrumb",
    "https://www.medicaid.gov/style-guide/templates",
    "https://www.medicaid.gov/style-guide/foundation/logo",
    "https://www.medicaid.gov/style-guide/foundation/spacing",
    "https://www.medicaid.gov/style-guide/components/back-to-top",
    "https://www.medicaid.gov/style-guide/components/date-picker",
    "https://www.medicaid.gov/style-guide/components/banner",
    "https://www.medicaid.gov/style-guide/components",
    "https://www.medicaid.gov/style-guide/components/pagination",
    "https://www.medicaid.gov/style-guide/components/accordion"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/style-guide/foundation/typography.",
    "Locate the element: .style-guide-page > .grid-gap-sm.grid-row > main",
    "Confirm the axe-core finding for rule landmark-main-is-top-level."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W28",
   "last_seen": "2026-W28",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__landmark-main-is-top-level.csv"
  },
  {
   "instance_id": "VS-73d0ed37",
   "pattern_id": "VS-cd69be3a",
   "a11y_pattern_fingerprint": "c3b2d2b8513dc39f381c73f80f595b0155be4b66ec133517da89d89b84c3b370",
   "a11y_pattern_display_id": "A11Y-PAT-C3B2D2B8513D",
   "a11y_occurrence_fingerprint": "4315a37f1c3463d7f4ba8e6da84db4af9eefdff5160cb912fd52e3a6fc21e9a0",
   "a11y_occurrence_display_id": "A11Y-OCC-4315A37F1C34",
   "url": "https://www.medicaid.gov/style-guide/foundation/typography",
   "xpath": ".main-content",
   "html_snippet": "<main id=\"content\" class=\"main-content grid-col-12\" role=\"main\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-no-duplicate-main",
   "rule_label": "Document should not have more than one main landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 19,
    "pages_affected": 19,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Document should not have more than one main landmark (WCAG criterion undetermined)",
   "description": "Document should not have more than one main landmark. Detected by axe-core rule landmark-no-duplicate-main on 19 of 8593 scanned pages (19 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/style-guide/foundation/typography",
     "xpath": ".main-content",
     "html_snippet": "<main id=\"content\" class=\"main-content grid-col-12\" role=\"main\">"
    },
    {
     "url": "https://www.medicaid.gov/style-guide/foundation",
     "xpath": ".main-content",
     "html_snippet": "<main id=\"content\" class=\"main-content grid-col-12\" role=\"main\">"
    },
    {
     "url": "https://www.medicaid.gov/style-guide/foundation/breakpoints",
     "xpath": ".main-content",
     "html_snippet": "<main id=\"content\" class=\"main-content grid-col-12\" role=\"main\">"
    },
    {
     "url": "https://www.medicaid.gov/style-guide/components/select",
     "xpath": ".main-content",
     "html_snippet": "<main id=\"content\" class=\"main-content grid-col-12\" role=\"main\">"
    },
    {
     "url": "https://www.medicaid.gov/style-guide/foundation/color",
     "xpath": ".main-content",
     "html_snippet": "<main id=\"content\" class=\"main-content grid-col-12\" role=\"main\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/style-guide/foundation/typography",
    "https://www.medicaid.gov/style-guide/foundation",
    "https://www.medicaid.gov/style-guide/foundation/breakpoints"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/style-guide/foundation/typography",
    "https://www.medicaid.gov/style-guide/foundation",
    "https://www.medicaid.gov/style-guide/foundation/breakpoints",
    "https://www.medicaid.gov/style-guide/components/select",
    "https://www.medicaid.gov/style-guide/foundation/color",
    "https://www.medicaid.gov/style-guide",
    "https://www.medicaid.gov/style-guide/patterns",
    "https://www.medicaid.gov/style-guide/components/button",
    "https://www.medicaid.gov/style-guide/content",
    "https://www.medicaid.gov/style-guide/components/breadcrumb",
    "https://www.medicaid.gov/style-guide/templates",
    "https://www.medicaid.gov/style-guide/foundation/logo",
    "https://www.medicaid.gov/style-guide/foundation/spacing",
    "https://www.medicaid.gov/style-guide/components/back-to-top",
    "https://www.medicaid.gov/style-guide/components/date-picker",
    "https://www.medicaid.gov/style-guide/components/banner",
    "https://www.medicaid.gov/style-guide/components",
    "https://www.medicaid.gov/style-guide/components/pagination",
    "https://www.medicaid.gov/style-guide/components/accordion"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/style-guide/foundation/typography.",
    "Locate the element: .main-content",
