# Accessibility bug reports — www.medicaid.gov, week 2026-W29

36 issue type(s) from 8816 pages scanned. Generated 2026-07-24 by [vital-scans](https://github.com/mgifford/vital-core), following [accessibility bug-reporting best practices](https://mgifford.github.io/ACCESSIBILITY.md/examples/ACCESSIBILITY_BUG_REPORTING_BEST_PRACTICES.html).

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

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

**Bug ID:** `VS-b5fa69fb`  
**Pattern ID:** `VS-179ad9b3`  
**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">`  
**WCAG SC:** 2.5.8 — Target Size (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r113` ([reference](https://alfa.siteimprove.com/rules/sia-r113))  
**Severity:** Moderate  
**Frequency:** 577 instances; 268 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

### Impact
Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%).
- **Limited manipulation/strength** (13.0% of population)
- **Limited reach** (2.0% of population)
- **Limited vision** (2.4% of population)

### Affected pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- http://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%5B0%5D=2096&limit=10&page=2&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=1&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=1&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=871&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=2&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=791&q=
- http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=0&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=6&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=1001&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=916&page=5&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=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=766&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=7&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=796&page=4&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=841&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=24&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/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=1&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=1&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=886&q=

…and more — 268 pages total ([download CSV](csv/alfa__sia-r113.csv)).

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

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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- http://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%5B0%5D=2096&limit=10&page=2&q=&sort=field_faq_date%3Adesc

---

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

**Bug ID:** `VS-142949df`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236  
**XPath / selector:** `<a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">`  
**WCAG SC:** 2.5.3 — Label in Name (Level A)  
**Rule:** Siteimprove Alfa — `sia-r14` ([reference](https://alfa.siteimprove.com/rules/sia-r14))  
**Severity:** Moderate  
**Frequency:** 980 instances; 975 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

### Impact
Affects Without vision (1.0%), Without speech (0.5%).
- **Without vision** (1.0% of population)
- **Without speech** (0.5% of population)

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7380
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-60-008-8
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2098
- 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/crx001001
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-59-004-4
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002090
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1658
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002116
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003197
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002078
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg014193
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002017
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-6-024_43
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-86-018-18
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-2-010-10
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002157
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003227

…and more — 975 pages total ([download CSV](csv/alfa__sia-r14.csv)).

