www.medicaid.gov: Accessibility — week 2026-W29

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

Training priorities

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

SC	Criterion	Pages	Rules	Notes
1.4.6	WCAG 1.4.6	4123	1
2.5.5	WCAG 2.5.5	4123	1
1.4.8	WCAG 1.4.8	2217	3
4.1.2	Name, Role, Value (ARIA)	1715	4	Component inconsistency
1.3.1	Info and Relationships (semantic structure)	1524	4

Next 10 actions

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

Top 10 clustered component fixes for this week.
Cluster	Severity	Pages	Who it affects	How to fix	Evidence	Decision
Page should contain a level-one heading · unattributed component Fix one place, resolve ~3900 finding(s) on 3900 page(s). XPath / selector: `html` `<html class="no-js" lang="en">`	Moderate	3900	Requires manual testing.	See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI	pages (CSV)	Decision Assigned to Notes
Document should have one main landmark · unattributed component Fix one place, resolve ~3896 finding(s) on 3896 page(s). XPath / selector: `html` `<html class="no-js" lang="en">`	Moderate	3896	Requires manual testing.	Each page should have exactly one <main> landmark.	pages (CSV)	Decision Assigned to Notes
Certain ARIA roles must contain particular children · unattributed component Fix one place, resolve ~844 finding(s) on 844 page(s). XPath / selector: `.nav` `<div class="nav nav-tabs nav-justified" role="tablist">`	Critical	844	Without vision, Limited vision, Limited cognitive, language, or learning ability	Add the child roles this container role requires (e.g. a list needs listitem children).	pages (CSV)	Decision Assigned to Notes
First focusable element is link to main content · unattributed component Fix one place, resolve ~1931 finding(s) on 1931 page(s). XPath / selector: `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`	Moderate	1931	Requires manual testing.	See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87	pages (CSV)	Decision Assigned to Notes
Form field label is visible · unattributed component Fix one place, resolve ~1917 finding(s) on 1917 page(s). XPath / selector: `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`	Moderate	1917	Requires manual testing.	See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61	pages (CSV)	Decision Assigned to Notes
All page content should be contained by landmarks · unattributed component Fix one place, resolve ~3909 finding(s) on 3909 page(s). XPath / selector: `.small` `<div class="small p-1">`	Moderate	3909	Requires manual testing.	Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.	pages (CSV)	Decision Assigned to Notes
All page content should be contained by landmarks · unattributed component Fix one place, resolve ~3904 finding(s) on 3904 page(s). XPath / selector: `.justify-content-between` `<div class="d-flex justify-content-between m-2 mb-2">`	Moderate	3904	Requires manual testing.	Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.	pages (CSV)	Decision Assigned to Notes
All page content should be contained by landmarks · unattributed component Fix one place, resolve ~3902 finding(s) on 3902 page(s). XPath / selector: `.font-weight-bold` `<p class="font-weight-bold m-0 mr-1">Version:</p>`	Moderate	3902	Requires manual testing.	Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.	pages (CSV)	Decision Assigned to Notes
Scrolling content can be accessed by keyboard · unattributed component Fix one place, resolve ~2199 finding(s) on 2199 page(s). XPath / selector: `text: " Feedback "`	Moderate	2199	Requires manual testing.	See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57	pages (CSV)	Decision Assigned to Notes
Scrolling content can be accessed by keyboard · unattributed component Fix one place, resolve ~1921 finding(s) on 1921 page(s). XPath / selector: `text: " An official website of the United States government "`	Moderate	1921	Requires manual testing.	See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57	pages (CSV)	Decision Assigned to Notes

Bug reports

9 issue type(s) are shown by default out of 36 total. Prioritized by severity, key pages, WCAG level, and prevalence; use the toggle to show everything.

Overall severity mix: 2 critical, 3 serious, 30 moderate, 1 minor. By WCAG category: 8 WCAG 2.0 A, 1 WCAG 2.1 A, 1 WCAG 2.2 AA, 5 WCAG 2.x AAA, 12 Best Practice, 9 Undetermined. Ordered by severity, key-page impact, WCAG level, and prevalence. Following accessibility bug-reporting best practices. Download: Markdown · JSON (full archive) · JSON (AI diagnostic) · CSV (all findings) · Priority pages CSV · Priority pages JSON.

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

Default view shows 9 prioritized issue type(s); 27 more are available if you switch to "Show everything".

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

Findings needing review

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

Critical axe aria-allowed-attr WCAG 2.0 A Elements must only use supported ARIA attributes (WCAG 4.1.2) 844/8816 pages · 4103 instances Likely template

Bug ID: VS-f236911d
Pattern ID: VS-1467ea8a
Combined ID: VS-f236911d (pattern VS-1467ea8a) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 4.1.2 Name, Role, Value (Level A, WCAG 2.0)
Rule: axe-core — Elements must only use supported ARIA attributes [aria-allowed-attr]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
XPath / selector: a[href$="#overview"]
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

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

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

Description

Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 844 of 8816 scanned pages (4103 instances).

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.