    "Confirm the axe-core finding for rule landmark-no-duplicate-main."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W28",
   "last_seen": "2026-W28",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__landmark-no-duplicate-main.csv"
  },
  {
   "instance_id": "VS-1ad781a5",
   "pattern_id": "VS-0ba8ce9d",
   "a11y_pattern_fingerprint": "b2aaf6f16b8df29cc2bdf6db1f29be3254502324c2947e5078a24b1094c13d63",
   "a11y_pattern_display_id": "A11Y-PAT-B2AAF6F16B8D",
   "a11y_occurrence_fingerprint": "feb41eb9a6d047825c5f67d8a7959d605f56e485835a7a94549bc8a3eb8e004b",
   "a11y_occurrence_display_id": "A11Y-OCC-FEB41EB9A6D0",
   "url": "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels",
   "xpath": "tr:nth-child(1) > td[scope=\"row\"]",
   "html_snippet": "<td scope=\"row\">Alabama</td>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "scope-attr-valid",
   "rule_label": "scope attribute should be used correctly",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 51,
    "pages_affected": 1,
    "total_pages_scanned": 8593
   },
   "likely_source": "content",
   "summary": "scope attribute should be used correctly (WCAG criterion undetermined)",
   "description": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 1 of 8593 scanned pages (51 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels",
     "xpath": "tr:nth-child(1) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">Alabama</td>"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels",
     "xpath": "tr:nth-child(2) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">Alaska<a style=\"text-decoration:none;\" href=\"#footnote5\" title=\"\"><sup>5</sup></a></td>"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels",
     "xpath": "tr:nth-child(3) > td[scope=\"row\"]",
     "html_snippet": "<td scope=\"row\">Arizona</td>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels.",
    "Locate the element: tr:nth-child(1) > td[scope=\"row\"]",
    "Confirm the axe-core finding for rule scope-attr-valid."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__scope-attr-valid.csv"
  },
  {
   "instance_id": "VS-c1d9ae08",
   "pattern_id": "VS-4fac2f41",
   "a11y_pattern_fingerprint": "bfd04c4f0e1a7250e59d76eef51466dd94a07891a5b10b7753271aa8e695ea4c",
   "a11y_pattern_display_id": "A11Y-PAT-BFD04C4F0E1A",
   "a11y_occurrence_fingerprint": "f731295562768665a53bbc0cccd2de4a170d7ef4ec35c8739de8d2ac336e5a28",
   "a11y_occurrence_display_id": "A11Y-OCC-F73129556276",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
   "xpath": "span[data-select2-id=\"select2-data-1-2krc\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
   "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-role",
   "rule_label": "ARIA role should be appropriate for the element",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 1003,
    "pages_affected": 470,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "ARIA role should be appropriate for the element (WCAG criterion undetermined)",
   "description": "ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 470 of 8593 scanned pages (1003 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-2krc\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-4olz\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-tesf\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-0ovz\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-6g6z\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q="
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=44&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=731&page=6&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/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=47&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=836&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=996&page=31&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=896&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=28&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=31&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/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=781&page=27&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=13&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=756&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=46&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=15&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=36&q="
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=.",
    "Locate the element: span[data-select2-id=\"select2-data-1-2krc\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
    "Confirm the axe-core finding for rule aria-allowed-role."