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384

---

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

**Bug ID:** `VS-d2b8a747`  
**Pattern ID:** `VS-9429bb8d`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111  
**XPath / selector:** `.nav`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `aria-required-children` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 844 instances; 844 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<div class="nav nav-tabs nav-justified" role="tablist">
```

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

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

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003222
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003092
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl003037
- 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/crx001001
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002090
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv004066
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002116
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002068
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003197
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002078
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg014193
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002017
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002060

…and more — 844 pages total ([download CSV](csv/axe-core__aria-required-children.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085

---

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

**Bug ID:** `VS-8faf6525`  
**Pattern ID:** `VS-d6097011`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236  
**XPath / selector:** `<div class="nav nav-tabs nav-justified" role="tablist">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r68` ([reference](https://alfa.siteimprove.com/rules/sia-r68))  
**Severity:** Moderate  
**Frequency:** 716 instances; 675 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003222
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- 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/crx001001
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002090
- http://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%5B0%5D=2096&limit=10&page=2&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=1&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002116
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003197
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002078
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg014193
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002017
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002027
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002157
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003227
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg001010
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg016210
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=1&q=

…and more — 675 pages total ([download CSV](csv/alfa__sia-r68.csv)).

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179

---

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

**Bug ID:** `VS-15bc5e81`  
**Pattern ID:** `VS-4408605e`  
**URL:** https://www.medicaid.gov/state-overviews/puerto-rico.html  
**XPath / selector:** `<th>`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r46` ([reference](https://alfa.siteimprove.com/rules/sia-r46))  
**Severity:** Moderate  
**Frequency:** 4 instances; 3 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (4 weeks)

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

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

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.medicaid.gov/state-overviews/puerto-rico.html
- https://www.medicaid.gov/state-overviews/guam.html
- http://medicaid.gov/medicaid/outreach-tools/helping-connect-enrollees-care

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

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

### Example pages
- https://www.medicaid.gov/state-overviews/puerto-rico.html
- https://www.medicaid.gov/state-overviews/guam.html
- http://medicaid.gov/medicaid/outreach-tools/helping-connect-enrollees-care

---

## Table cell has header (WCAG 1.3.1)

**Bug ID:** `VS-a31e003b`  
**Pattern ID:** `VS-3f067795`  
**URL:** https://www.medicaid.gov/state-overviews/puerto-rico.html  
**XPath / selector:** `<td>`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r77` ([reference](https://alfa.siteimprove.com/rules/sia-r77))  
**Severity:** Moderate  
**Frequency:** 17 instances; 2 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (2 weeks)

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

### Steps to reproduce
1. Open https://www.medicaid.gov/state-overviews/puerto-rico.html.
2. Locate the element: <td>
3. 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
- https://www.medicaid.gov/state-overviews/puerto-rico.html
- https://www.medicaid.gov/state-overviews/guam.html

### 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

### Example pages
- https://www.medicaid.gov/state-overviews/puerto-rico.html
- https://www.medicaid.gov/state-overviews/guam.html

---

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

**Bug ID:** `VS-f236911d`  
**Pattern ID:** `VS-1467ea8a`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111  
**XPath / selector:** `a[href$="#overview"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-allowed-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 4103 instances; 844 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

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

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

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003222
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002044
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003092
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003235
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl003037
- 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/crx001001
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002090
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv004066
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002116
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002068
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003197
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002078
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg014193
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002017
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002060

…and more — 844 pages total ([download CSV](csv/axe-core__aria-allowed-attr.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085

---

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

**Bug ID:** `VS-f105dd74`  
**Pattern ID:** `VS-0841abc2`  
**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"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-input-field-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1266 instances; 596 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

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

### Steps to reproduce
1. Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=5&q=.
2. Locate the element: span[data-select2-id="select2-data-1-vt32"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]
3. Confirm the axe-core finding for rule aria-input-field-name against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=5&q=
- http://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%5B0%5D=2096&limit=10&page=1&q=&sort=field_faq_date%3Adesc