Impact

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

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

Affected pages

…and more — all 844 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Critical axe aria-required-children WCAG 2.0 A Certain ARIA roles must contain particular children (WCAG 1.3.1) 844/8816 pages · 844 instances Likely template

Bug ID: VS-d2b8a747
Pattern ID: VS-9429bb8d
Combined ID: VS-d2b8a747 (pattern VS-9429bb8d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 1.3.1 Info and Relationships (Level A, WCAG 2.0)
Rule: axe-core — Certain ARIA roles must contain particular children [aria-required-children]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
XPath / selector: .nav
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

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

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

Description

Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 844 of 8816 scanned pages (844 instances).

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.

Impact

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

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

Affected pages

…and more — all 844 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Serious axe aria-input-field-name WCAG 2.0 A ARIA input fields must have an accessible name (WCAG 4.1.2) 596/8816 pages · 1266 instances Likely template

Bug ID: VS-f105dd74
Pattern ID: VS-0841abc2
Combined ID: VS-f105dd74 (pattern VS-0841abc2) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 4.1.2 Name, Role, Value (Level A, WCAG 2.0)
Rule: axe-core — ARIA input fields must have an accessible name [aria-input-field-name]
Example URL: http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=5&q=
XPath / selector: span[data-select2-id="select2-data-1-vt32"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

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

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

Description

ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 596 of 8816 scanned pages (1266 instances).

Steps to reproduce

Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=5&q=.
Locate the element: span[data-select2-id="select2-data-1-vt32"] > .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.

Impact

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

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

Affected pages

…and more — all 596 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Serious axe aria-prohibited-attr WCAG 2.0 A Elements must only use permitted ARIA attributes (WCAG 4.1.2) 7/8816 pages · 13 instances

Bug ID: VS-9a2228bf
Pattern ID: VS-ebb1c464
Combined ID: VS-9a2228bf (pattern VS-ebb1c464) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 4.1.2 Name, Role, Value (Level A, WCAG 2.0)
Rule: axe-core — Elements must only use permitted ARIA attributes [aria-prohibited-attr]
Example URL: https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa
XPath / selector: #map-svg-map-1733145095414
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

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

<div id="map-svg-map-1733145095414" class="map-container" aria-disabled="true" aria-label="State Map Image. Keyboard navigating users can use dropdown to select state." style="position: relative; widt

Description

Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 7 of 8816 scanned pages (13 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa.
Locate the element: #map-svg-map-1733145095414
Confirm the axe-core finding for rule aria-prohibited-attr against WCAG 4.1.2 Name, Role, Value.

Impact

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

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

Affected pages

Testing environment

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

Suggested fix

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

Triage status Notes

Serious axe label-title-only Best Practice Form elements should have a visible label (WCAG criterion undetermined) 6/8816 pages · 17 instances

Bug ID: VS-4d3feba0
Pattern ID: VS-33841929
Combined ID: VS-4d3feba0 (pattern VS-33841929) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — Form elements should have a visible label [label-title-only]
Example URL: https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices
XPath / selector: select[aria-labelledby="filter-th-87376-0"]
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

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

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

Description

Form elements should have a visible label. Detected by axe-core rule label-title-only on 6 of 8816 scanned pages (17 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices.
Locate the element: select[aria-labelledby="filter-th-87376-0"]
Confirm the axe-core finding for rule label-title-only.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r14 WCAG 2.1 A Accessible name of link or button matches visible label (WCAG 2.5.3) 975/8816 pages · 980 instances Likely template

Bug ID: VS-142949df
Pattern ID: VS-f7dba940
Combined ID: VS-142949df (pattern VS-f7dba940) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.1 A
Obligation: required
Handling: review
WCAG SC: 2.5.3 Label in Name (Level A, WCAG 2.1)
Rule: Siteimprove Alfa — Accessible name of link or button matches visible label [sia-r14]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
XPath / selector: <a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

Description

Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 975 of 8816 scanned pages (980 instances).

Steps to reproduce

Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236.
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.

Impact

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

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

Affected pages

…and more — all 975 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r68 WCAG 2.0 A Presentational children of an element are not focusable (WCAG 1.3.1) 675/8816 pages · 716 instances · possible duplicate Likely template

Bug ID: VS-8faf6525
Pattern ID: VS-d6097011
Combined ID: VS-8faf6525 (pattern VS-d6097011) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 1.3.1 Info and Relationships (Level A, WCAG 2.0)
Rule: Siteimprove Alfa — Presentational children of an element are not focusable [sia-r68]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
XPath / selector: <div class="nav nav-tabs nav-justified" role="tablist">
History: first seen 2026-W24, last seen 2026-W29 (6 wk)
Possible duplicate: Same WCAG SC covered by axe report VS-d2b8a747 (pattern VS-9429bb8d). If axe and this engine flag the same element, the axe report takes precedence — mark this as duplicate in JIRA.

Description

Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 675 of 8816 scanned pages (716 instances).

Steps to reproduce

Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236.
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.

Impact

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

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

Affected pages

…and more — all 675 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r8 WCAG 2.0 A Form field has accessible name (WCAG 4.1.2) 268/8816 pages · 577 instances Likely template

Bug ID: VS-fac38788
Pattern ID: VS-a48e6078
Combined ID: VS-fac38788 (pattern VS-a48e6078) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 4.1.2 Name, Role, Value (Level A, WCAG 2.0)
Rule: Siteimprove Alfa — Form field has accessible name [sia-r8]
Example URL: https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=
XPath / selector: <span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

Description

Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 268 of 8816 scanned pages (577 instances).