   ],
   "remediation_tip": "Remove or change the ARIA role — it isn't allowed on this element type.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/axe-core__aria-allowed-role.csv"
  },
  {
   "instance_id": "VS-1257640a",
   "pattern_id": "VS-c18be945",
   "a11y_pattern_fingerprint": "f5412e506524e443ddb67919d504e6fa514b4772001e74c7077479bfe7b09784",
   "a11y_pattern_display_id": "A11Y-PAT-F5412E506524",
   "a11y_occurrence_fingerprint": "7a1d47bc9c02066ac3d7f38223bda9d3d1e7fb3d5dbe01d59da4343f4eb5f19b",
   "a11y_occurrence_display_id": "A11Y-OCC-7A1D47BC9C02",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
   "xpath": "text: \"\n                An official website of the United States government\n                \"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "frequency": {
    "instances": 104738,
    "pages_affected": 4191,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 4191 of 8593 scanned pages (104738 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": "text: \"\n                An official website of the United States government\n                \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": "text: \"Version:\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": "text: \"\n                        4.0.35\n                    \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "text: \"\n                An official website of the United States government\n                \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "text: \"Version:\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1471&f%5B3%5D=fpg_topics_facet%3A2696&f%5B4%5D=fpg_topics_facet%3A8601&page=110",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?category12Id=1401&category3Id=140103&f%5B0%5D=topics%3A7381&page=1657",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6637",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A856&f%5B2%5D=fpg_topics_facet%3A1501&f%5B3%5D=fpg_topics_facet%3A6486&page=4",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1496&f%5B1%5D=fpg_topics_facet%3A1531&f%5B2%5D=fpg_topics_facet%3A3046&f%5B3%5D=fpg_topics_facet%3A8381&f%5B4%5D=fpg_topics_facet%3A8611&f%5B5%5D=fpg_topics_facet%3A8616&f%5B6%5D=fpg_topics_facet%3A8711&f%5B7%5D=fpg_topics_facet%3A8891&f%5B8%5D=fpg_topics_facet%3A8896&page=3",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-4-042-42",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A751&f%5B1%5D=topics%3A936&f%5B2%5D=topics%3A5811&page=1658",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-15-006-6",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2451&fcf=40870&page=4&sl=yes",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126",
    "http://medicaid.gov/medicaid/managed-care/guidance/medicaid-and-chip-managed-care-final-rules",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1491&f%5B1%5D=fpg_topics_facet%3A8601&page=108",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-60-001-1",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=state_waiver_status_facet%3A1591&f%5B1%5D=state_waiver_status_facet%3A1611&items_per_page=10&page=69&search_api_fulltext=2024",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/improving-care-for-sickle-cell-disease"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26.",
    "Locate the element: text: \"\n                An official website of the United States government\n                \"",
    "Confirm the Siteimprove Alfa finding for rule sia-r57."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r57.csv"
  },
  {
   "instance_id": "VS-0f599655",
   "pattern_id": "VS-aa242c2d",
   "a11y_pattern_fingerprint": "9bbfd94bd90376189a5c933a4d16c8a76c606598a68b0d2e61eecf739964bd9d",
   "a11y_pattern_display_id": "A11Y-PAT-9BBFD94BD903",
   "a11y_occurrence_fingerprint": "e1c7178ad9f7d597957221aa37c6aaf2804582cbbdf3435cea5bbc824e75aae3",
   "a11y_occurrence_display_id": "A11Y-OCC-E1C7178AD9F7",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "frequency": {
    "instances": 2621,
    "pages_affected": 2621,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "First focusable element is link to main content (WCAG criterion undetermined)",
   "description": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 2621 of 8593 scanned pages (2621 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6637",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-4-042-42",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-15-006-6",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-60-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6238",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002143",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-81-032-32",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg004064",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6875"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r87."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r87.csv"
  },
  {
   "instance_id": "VS-5b974334",
   "pattern_id": "VS-7118fead",
   "a11y_pattern_fingerprint": "d71a88e83b9226ce1c0d790a0f6c20a91532d96068ebea7e887804b7fc25ae3d",
   "a11y_pattern_display_id": "A11Y-PAT-D71A88E83B92",
   "a11y_occurrence_fingerprint": "b92117b5d591dcc2a3fc451c80c757bb74b25a171cf505d850b73800de52a079",
   "a11y_occurrence_display_id": "A11Y-OCC-B92117B5D591",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "frequency": {
    "instances": 2608,
    "pages_affected": 2608,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 2608 of 8593 scanned pages (2608 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2229",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6637",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-4-042-42",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-15-006-6",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-60-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6238",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002143",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-81-032-32",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg004064",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6875"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r61."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r61.csv"
  },
  {
   "instance_id": "VS-bcf69cbe",
   "pattern_id": "VS-e05344b9",
   "a11y_pattern_fingerprint": "1f096d7d348a6e73ae969784c8c1abde5919a38d6f373291c1b3cdfd860d9c27",
   "a11y_pattern_display_id": "A11Y-PAT-1F096D7D348A",
   "a11y_occurrence_fingerprint": "cf7b5ac268fcacd4134643f7f73ddc4c60e542ec1ebf354d14c3f3ec5f2e4fd2",
   "a11y_occurrence_display_id": "A11Y-OCC-CF7B5AC268FC",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
   "xpath": "@aria-selected=\"true\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "frequency": {
    "instances": 3181,
    "pages_affected": 656,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)",
   "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 656 of 8593 scanned pages (3181 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "@aria-selected=\"true\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
     "xpath": "@aria-selected=\"true\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003157",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-accreditation-organization",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002143",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg004064",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002106",
    "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/clt002053",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv001002",
    "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/v4/data-elements/cip002068",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/mcr010117",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003206",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx003142",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002157",
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg006110"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111.",
    "Locate the element: @aria-selected=\"true\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r18."