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=831&page=22&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- http://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%5B0%5D=2096&limit=10&page=2&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=1&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=6&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=1&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=1&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=871&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=2&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=791&q=
- http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=896&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=6&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=1001&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=1&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=716&page=22&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=11&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=5&q=

…and more — 596 pages total ([download CSV](csv/axe-core__aria-input-field-name.csv)).

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

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

### Example pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=5&q=
- http://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%5B0%5D=2096&limit=10&page=1&q=&sort=field_faq_date%3Adesc
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=

---

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

**Bug ID:** `VS-9a2228bf`  
**Pattern ID:** `VS-ebb1c464`  
**URL:** https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa  
**XPath / selector:** `#map-svg-map-1733145095414`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-prohibited-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 13 instances; 7 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa
- https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals
- http://medicaid.gov/chip/state-program-information
- http://medicaid.gov/about-us/where-can-people-get-help-medicaid-chip
- http://medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa
- https://www.medicaid.gov/state-overviews/state-profiles
- https://www.medicaid.gov/index.html

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

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

### Example pages
- https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa
- https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals
- http://medicaid.gov/chip/state-program-information

---

## Form field has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-fac38788`  
**Pattern ID:** `VS-a48e6078`  
**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">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r8` ([reference](https://alfa.siteimprove.com/rules/sia-r8))  
**Severity:** Moderate  
**Frequency:** 577 instances; 268 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

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

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- http://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%5B0%5D=2096&limit=10&page=2&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=1&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=1&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=871&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=2&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=791&q=
- http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=0&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=6&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=1001&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=916&page=5&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=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=766&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=7&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=796&page=4&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=841&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=24&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/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=1&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=1&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=886&q=

…and more — 268 pages total ([download CSV](csv/alfa__sia-r8.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- http://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%5B0%5D=2096&limit=10&page=2&q=&sort=field_faq_date%3Adesc

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-1fd14477`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0  
**XPath / selector:** `text: "Here’s how you know"`  
**WCAG SC:** 1.4.6 — Contrast (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r66` ([reference](https://alfa.siteimprove.com/rules/sia-r66))  
**Severity:** Moderate  
**Frequency:** 121300 instances; 4123 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A801&page=1658
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-6-010-10
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A786&f%5B1%5D=state%3A846&f%5B2%5D=state%3A976&f%5B3%5D=topics%3A7426&page=0&task=event-based-vision
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A891&f%5B1%5D=topics%3A5896&page=1660
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A971&page=1656
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6637
- https://www.medicaid.gov/faq?fcf=&fd=09%2F13%2F2017&page=2&sb=-published&sl=yes&stid=22%2C23&td=09%2F13%2F2017&tid=6
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3137
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?objectId=1899651&page=1
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2587
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A1001&items_per_page=10&objectId=1888355&page=68
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003222
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1971&fcf=41230&page=0&sl=yes
- http://medicaid.gov/faq?page=0
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361
- https://www.medicaid.gov/faq?fcf=40803&page=6&sl=yes
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-337

…and more — 4123 pages total ([download CSV](csv/alfa__sia-r66.csv)).

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

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

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

### Example pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A801&page=1658
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236

---

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

**Bug ID:** `VS-7e56ae53`  
**Pattern ID:** `VS-2208081b`  
**URL:** http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0  
**XPath / selector:** `<p class="usa-footer__contact-info margin-bottom-0">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r73` ([reference](https://alfa.siteimprove.com/rules/sia-r73))  
**Severity:** Moderate  
**Frequency:** 5753 instances; 2201 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A801&page=1658
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A786&f%5B1%5D=state%3A846&f%5B2%5D=state%3A976&f%5B3%5D=topics%3A7426&page=0&task=event-based-vision
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A891&f%5B1%5D=topics%3A5896&page=1660
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A971&page=1656
- https://www.medicaid.gov/faq?fcf=&fd=09%2F13%2F2017&page=2&sb=-published&sl=yes&stid=22%2C23&td=09%2F13%2F2017&tid=6
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?objectId=1899651&page=1
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A1001&items_per_page=10&objectId=1888355&page=68
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1971&fcf=41230&page=0&sl=yes
- http://medicaid.gov/faq?page=0
- https://www.medicaid.gov/faq?fcf=40803&page=6&sl=yes
- https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa
- 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-demo/demonstration-and-waiver-list?entry=8165&f%5B0%5D=waiver_state_facet%3A791&f%5B1%5D=waiver_state_facet%3A846&page=69