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.

Impact

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

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

Affected pages

…and more — all 268 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Moderate alfa sia-r113 WCAG 2.2 AA Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8) 268/8816 pages · 577 instances Likely template

Bug ID: VS-b5fa69fb
Pattern ID: VS-179ad9b3
Combined ID: VS-b5fa69fb (pattern VS-179ad9b3) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.2 AA
Obligation: required
Handling: review
WCAG SC: 2.5.8 Target Size (Minimum) (Level AA, WCAG 2.2)
Rule: Siteimprove Alfa — Target size is at least 24×24 CSS pixels or has spacing (Minimum) [sia-r113]
Example URL: https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=
XPath / selector: <textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

Description

Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 268 of 8816 scanned pages (577 instances).

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).

Impact

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

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

Affected pages

…and more — all 268 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r66 WCAG 2.x AAA Text has enhanced contrast (WCAG 1.4.6) 4123/8816 pages · 121300 instances Likely template

Bug ID: VS-1fd14477
Pattern ID: VS-646b1e0b
Combined ID: VS-1fd14477 (pattern VS-646b1e0b) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.x AAA
Obligation: aspirational
Handling: review
WCAG SC: 1.4.6 Contrast (Enhanced) (Level AAA, WCAG 2.0)
Rule: Siteimprove Alfa — Text has enhanced contrast [sia-r66]
Example URL: http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0
XPath / selector: text: "Here’s how you know"
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

Description

Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 4123 of 8816 scanned pages (121300 instances).

Steps to reproduce

Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0.
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).

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 4123 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Moderate alfa sia-r111 WCAG 2.x AAA Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5) 4123/8816 pages · 73298 instances Likely template

Bug ID: VS-2de7b1f8
Pattern ID: VS-cb53cc4d
Combined ID: VS-2de7b1f8 (pattern VS-cb53cc4d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.x AAA
Obligation: aspirational
Handling: review
WCAG SC: 2.5.5 Target Size (Enhanced) (Level AAA, WCAG 2.1)
Rule: Siteimprove Alfa — Target size is at least 44×44 CSS pixels (Enhanced) [sia-r111]
Example URL: http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0
XPath / selector: <button class="usa-button" type="submit">
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

Description

Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 4123 of 8816 scanned pages (73298 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 4123 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r57 Undetermined Scrolling content can be accessed by keyboard (WCAG criterion undetermined) 4120/8816 pages · 87580 instances Likely template

Bug ID: VS-3adb53e6
Pattern ID: VS-c18be945
Combined ID: VS-3adb53e6 (pattern VS-c18be945) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — Scrolling content can be accessed by keyboard [sia-r57]
Example URL: http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0
XPath / selector: text: " Feedback "
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

Description

Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 4120 of 8816 scanned pages (87580 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 4120 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate axe region Best Practice All page content should be contained by landmarks (WCAG criterion undetermined) 3909/8816 pages · 17440 instances Likely template

Bug ID: VS-d2fce1ff
Pattern ID: VS-f18df681
Combined ID: VS-d2fce1ff (pattern VS-f18df681) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — All page content should be contained by landmarks [region]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
XPath / selector: .small
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

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

<div class="small p-1">

Description

All page content should be contained by landmarks. Detected by axe-core rule region on 3909 of 8816 scanned pages (17440 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 3909 pages (CSV).

Testing environment

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

Suggested fix

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

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

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

Triage status Notes

Moderate axe page-has-heading-one Best Practice Page should contain a level-one heading (WCAG criterion undetermined) 3900/8816 pages · 3900 instances Likely template

Bug ID: VS-8c598fec
Pattern ID: VS-fa44f293
Combined ID: VS-8c598fec (pattern VS-fa44f293) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — Page should contain a level-one heading [page-has-heading-one]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
XPath / selector: html
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

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

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

Description

Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 3900 of 8816 scanned pages (3900 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 3900 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate axe landmark-one-main Best Practice Document should have one main landmark (WCAG criterion undetermined) 3896/8816 pages · 3896 instances Likely template

Bug ID: VS-779780d9
Pattern ID: VS-d5d82446
Combined ID: VS-779780d9 (pattern VS-d5d82446) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — Document should have one main landmark [landmark-one-main]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
XPath / selector: html
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

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

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

Description

Document should have one main landmark. Detected by axe-core rule landmark-one-main on 3896 of 8816 scanned pages (3896 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 3896 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Moderate alfa sia-r73 WCAG 2.x AAA Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8) 2201/8816 pages · 5753 instances Likely template

Bug ID: VS-7e56ae53
Pattern ID: VS-2208081b
Combined ID: VS-7e56ae53 (pattern VS-2208081b) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.x AAA
Obligation: aspirational
Handling: review
WCAG SC: 1.4.8 Visual Presentation (Level AAA, WCAG 2.0)
Rule: Siteimprove Alfa — Text has minimum contrast ratio of 4.5:1 [sia-r73]
Example URL: http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0
XPath / selector: <p class="usa-footer__contact-info margin-bottom-0">
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

Description

Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 2201 of 8816 scanned pages (5753 instances).