   ],
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r18.csv"
  },
  {
   "instance_id": "VS-b1592912",
   "pattern_id": "VS-04a9d28c",
   "a11y_pattern_fingerprint": "56a6becbcfff85f715f09e97b699bae8f9e5cd3dd97d00e80e5669888e67d9c0",
   "a11y_pattern_display_id": "A11Y-PAT-56A6BECBCFFF",
   "a11y_occurrence_fingerprint": "35d3912d61174bb517833f082ce700e5f2cca9ef3661f0d0edd99aaae0729dfa",
   "a11y_occurrence_display_id": "A11Y-OCC-35D3912D6117",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2611",
   "xpath": "td",
   "html_snippet": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine_key": "deprecated-html",
   "tool": "deprecated-html",
   "rule_url": null,
   "severity": "Moderate",
   "frequency": {
    "instances": 477,
    "pages_affected": 377,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)",
   "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 377 of 8593 scanned pages (477 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2611",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-33-001-1",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"2\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2611",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-33-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2611",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-33-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003272",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002240",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6656",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8142",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2030",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx003142",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2100",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-3096",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7541",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-612",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1889",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip003254",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002017",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2291",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3160",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip003249",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-54-010-10",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2913",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-677",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002251",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv006092"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2611.",
    "Locate the element: td",
    "Confirm the deprecated-html finding for rule presentational-attr."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/deprecated-html__presentational-attr.csv"
  },
  {
   "instance_id": "VS-3383e981",
   "pattern_id": "VS-f054f4a4",
   "a11y_pattern_fingerprint": "82f0115236489cbf7e7f113fdfd27b524072c7c43e37572941e91819b5f10cbb",
   "a11y_pattern_display_id": "A11Y-PAT-82F011523648",
   "a11y_occurrence_fingerprint": "925027942796326bbd9715435e522d75493a5e246dc05b0975c7d9d06c55829d",
   "a11y_occurrence_display_id": "A11Y-OCC-925027942796",
   "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
   "xpath": "<h4 class=\"usa-footer__primary-link\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "frequency": {
    "instances": 341,
    "pages_affected": 313,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 313 of 8593 scanned pages (341 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/medicaid/data-systems/health-information-technology/health-disparities",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/about-us/organization/adrienne-delozier",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/100706",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-enrollment-data-collected-through-mbes",
     "xpath": "<h3>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
    "http://medicaid.gov/medicaid/data-systems/health-information-technology/health-disparities",
    "https://www.medicaid.gov/about-us/organization/adrienne-delozier"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
    "http://medicaid.gov/medicaid/data-systems/health-information-technology/health-disparities",
    "https://www.medicaid.gov/about-us/organization/adrienne-delozier",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/100706",
    "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-enrollment-data-collected-through-mbes",
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/192776",
    "https://www.medicaid.gov/medicaid/program-integrity/affordable-care-act-program-integrity-provisions",
    "http://medicaid.gov/chip/chip-eligibility-enrollment/enrollment-strategies",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/154506",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program",
    "https://www.medicaid.gov/state-overviews/stateprofile.html?state=Oregon",
    "http://medicaid.gov/resources-for-states/managed-care-review-mc-review/managed-care-review-faqs",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/program-areas/reducing-substance-use-disorders/collaborative-learning",
    "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",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D",
    "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/eligibility-verification-policies",
    "https://www.medicaid.gov/resources-for-states/spa-and-1915-waiver-processing/medicaid-spa-processing-tools-for-states",
    "http://medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center/health-homes-guidance",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/98321",
    "https://www.medicaid.gov/medicaid/data-systems/medicaid-eligibility-enrollment-toolkit",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
    "https://www.medicaid.gov/medicaid/benefits/behavioral-health-services/parity"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations.",
    "Locate the element: <h4 class=\"usa-footer__primary-link\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r53."