- https://www.medicaid.gov/medicaid/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=topics%3A721&f%5B1%5D=topics%3A4486&page=4
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A771&f%5B10%5D=fpg_topics_facet%3A6481&f%5B11%5D=fpg_topics_facet%3A6486&f%5B12%5D=fpg_topics_facet%3A8411&f%5B13%5D=fpg_topics_facet%3A8601&f%5B14%5D=fpg_type_facet%3A1486&f%5B2%5D=fpg_topics_facet%3A906&f%5B3%5D=fpg_topics_facet%3A1021&f%5B4%5D=fpg_topics_facet%3A1491&f%5B5%5D=fpg_topics_facet%3A1516&f%5B6%5D=fpg_topics_facet%3A1521&f%5B7%5D=fpg_topics_facet%3A1531&f%5B8%5D=fpg_topics_facet%3A2826&f%5B9%5D=fpg_topics_facet%3A3261&page=1
- 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
- https://www.medicaid.gov/faq?fcf=40803&page=80&sl=yes
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8632&f%5B0%5D=waiver_state_facet%3A786&f%5B1%5D=waiver_state_facet%3A816&page=66
- https://www.medicaid.gov/state-overviews
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A751&f%5B2%5D=fpg_topics_facet%3A761&f%5B3%5D=fpg_topics_facet%3A856&f%5B4%5D=fpg_topics_facet%3A906&f%5B5%5D=fpg_topics_facet%3A8411&f%5B6%5D=fpg_topics_facet%3A8716&page=109
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106876
- https://www.medicaid.gov/federal-policy-guidance?page=5
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1986&f%5B1%5D=sub_topic_faq_library_facet%3A2061&fcf=41245&page=6&sl=yes

…and more — 2201 pages total ([download CSV](csv/alfa__sia-r73.csv)).

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

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

### Example pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A801&page=1658
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A786&f%5B1%5D=state%3A846&f%5B2%5D=state%3A976&f%5B3%5D=topics%3A7426&page=0&task=event-based-vision

---

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

**Bug ID:** `VS-b2e8e41d`  
**Pattern ID:** `VS-fbf54eba`  
**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">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r74` ([reference](https://alfa.siteimprove.com/rules/sia-r74))  
**Severity:** Moderate  
**Frequency:** 57 instances; 15 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D
- https://www.medicaid.gov/about-us/leadership
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=20
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ME%22%5D
- https://www.medicaid.gov/dq-atlas/landing/resources/whats-new
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22OK%22%5D
- http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=4
- https://www.medicaid.gov/state-overviews/scorecard/welcome
- https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-drug-rebate-program-change-request
- https://www.medicaid.gov/dq-atlas/landing/resources/downloads
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KY%22%5D
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/177991
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22SC%22%5D
- http://medicaid.gov/medicaid/data-systems/streamlined-modular-certification
- http://medicaid.gov/medicaid/outreach-tools/helping-connect-enrollees-care

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

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

### Example pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D
- https://www.medicaid.gov/about-us/leadership
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=20

---

## iframe element is not empty (WCAG 1.4.8)

**Bug ID:** `VS-c95f4425`  
**Pattern ID:** `VS-48291402`  
**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">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r71` ([reference](https://alfa.siteimprove.com/rules/sia-r71))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 8816 pages affected
  
**History:** first seen 2026-W29, last seen 2026-W29 (1 week)

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

### Steps to reproduce
1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=851&page=10&q=.
2. Locate the element: <p style="text-align:justify">
3. 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
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=851&page=10&q=

### 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

---

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

**Bug ID:** `VS-2de7b1f8`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0  
**XPath / selector:** `<button class="usa-button" type="submit">`  
**WCAG SC:** 2.5.5 — Target Size (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r111` ([reference](https://alfa.siteimprove.com/rules/sia-r111))  
**Severity:** Moderate  
**Frequency:** 73298 instances; 4123 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A801&page=1658
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-6-010-10
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A786&f%5B1%5D=state%3A846&f%5B2%5D=state%3A976&f%5B3%5D=topics%3A7426&page=0&task=event-based-vision
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A891&f%5B1%5D=topics%3A5896&page=1660
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A971&page=1656
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6637
- https://www.medicaid.gov/faq?fcf=&fd=09%2F13%2F2017&page=2&sb=-published&sl=yes&stid=22%2C23&td=09%2F13%2F2017&tid=6
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3137
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?objectId=1899651&page=1
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2587
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A1001&items_per_page=10&objectId=1888355&page=68
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003222
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1971&fcf=41230&page=0&sl=yes
- http://medicaid.gov/faq?page=0
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361
- https://www.medicaid.gov/faq?fcf=40803&page=6&sl=yes
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-337

…and more — 4123 pages total ([download CSV](csv/alfa__sia-r111.csv)).

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

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

### Example pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A801&page=1658
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236

---

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

**Bug ID:** `VS-4d3feba0`  
**Pattern ID:** `VS-33841929`  
**URL:** https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices  
**XPath / selector:** `select[aria-labelledby="filter-th-87376-0"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `label-title-only` ([reference](https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 17 instances; 6 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

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

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices
- http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices
- https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report
- http://medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-drug-rebate-program-data
- https://www.medicaid.gov/style-guide/components/date-picker
- https://www.medicaid.gov/state-overviews/state-profiles

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

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

### Example pages
- https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices
- http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices
- https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report

---

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

**Bug ID:** `VS-d2fce1ff`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26  
**XPath / selector:** `.small`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `region` ([reference](https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 17440 instances; 3909 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<div class="small p-1">
```