Steps to reproduce

Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0.
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.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 2201 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r87 Undetermined First focusable element is link to main content (WCAG criterion undetermined) 1931/8816 pages · 1931 instances Likely template

Bug ID: VS-0905c4a8
Pattern ID: VS-aa242c2d
Combined ID: VS-0905c4a8 (pattern VS-aa242c2d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — First focusable element is link to main content [sia-r87]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
XPath / selector: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

Description

First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 1931 of 8816 scanned pages (1931 instances).

Steps to reproduce

Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236.
Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
Confirm the Siteimprove Alfa finding for rule sia-r87.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 1931 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r61 Undetermined Form field label is visible (WCAG criterion undetermined) 1917/8816 pages · 1917 instances Likely template

Bug ID: VS-07fc5396
Pattern ID: VS-7118fead
Combined ID: VS-07fc5396 (pattern VS-7118fead) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — Form field label is visible [sia-r61]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
XPath / selector: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

Description

Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 1917 of 8816 scanned pages (1917 instances).

Steps to reproduce

Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236.
Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
Confirm the Siteimprove Alfa finding for rule sia-r61.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 1917 pages (CSV).

Testing environment

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

Suggested fix

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

Triage status Notes

Minor axe aria-allowed-role Best Practice ARIA role should be appropriate for the element (WCAG criterion undetermined) 599/8816 pages · 1271 instances Likely template

Bug ID: VS-b9dfbe19
Pattern ID: VS-4fac2f41
Combined ID: VS-b9dfbe19 (pattern VS-4fac2f41) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — ARIA role should be appropriate for the element [aria-allowed-role]
Example URL: http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=5&q=
XPath / selector: span[data-select2-id="select2-data-1-vt32"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

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

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

Description

ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 599 of 8816 scanned pages (1271 instances).

Steps to reproduce

Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=5&q=.
Locate the element: span[data-select2-id="select2-data-1-vt32"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea
Confirm the axe-core finding for rule aria-allowed-role.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 599 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Moderate alfa sia-r18 Undetermined aria attribute is permitted for element role (WCAG criterion undetermined) 419/8816 pages · 2038 instances Likely template

Bug ID: VS-ad93c9c0
Pattern ID: VS-e05344b9
Combined ID: VS-ad93c9c0 (pattern VS-e05344b9) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — aria attribute is permitted for element role [sia-r18]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
XPath / selector: @aria-selected="true"
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

Description

aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 419 of 8816 scanned pages (2038 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 419 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Moderate axe heading-order Best Practice Heading levels should only increase by one (WCAG criterion undetermined) 398/8816 pages · 431 instances Likely template

Bug ID: VS-99f52284
Pattern ID: VS-d25f622d
Combined ID: VS-99f52284 (pattern VS-d25f622d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — Heading levels should only increase by one [heading-order]
Example URL: http://medicaid.gov/medicaid/eligibility/magi-conversion-plans-and-results
XPath / selector: .region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

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

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

Description

Heading levels should only increase by one. Detected by axe-core rule heading-order on 398 of 8816 scanned pages (431 instances).

Steps to reproduce

Open http://medicaid.gov/medicaid/eligibility/magi-conversion-plans-and-results.
Locate the element: .region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4
Confirm the axe-core finding for rule heading-order.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 398 pages (CSV).

Testing environment

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

Suggested fix

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

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

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

Triage status Notes

Moderate deprecated-html presentational-attr Undetermined Presentational attribute (use CSS) (WCAG criterion undetermined) 251/8816 pages · 313 instances Likely template

Bug ID: VS-b1592912
Pattern ID: VS-04a9d28c
Combined ID: VS-b1592912 (pattern VS-04a9d28c) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: deprecated-html — Presentational attribute (use CSS) [presentational-attr]
Example URL: https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2611
XPath / selector: td
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

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

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

Description

Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 251 of 8816 scanned pages (313 instances).

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.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 251 pages (CSV).

Testing environment

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

Suggested fix

Not captured by automated scan — requires manual testing.

Triage status Notes

Moderate alfa sia-r53 Undetermined Headings are structured hierarchically (WCAG criterion undetermined) 205/8816 pages · 227 instances Likely template

Bug ID: VS-ad72be24
Pattern ID: VS-f054f4a4
Combined ID: VS-ad72be24 (pattern VS-f054f4a4) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — Headings are structured hierarchically [sia-r53]
Example URL: https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa
XPath / selector: <h4 class="usa-footer__primary-link">
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

Description

Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 205 of 8816 scanned pages (227 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa.
Locate the element: <h4 class="usa-footer__primary-link">
Confirm the Siteimprove Alfa finding for rule sia-r53.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 205 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Moderate axe landmark-unique Best Practice Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined) 71/8816 pages · 71 instances Likely template

Bug ID: VS-e745a5bc
Pattern ID: VS-8806389c
Combined ID: VS-e745a5bc (pattern VS-8806389c) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — Landmarks should have a unique role or role/label/title (i.e. accessible name) c [landmark-unique]
Example URL: https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person
XPath / selector: .section
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

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

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

Description

Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 71 of 8816 scanned pages (71 instances).

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.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 71 pages (CSV).