   ],
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r53.csv"
  },
  {
   "instance_id": "VS-e86fbc2b",
   "pattern_id": "VS-2cd767ca",
   "a11y_pattern_fingerprint": "8b5c7c0abaa24199c3ae8a821e752f6c2b7d9a054b6611feaa545d0ec5680c59",
   "a11y_pattern_display_id": "A11Y-PAT-8B5C7C0ABAA2",
   "a11y_occurrence_fingerprint": "fffd08d42453131ba35695db0807ec9ea4f0eb2c9c439990900cf85750df8633",
   "a11y_occurrence_display_id": "A11Y-OCC-FFFD08D42453",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D",
   "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "frequency": {
    "instances": 13,
    "pages_affected": 12,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 12 of 8593 scanned pages (13 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NE%22%5D",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MT%22%5D",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22WA%22%5D",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%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%22NE%22%5D"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%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%22NE%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MT%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%22MI%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CO%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22WY%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22SD%22%5D",
    "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%22PR%22%5D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D.",
    "Locate the element: <h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r78."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r78.csv"
  },
  {
   "instance_id": "VS-d8f5041e",
   "pattern_id": "VS-4c341c77",
   "a11y_pattern_fingerprint": "745ff630e526bd7a65bacc77c59576fc266fa55f2f4eddcc0cc3f42435b250d5",
   "a11y_pattern_display_id": "A11Y-PAT-745FF630E526",
   "a11y_occurrence_fingerprint": "0199453f7bdf364aaee82966de7a650a5fc056a54c9a6e7d9613afe578730e2e",
   "a11y_occurrence_display_id": "A11Y-OCC-0199453F7BDF",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D",
   "xpath": "<p class=\"selected-states-header\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r85",
   "rule_label": "Keyboard trap does not exist",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r85",
   "severity": "Moderate",
   "frequency": {
    "instances": 636,
    "pages_affected": 11,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Keyboard trap does not exist (WCAG criterion undetermined)",
   "description": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 11 of 8593 scanned pages (636 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%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%22NE%22%5D"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%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%22NE%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MT%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%22MI%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CO%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22WY%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22SD%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PR%22%5D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D.",
    "Locate the element: <p class=\"selected-states-header\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r85."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r85.csv"
  },
  {
   "instance_id": "VS-a7fbd466",
   "pattern_id": "VS-e5ec42f0",
   "a11y_pattern_fingerprint": "3567d42eeb758bb84f6a71085f5f0509ea361cbdfc808dea5fc56f7862cb94fe",
   "a11y_pattern_display_id": "A11Y-PAT-3567D42EEB75",
   "a11y_occurrence_fingerprint": "52b7bd2af4418979e8d620db39e4af78027d73e39e7f56c469366dcbf3dbd053",
   "a11y_occurrence_display_id": "A11Y-OCC-52B7BD2AF441",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D",
   "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r72",
   "rule_label": "Element role is consistent with ARIA landmark",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r72",
   "severity": "Moderate",
   "frequency": {
    "instances": 1842,
    "pages_affected": 11,
    "total_pages_scanned": 8593
   },
   "likely_source": "template",
   "summary": "Element role is consistent with ARIA landmark (WCAG criterion undetermined)",
   "description": "Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 11 of 8593 scanned pages (1842 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D",
     "xpath": "<p class=\"chart-label\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%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%22NE%22%5D"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%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%22NE%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MT%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%22MI%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22CO%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22WY%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22SD%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PR%22%5D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22MO%22%5D.",
    "Locate the element: <p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r72."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r72",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W28",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r72.csv"
  },
  {
   "instance_id": "VS-0ad31bbe",
   "pattern_id": "VS-3fb891c5",
   "a11y_pattern_fingerprint": "e27f5336921404938c096eb7596e4ff295c73f491f14a91e9ad536d8192bd755",
   "a11y_pattern_display_id": "A11Y-PAT-E27F53369214",
   "a11y_occurrence_fingerprint": "62230013ec0fa85532bcf312fe70dbac7520426496a818b5c539f3fa689370d4",
   "a11y_occurrence_display_id": "A11Y-OCC-62230013EC0F",
   "url": "https://www.medicaid.gov/dq-atlas/landing/states",
   "xpath": "<div _ngcontent-ng-c305556689=\"\" role=\"radiogroup\" class=\"toggle-input-container\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r60",
   "rule_label": "Input purpose can be determined",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r60",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8593
   },
   "likely_source": "content",
   "summary": "Input purpose can be determined (WCAG criterion undetermined)",
   "description": "Input purpose can be determined. Detected by Siteimprove Alfa rule sia-r60 on 1 of 8593 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/dq-atlas/landing/states",
     "xpath": "<div _ngcontent-ng-c305556689=\"\" role=\"radiogroup\" class=\"toggle-input-container\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/dq-atlas/landing/states"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/dq-atlas/landing/states"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/dq-atlas/landing/states.",
    "Locate the element: <div _ngcontent-ng-c305556689=\"\" role=\"radiogroup\" class=\"toggle-input-container\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r60."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r60",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W26",
   "last_seen": "2026-W28",
   "weeks_seen": 2,
   "affected_pages_csv": "csv/alfa__sia-r60.csv"
  }
 ],
 "policy": {
  "suppression": {
   "patterns": 0,
   "pages": 0,
   "occurrences": 0,
   "entries": []
  }
 }
}