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

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8
- 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/v4/validation-rules/rule-7317
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-6-010-10
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2611
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2003
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6637
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3137
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-630
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2587
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003222
- 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/validation-rules/rule-8356
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-14-004-5
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7782
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-015-15
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13

…and more — 3909 pages total ([download CSV](csv/axe-core__region.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8

---

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

**Bug ID:** `VS-8c598fec`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `page-has-heading-one` ([reference](https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 3900 instances; 3900 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<html class="no-js" lang="en">
```

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

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8
- 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/v4/validation-rules/rule-7317
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-6-010-10
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2611
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2003
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6637
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3137
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-630
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2587
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003222
- 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/validation-rules/rule-8356
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-14-004-5
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7782
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-015-15
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13

…and more — 3900 pages total ([download CSV](csv/axe-core__page-has-heading-one.csv)).

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8

---

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

**Bug ID:** `VS-779780d9`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-one-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 3896 instances; 3896 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<html class="no-js" lang="en">
```

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

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8
- 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/v4/validation-rules/rule-7317
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-6-010-10
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2611
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2003
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6637
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3137
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-630
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2587
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003222
- 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/validation-rules/rule-8356
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-14-004-5
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7782
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-015-15
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13

…and more — 3896 pages total ([download CSV](csv/axe-core__landmark-one-main.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-026-26
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-10-024-8

---

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

**Bug ID:** `VS-99f52284`  
**Pattern ID:** `VS-d25f622d`  
**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`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 431 instances; 398 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<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
1. Open http://medicaid.gov/medicaid/eligibility/magi-conversion-plans-and-results.
2. Locate the element: .region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4
3. Confirm the axe-core finding for rule heading-order.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicaid.gov/medicaid/eligibility/magi-conversion-plans-and-results
- http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-and-chip-enrollment-trend-snapshot
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067
- https://www.medicaid.gov/state-overviews/stateprofile.html?state=Mississippi
- https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D
- https://www.medicaid.gov/state-overviews
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106876
- https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals
- http://medicaid.gov/medicaid/data-and-systems/macbis/tmsis/tmsis-blog/126461
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106701
- https://www.medicaid.gov/resources-for-states/eligibility-enrollment-and-renewal-tools-and-resources/application-and-fair-hearings-resources
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/104786
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/154506
- http://medicaid.gov/state-overviews/stateprofile.html?state=Hawaii
- https://www.medicaid.gov/medicaid/data-systems/certification
- https://www.medicaid.gov/state-overviews/puerto-rico.html
- http://medicaid.gov/medicaid/eligibility-policy/coordination-of-benefits-third-party-liability
- https://www.medicaid.gov/medicaid/long-term-services-supports/health-homes