Testing environment

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

Suggested fix

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

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

Triage status Notes

Moderate axe landmark-contentinfo-is-top-level Best Practice Contentinfo landmark should not be contained in another landmark (WCAG criterion undetermined) 20/8816 pages · 20 instances Likely template

Bug ID: VS-4115eb40
Pattern ID: VS-424cced9
Combined ID: VS-4115eb40 (pattern VS-424cced9) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — Contentinfo landmark should not be contained in another landmark [landmark-contentinfo-is-top-level]
Example URL: http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2006&f1=Eligibility+and+Enrollment+Systems&f2=Eligibiity+Policy&f3=0&f4=0&f5=0&f6=0&fcf=&fd=05%2F22%2F2012&page=0&sb=-published&sl=yes&td=01%2F22%2F2019
XPath / selector: .usa-alert
History: first seen 2026-W25, last seen 2026-W29 (2 wk)

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

<div class="usa-alert usa-alert--error usa-alert--slim" role="contentinfo" aria-label="Error message">

Description

Contentinfo landmark should not be contained in another landmark. Detected by axe-core rule landmark-contentinfo-is-top-level on 20 of 8816 scanned pages (20 instances).

Steps to reproduce

Open http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2006&f1=Eligibility+and+Enrollment+Systems&f2=Eligibiity+Policy&f3=0&f4=0&f5=0&f6=0&fcf=&fd=05%2F22%2F2012&page=0&sb=-published&sl=yes&td=01%2F22%2F2019.
Locate the element: .usa-alert
Confirm the axe-core finding for rule landmark-contentinfo-is-top-level.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-contentinfo-is-top-level?application=axeAPI

Triage status Notes

Moderate axe landmark-no-duplicate-contentinfo Best Practice Document should not have more than one contentinfo landmark (WCAG criterion undetermined) 20/8816 pages · 20 instances Likely template

Bug ID: VS-32f8d704
Pattern ID: VS-b465dfd7
Combined ID: VS-32f8d704 (pattern VS-b465dfd7) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — Document should not have more than one contentinfo landmark [landmark-no-duplicate-contentinfo]
Example URL: http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2006&f1=Eligibility+and+Enrollment+Systems&f2=Eligibiity+Policy&f3=0&f4=0&f5=0&f6=0&fcf=&fd=05%2F22%2F2012&page=0&sb=-published&sl=yes&td=01%2F22%2F2019
XPath / selector: .usa-alert
History: first seen 2026-W25, last seen 2026-W29 (2 wk)

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

<div class="usa-alert usa-alert--error usa-alert--slim" role="contentinfo" aria-label="Error message">

Description

Document should not have more than one contentinfo landmark. Detected by axe-core rule landmark-no-duplicate-contentinfo on 20 of 8816 scanned pages (20 instances).

Steps to reproduce

Open http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2006&f1=Eligibility+and+Enrollment+Systems&f2=Eligibiity+Policy&f3=0&f4=0&f5=0&f6=0&fcf=&fd=05%2F22%2F2012&page=0&sb=-published&sl=yes&td=01%2F22%2F2019.
Locate the element: .usa-alert
Confirm the axe-core finding for rule landmark-no-duplicate-contentinfo.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

How to fix: Use only one contentinfo landmark (<footer> at the top level) per page.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-contentinfo?application=axeAPI

Triage status Notes

Moderate alfa sia-r74 WCAG 2.x AAA Link is distinguishable without relying on color (WCAG 1.4.8) 15/8816 pages · 57 instances Likely template

Bug ID: VS-b2e8e41d
Pattern ID: VS-fbf54eba
Combined ID: VS-b2e8e41d (pattern VS-fbf54eba) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.x AAA
Obligation: aspirational
Handling: review
WCAG SC: 1.4.8 Visual Presentation (Level AAA, WCAG 2.0)
Rule: Siteimprove Alfa — Link is distinguishable without relying on color [sia-r74]
Example URL: https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D
XPath / selector: <p class="welcome-text core-set ng-star-inserted">
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

Description

Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 15 of 8816 scanned pages (57 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r78 Undetermined Table header has scope (WCAG criterion undetermined) 9/8816 pages · 34 instances

Bug ID: VS-ec9a6590
Pattern ID: VS-2cd767ca
Combined ID: VS-ec9a6590 (pattern VS-2cd767ca) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — Table header has scope [sia-r78]
Example URL: https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D
XPath / selector: <h3 _ngcontent-ng-c1329502141="" class="view-measures-related-to-header core-set ng-star-inserted">
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

Description

Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 9 of 8816 scanned pages (34 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r85 Undetermined Keyboard trap does not exist (WCAG criterion undetermined) 5/8816 pages · 239 instances

Bug ID: VS-55ff4a50
Pattern ID: VS-4c341c77
Combined ID: VS-55ff4a50 (pattern VS-4c341c77) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — Keyboard trap does not exist [sia-r85]
Example URL: https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D
XPath / selector: <p class="selected-states-header">
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

Description

Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 5 of 8816 scanned pages (239 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r72 Undetermined Element role is consistent with ARIA landmark (WCAG criterion undetermined) 4/8816 pages · 687 instances

Bug ID: VS-408d365f
Pattern ID: VS-e5ec42f0
Combined ID: VS-408d365f (pattern VS-e5ec42f0) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: unmapped
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — Element role is consistent with ARIA landmark [sia-r72]
Example URL: https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ME%22%5D
XPath / selector: <p _ngcontent-ng-c2822395467="" class="title core-set">
History: first seen 2026-W24, last seen 2026-W29 (6 wk)

Description

Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 4 of 8816 scanned pages (687 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate axe landmark-no-duplicate-main Best Practice Document should not have more than one main landmark (WCAG criterion undetermined) 4/8816 pages · 4 instances

Bug ID: VS-3164529c
Pattern ID: VS-cd69be3a
Combined ID: VS-3164529c (pattern VS-cd69be3a) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — Document should not have more than one main landmark [landmark-no-duplicate-main]
Example URL: https://www.medicaid.gov/style-guide/components/select
XPath / selector: .main-content
History: first seen 2026-W28, last seen 2026-W29 (2 wk)

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

<main id="content" class="main-content grid-col-12" role="main">

Description

Document should not have more than one main landmark. Detected by axe-core rule landmark-no-duplicate-main on 4 of 8816 scanned pages (4 instances).

Steps to reproduce

Open https://www.medicaid.gov/style-guide/components/select.
Locate the element: .main-content
Confirm the axe-core finding for rule landmark-no-duplicate-main.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI

Triage status Notes

Moderate axe landmark-main-is-top-level Best Practice Main landmark should not be contained in another landmark (WCAG criterion undetermined) 4/8816 pages · 4 instances

Bug ID: VS-9f4a6c27
Pattern ID: VS-ff3ceb19
Combined ID: VS-9f4a6c27 (pattern VS-ff3ceb19) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — Main landmark should not be contained in another landmark [landmark-main-is-top-level]
Example URL: https://www.medicaid.gov/style-guide/components/select
XPath / selector: .style-guide-page > .grid-gap-sm.grid-row > main
History: first seen 2026-W28, last seen 2026-W29 (2 wk)

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

<main id="content" class="grid-col-12 desktop:grid-col-9" role="main">

Description

Main landmark should not be contained in another landmark. Detected by axe-core rule landmark-main-is-top-level on 4 of 8816 scanned pages (4 instances).

Steps to reproduce

Open https://www.medicaid.gov/style-guide/components/select.
Locate the element: .style-guide-page > .grid-gap-sm.grid-row > main
Confirm the axe-core finding for rule landmark-main-is-top-level.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r46 WCAG 2.0 A Element has required aria-owns (WCAG 1.3.1) 3/8816 pages · 4 instances

Bug ID: VS-15bc5e81
Pattern ID: VS-4408605e
Combined ID: VS-15bc5e81 (pattern VS-4408605e) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 1.3.1 Info and Relationships (Level A, WCAG 2.0)
Rule: Siteimprove Alfa — Element has required aria-owns [sia-r46]
Example URL: https://www.medicaid.gov/state-overviews/puerto-rico.html
XPath / selector: <th>
History: first seen 2026-W24, last seen 2026-W29 (4 wk)

Description

Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 3 of 8816 scanned pages (4 instances).

Steps to reproduce

Open https://www.medicaid.gov/state-overviews/puerto-rico.html.
Locate the element: <th>
Confirm the Siteimprove Alfa finding for rule sia-r46 against WCAG 1.3.1 Info and Relationships.

Impact

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

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

Affected pages

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r77 WCAG 2.0 A Table cell has header (WCAG 1.3.1) 2/8816 pages · 17 instances Likely content

Bug ID: VS-a31e003b
Pattern ID: VS-3f067795
Combined ID: VS-a31e003b (pattern VS-3f067795) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.0 A
Obligation: required
Handling: review
WCAG SC: 1.3.1 Info and Relationships (Level A, WCAG 2.0)
Rule: Siteimprove Alfa — Table cell has header [sia-r77]
Example URL: https://www.medicaid.gov/state-overviews/puerto-rico.html
XPath / selector: <td>
History: first seen 2026-W24, last seen 2026-W29 (2 wk)

Description

Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 2 of 8816 scanned pages (17 instances).

Steps to reproduce

Open https://www.medicaid.gov/state-overviews/puerto-rico.html.
Locate the element: <td>
Confirm the Siteimprove Alfa finding for rule sia-r77 against WCAG 1.3.1 Info and Relationships.

Impact

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

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

Affected pages

Testing environment

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

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r77

Triage status Notes

Moderate axe scope-attr-valid Best Practice scope attribute should be used correctly (WCAG criterion undetermined) 1/8816 pages · 51 instances Likely content

Bug ID: VS-1ad781a5
Pattern ID: VS-0ba8ce9d
Combined ID: VS-1ad781a5 (pattern VS-0ba8ce9d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Best Practice
Obligation: advisory
Handling: review
WCAG SC: Best Practice — not a WCAG requirement
Rule: axe-core — scope attribute should be used correctly [scope-attr-valid]
Example URL: https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels
XPath / selector: tr:nth-child(1) > td[scope="row"]
History: first seen 2026-W24, last seen 2026-W29 (5 wk)

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

<td scope="row">Alabama</td>

Description

scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 1 of 8816 scanned pages (51 instances).