- https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center
- http://medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/tobacco-cessation
- 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/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106246
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/170476
- http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=2

…and more — 398 pages total ([download CSV](csv/axe-core__heading-order.csv)).

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

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

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

### Example pages
- http://medicaid.gov/medicaid/eligibility/magi-conversion-plans-and-results
- http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-and-chip-enrollment-trend-snapshot
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54067

---

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

**Bug ID:** `VS-e745a5bc`  
**Pattern ID:** `VS-8806389c`  
**URL:** https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person  
**XPath / selector:** `.section`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 71 instances; 71 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<aside class="section" role="complementary">
```

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

### Steps to reproduce
1. Open https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person.
2. Locate the element: .section
3. Confirm the axe-core finding for rule landmark-unique.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person
- https://www.medicaid.gov/state-overviews
- http://medicaid.gov/medicaid/financial-management/payment-limit-demonstrations
- https://www.medicaid.gov/medicaid/data-systems/certification
- https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center
- http://medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/tobacco-cessation
- http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=2
- 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/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=19
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=2
- http://medicaid.gov/medicaid/managed-care/guidance
- https://www.medicaid.gov/medicaid/financial-management/state-budget-expenditure-reporting-for-medicaid-and-chip/expenditure-reports-mbes/cbes
- https://www.medicaid.gov/style-guide/components/select
- http://medicaid.gov/resources-for-states/disaster-response-toolkit
- http://medicaid.gov/about-us
- https://www.medicaid.gov/medicaid/long-term-services-supports/medicaid-employment-initiatives
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=0
- https://www.medicaid.gov/medicaid/managed-care
- https://www.medicaid.gov/medicaid/long-term-services-supports/direct-care-workforce
- http://medicaid.gov/resources-for-states/medicaid-state-technical-assistance
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=50&page=4
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=16
- https://www.medicaid.gov/medicaid-provider-reassignment-regulation-final-rule
- http://medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/unit-rebate-amount-calculation

…and more — 71 pages total ([download CSV](csv/axe-core__landmark-unique.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person
- https://www.medicaid.gov/state-overviews
- http://medicaid.gov/medicaid/financial-management/payment-limit-demonstrations

---

## Contentinfo landmark should not be contained in another landmark (WCAG criterion undetermined)

**Bug ID:** `VS-4115eb40`  
**Pattern ID:** `VS-424cced9`  
**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`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-contentinfo-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-contentinfo-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 20 instances; 20 of 8816 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (2 weeks)

### HTML snippet
```html
<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
1. 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.
2. Locate the element: .usa-alert
3. Confirm the axe-core finding for rule landmark-contentinfo-is-top-level.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- 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
- https://www.medicaid.gov/faq?fcf=40769&page=1&sl=yes
- https://www.medicaid.gov/faq?fcf=40910&page=4&sl=yes
- https://www.medicaid.gov/faq?check_logged_in=1&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fcf=&fd=05%2F22%2F2012&page=1&sb=-published&sl=yes&td=03%2F25%2F2019
- https://www.medicaid.gov/faq?check_logged_in=1&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fcf=&fd=05%2F22%2F2012&page=0&sb=-published&sl=yes&td=03%2F25%2F2019
- https://www.medicaid.gov/faq?check_logged_in=1&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fcf=&fd=05%2F22%2F2012&page=4&sb=-published&sl=yes&td=03%2F25%2F2019
- https://www.medicaid.gov/faq?fcf=40769&page=0&sl=yes
- https://www.medicaid.gov/faq?fcf=40910&page=0&sl=yes
- https://www.medicaid.gov/faq?fcf=41043&page=0&sl=yes
- https://www.medicaid.gov/faq?fcf=40910&page=1&sl=yes
- 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=5&sb=-published&sl=yes&td=01%2F22%2F2019
- https://www.medicaid.gov/faq?check_logged_in=1&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fcf=&fd=05%2F22%2F2012&page=3&sb=-published&sl=yes&td=03%2F25%2F2019
- 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=4&sb=-published&sl=yes&td=01%2F22%2F2019
- https://www.medicaid.gov/faq?fcf=41222&page=0&sl=yes
- https://www.medicaid.gov/faq?page=5
- http://medicaid.gov/faq?f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fcf=&fd=05%2F22%2F2012&page=0&sb=-published&sl=yes&td=03%2F25%2F2019
- https://www.medicaid.gov/faq?check_logged_in=1&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fcf=&fd=05%2F22%2F2012&page=5&sb=-published&sl=yes&td=03%2F25%2F2019
- https://www.medicaid.gov/faq?fcf=40769&page=3&sl=yes
- https://www.medicaid.gov/faq?fcf=40910&page=3&sl=yes
- https://www.medicaid.gov/faq?fcf=40769&page=4&sl=yes