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.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels

Testing environment

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

Suggested fix

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

Triage status Notes

Moderate alfa sia-r71 WCAG 2.x AAA iframe element is not empty (WCAG 1.4.8) 1/8816 pages · 1 instances Likely content

Bug ID: VS-c95f4425
Pattern ID: VS-48291402
Combined ID: VS-c95f4425 (pattern VS-48291402) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: WCAG 2.x AAA
Obligation: aspirational
Handling: review
WCAG SC: 1.4.8 Visual Presentation (Level AAA, WCAG 2.0)
Rule: Siteimprove Alfa — iframe element is not empty [sia-r71]
Example URL: https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=851&page=10&q=
XPath / selector: <p style="text-align:justify">
History: first seen 2026-W29, last seen 2026-W29 (1 wk)

Description

iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 1 of 8816 scanned pages (1 instances).

Steps to reproduce

Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=851&page=10&q=.
Locate the element: <p style="text-align:justify">
Confirm the Siteimprove Alfa finding for rule sia-r71 against WCAG 1.4.8 Visual Presentation.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

/medicaid/medicaid-state-plan-amendments

Testing environment

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

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r71

Triage status Notes

Deque axe-core findings

Rule-level axe-core summary (16 rule type(s))

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

axe-core rules failing in 2026-W29, by pages affected
Rule	Impact	Pages affected	Instances	Example pages	All affected
All page content should be contained by landmarks [region]	moderate	3909	17440	/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26 /tmsis/dataguide/v4/data-elements/cot002111 /tmsis/dataguide/v4/data-quality-measures/exp-10-024-8	all 3909 pages (CSV)
Page should contain a level-one heading [page-has-heading-one]	moderate	3900	3900	/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26 /tmsis/dataguide/v4/data-elements/cot002111 /tmsis/dataguide/v4/data-quality-measures/exp-10-024-8	all 3900 pages (CSV)
Document should have one main landmark [landmark-one-main]	moderate	3896	3896	/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26 /tmsis/dataguide/v4/data-elements/cot002111 /tmsis/dataguide/v4/data-quality-measures/exp-10-024-8	all 3896 pages (CSV)
Elements must only use supported ARIA attributes [aria-allowed-attr]	critical	844	4103	/tmsis/dataguide/v4/data-elements/cot002111 /tmsis/dataguide/v3/data-elements/elg018236 /tmsis/dataguide/v3/data-elements/cip002085	all 844 pages (CSV)
Certain ARIA roles must contain particular children [aria-required-children]	critical	844	844	/tmsis/dataguide/v4/data-elements/cot002111 /tmsis/dataguide/v3/data-elements/elg018236 /tmsis/dataguide/v3/data-elements/cip002085	all 844 pages (CSV)
ARIA role should be appropriate for the element [aria-allowed-role]	minor	599	1271	/medicaid/medicaid-state-plan-amendments /faq /medicaid/medicaid-state-plan-amendments	all 599 pages (CSV)
ARIA input fields must have an accessible name [aria-input-field-name]	serious	596	1266	/medicaid/medicaid-state-plan-amendments /faq /medicaid/medicaid-state-plan-amendments	all 596 pages (CSV)
Heading levels should only increase by one [heading-order]	moderate	398	431	/medicaid/eligibility/magi-conversion-plans-and-results /medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-and-chip-enrollment-trend-snapshot /state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067	all 398 pages (CSV)
Landmarks should have a unique role or role/label/title (i.e. accessible name) combination [landmark-unique]	moderate	71	71	/medicaid/long-term-services-supports/money-follows-person /state-overviews /medicaid/financial-management/payment-limit-demonstrations	all 71 pages (CSV)
Contentinfo landmark should not be contained in another landmark [landmark-contentinfo-is-top-level]	moderate	20	20	/faq /faq /faq	all 20 pages (CSV)
Document should not have more than one contentinfo landmark [landmark-no-duplicate-contentinfo]	moderate	20	20	/faq /faq /faq	all 20 pages (CSV)
Elements must only use permitted ARIA attributes [aria-prohibited-attr]	serious	7	13	/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa /resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals /chip/state-program-information	all 7 pages (CSV)
Form elements should have a visible label [label-title-only]	serious	6	17	/medicaid/prescription-drugs/drug-utilization-review/innovative-practices /medicaid/prescription-drugs/drug-utilization-review/innovative-practices /medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report	all 6 pages (CSV)
Main landmark should not be contained in another landmark [landmark-main-is-top-level]	moderate	4	4	/style-guide/components/select /style-guide/templates /style-guide/components/date-picker	all 4 pages (CSV)
Document should not have more than one main landmark [landmark-no-duplicate-main]	moderate	4	4	/style-guide/components/select /style-guide/templates /style-guide/components/date-picker	all 4 pages (CSV)
scope attribute should be used correctly [scope-attr-valid]	moderate	1	51	/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels	all 1 pages (CSV)

Siteimprove Alfa findings

Rule-level Alfa summary (19 rule type(s))

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

Alfa rules failing in 2026-W29, by pages affected
Rule	Impact	Pages affected	Instances	Example pages	All affected
Text has enhanced contrast [sia-r66]	n/a	4123	121300	/medicaid/medicaid-state-plan-amendments /medicaid/medicaid-state-plan-amendments /tmsis/dataguide/v3/data-elements/elg018236	all 4123 pages (CSV)
Target size is at least 44×44 CSS pixels (Enhanced) [sia-r111]	n/a	4123	73298	/medicaid/medicaid-state-plan-amendments /medicaid/medicaid-state-plan-amendments /tmsis/dataguide/v3/data-elements/elg018236	all 4123 pages (CSV)
Scrolling content can be accessed by keyboard [sia-r57]	n/a	4120	87580	/medicaid/medicaid-state-plan-amendments /medicaid/medicaid-state-plan-amendments /tmsis/dataguide/v3/data-elements/elg018236	all 4120 pages (CSV)
Text has minimum contrast ratio of 4.5:1 [sia-r73]	n/a	2201	5753	/medicaid/medicaid-state-plan-amendments /medicaid/medicaid-state-plan-amendments /medicaid/medicaid-state-plan-amendments	all 2201 pages (CSV)
First focusable element is link to main content [sia-r87]	n/a	1931	1931	/tmsis/dataguide/v3/data-elements/elg018236 /tmsis/dataguide/v4/validation-rules/rule-7317 /tmsis/dataguide/v3/data-quality-measures/el-6-010-10	all 1931 pages (CSV)
Form field label is visible [sia-r61]	n/a	1917	1917	/tmsis/dataguide/v3/data-elements/elg018236 /tmsis/dataguide/v4/validation-rules/rule-7317 /tmsis/dataguide/v3/data-quality-measures/el-6-010-10	all 1917 pages (CSV)
Accessible name of link or button matches visible label [sia-r14]	n/a	975	980	/tmsis/dataguide/v3/data-elements/elg018236 /tmsis/dataguide/v4/data-elements/ftx005179 /tmsis/dataguide/v3/validation-rules/rule-384	all 975 pages (CSV)
Presentational children of an element are not focusable [sia-r68]	n/a	675	716	/tmsis/dataguide/v3/data-elements/elg018236 /tmsis/dataguide/v3/data-elements/cip002085 /tmsis/dataguide/v4/data-elements/ftx005179	all 675 pages (CSV)
aria attribute is permitted for element role [sia-r18]	n/a	419	2038	/tmsis/dataguide/v3/data-elements/elg018236 /tmsis/dataguide/v3/data-elements/cip002085 /tmsis/dataguide/v4/data-elements/ftx005179	all 419 pages (CSV)
Form field has accessible name [sia-r8]	n/a	268	577	/medicaid/medicaid-state-plan-amendments /medicaid/medicaid-state-plan-amendments /faq	all 268 pages (CSV)
Target size is at least 24×24 CSS pixels or has spacing (Minimum) [sia-r113]	n/a	268	577	/medicaid/medicaid-state-plan-amendments /medicaid/medicaid-state-plan-amendments /faq	all 268 pages (CSV)
Headings are structured hierarchically [sia-r53]	n/a	205	227	/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa /medicaid/quality-of-care/core-set-data-dashboard/main /state-overviews	all 205 pages (CSV)
Link is distinguishable without relying on color [sia-r74]	n/a	15	57	/medicaid/quality-of-care/core-set-data-dashboard/main /about-us/leadership /resources-for-states/disaster-response-toolkit/federal-disaster-resources	all 15 pages (CSV)
Table header has scope [sia-r78]	n/a	9	34	/medicaid/quality-of-care/core-set-data-dashboard/main /medicaid/quality-of-care/core-set-data-dashboard/main /dq-atlas/landing/resources/whats-new	all 9 pages (CSV)
Keyboard trap does not exist [sia-r85]	n/a	5	239	/medicaid/quality-of-care/core-set-data-dashboard/main /medicaid/quality-of-care/core-set-data-dashboard/main /medicaid/quality-of-care/core-set-data-dashboard/main	all 5 pages (CSV)
Element role is consistent with ARIA landmark [sia-r72]	n/a	4	687	/medicaid/quality-of-care/core-set-data-dashboard/main /medicaid/quality-of-care/core-set-data-dashboard/main /medicaid/quality-of-care/core-set-data-dashboard/main	all 4 pages (CSV)
Element has required aria-owns [sia-r46]	n/a	3	4	/state-overviews/puerto-rico.html /state-overviews/guam.html /medicaid/outreach-tools/helping-connect-enrollees-care	all 3 pages (CSV)
Table cell has header [sia-r77]	n/a	2	17	/state-overviews/puerto-rico.html /state-overviews/guam.html	all 2 pages (CSV)
iframe element is not empty [sia-r71]	n/a	1	1	/medicaid/medicaid-state-plan-amendments	all 1 pages (CSV)

Unique accessibility issues (axe + Alfa consolidated)

axe and Alfa both implement W3C ACT rules, so the same issue is often caught by both. These are deduplicated by ACT rule and page, so a shared finding counts once (36383 raw engine findings → 35703 unique).

Unique issues (rule × page): 35703
Caught by both engines: 680 highest confidence
axe only: 14439
Alfa only: 20584

2 rule type(s) caught by both engines — highest confidence

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

Rules flagged by both axe-core and Alfa in 2026-W29, by pages affected.
Issue	Pages	Rule references
Elements must only use supported ARIA attributes	858	axe aria-allowed-attr · Alfa sia-r18 · ACT 5c01ea
ARIA input fields must have an accessible name	596	axe aria-input-field-name · Alfa sia-r8 · ACT e086e5