### 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

### Example pages
- 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
- https://www.medicaid.gov/faq?fcf=40769&page=1&sl=yes
- https://www.medicaid.gov/faq?fcf=40910&page=4&sl=yes

---

## Document should not have more than one contentinfo landmark (WCAG criterion undetermined)

**Bug ID:** `VS-32f8d704`  
**Pattern ID:** `VS-b465dfd7`  
**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`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-no-duplicate-contentinfo` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-contentinfo?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 20 instances; 20 of 8816 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (2 weeks)

### HTML snippet
```html
<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
1. 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.
2. Locate the element: .usa-alert
3. Confirm the axe-core finding for rule landmark-no-duplicate-contentinfo.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- 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
- https://www.medicaid.gov/faq?fcf=40769&page=1&sl=yes
- https://www.medicaid.gov/faq?fcf=40910&page=4&sl=yes
- https://www.medicaid.gov/faq?check_logged_in=1&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fcf=&fd=05%2F22%2F2012&page=1&sb=-published&sl=yes&td=03%2F25%2F2019
- https://www.medicaid.gov/faq?check_logged_in=1&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fcf=&fd=05%2F22%2F2012&page=0&sb=-published&sl=yes&td=03%2F25%2F2019
- https://www.medicaid.gov/faq?check_logged_in=1&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fcf=&fd=05%2F22%2F2012&page=4&sb=-published&sl=yes&td=03%2F25%2F2019
- https://www.medicaid.gov/faq?fcf=40769&page=0&sl=yes
- https://www.medicaid.gov/faq?fcf=40910&page=0&sl=yes
- https://www.medicaid.gov/faq?fcf=41043&page=0&sl=yes
- https://www.medicaid.gov/faq?fcf=40910&page=1&sl=yes
- 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=5&sb=-published&sl=yes&td=01%2F22%2F2019
- https://www.medicaid.gov/faq?check_logged_in=1&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fcf=&fd=05%2F22%2F2012&page=3&sb=-published&sl=yes&td=03%2F25%2F2019
- 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=4&sb=-published&sl=yes&td=01%2F22%2F2019
- https://www.medicaid.gov/faq?fcf=41222&page=0&sl=yes
- https://www.medicaid.gov/faq?page=5
- http://medicaid.gov/faq?f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fcf=&fd=05%2F22%2F2012&page=0&sb=-published&sl=yes&td=03%2F25%2F2019
- https://www.medicaid.gov/faq?check_logged_in=1&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fcf=&fd=05%2F22%2F2012&page=5&sb=-published&sl=yes&td=03%2F25%2F2019
- https://www.medicaid.gov/faq?fcf=40769&page=3&sl=yes
- https://www.medicaid.gov/faq?fcf=40910&page=3&sl=yes
- https://www.medicaid.gov/faq?fcf=40769&page=4&sl=yes

### 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

### Example pages
- 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
- https://www.medicaid.gov/faq?fcf=40769&page=1&sl=yes
- https://www.medicaid.gov/faq?fcf=40910&page=4&sl=yes

---

## Main landmark should not be contained in another landmark (WCAG criterion undetermined)

**Bug ID:** `VS-9f4a6c27`  
**Pattern ID:** `VS-ff3ceb19`  
**URL:** https://www.medicaid.gov/style-guide/components/select  
**XPath / selector:** `.style-guide-page > .grid-gap-sm.grid-row > main`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-main-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 4 instances; 4 of 8816 pages affected
  
**History:** first seen 2026-W28, last seen 2026-W29 (2 weeks)

### HTML snippet
```html
<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
1. Open https://www.medicaid.gov/style-guide/components/select.
2. Locate the element: .style-guide-page > .grid-gap-sm.grid-row > main
3. Confirm the axe-core finding for rule landmark-main-is-top-level.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/style-guide/components/select
- https://www.medicaid.gov/style-guide/templates
- https://www.medicaid.gov/style-guide/components/date-picker
- https://www.medicaid.gov/style-guide/components/pagination

### 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

### Example pages
- https://www.medicaid.gov/style-guide/components/select
- https://www.medicaid.gov/style-guide/templates
- https://www.medicaid.gov/style-guide/components/date-picker

---

## Document should not have more than one main landmark (WCAG criterion undetermined)

**Bug ID:** `VS-3164529c`  
**Pattern ID:** `VS-cd69be3a`  
**URL:** https://www.medicaid.gov/style-guide/components/select  
**XPath / selector:** `.main-content`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-no-duplicate-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 4 instances; 4 of 8816 pages affected
  
**History:** first seen 2026-W28, last seen 2026-W29 (2 weeks)

### HTML snippet
```html
<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
1. Open https://www.medicaid.gov/style-guide/components/select.
2. Locate the element: .main-content
3. Confirm the axe-core finding for rule landmark-no-duplicate-main.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/style-guide/components/select
- https://www.medicaid.gov/style-guide/templates
- https://www.medicaid.gov/style-guide/components/date-picker
- https://www.medicaid.gov/style-guide/components/pagination

### 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

### Example pages
- https://www.medicaid.gov/style-guide/components/select
- https://www.medicaid.gov/style-guide/templates
- https://www.medicaid.gov/style-guide/components/date-picker

---

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

**Bug ID:** `VS-1ad781a5`  
**Pattern ID:** `VS-0ba8ce9d`  
**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"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `scope-attr-valid` ([reference](https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 51 instances; 1 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (5 weeks)

### HTML snippet
```html
<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
1. Open https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels.
2. Locate the element: tr:nth-child(1) > td[scope="row"]
3. Confirm the axe-core finding for rule scope-attr-valid.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/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

---

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

**Bug ID:** `VS-b9dfbe19`  
**Pattern ID:** `VS-4fac2f41`  
**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`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `aria-allowed-role` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 1271 instances; 599 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

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

### Steps to reproduce
1. Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=5&q=.
2. 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
3. Confirm the axe-core finding for rule aria-allowed-role.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=5&q=
- http://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%5B0%5D=2096&limit=10&page=1&q=&sort=field_faq_date%3Adesc
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=29&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=831&page=22&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- http://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%5B0%5D=2096&limit=10&page=2&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=1&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=6&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=1&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=1&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=871&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=2&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=791&q=
- http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=896&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=6&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=1001&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=1&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=716&page=22&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=11&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=5&q=

…and more — 599 pages total ([download CSV](csv/axe-core__aria-allowed-role.csv)).

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

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

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

### Example pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=5&q=
- http://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%5B0%5D=2096&limit=10&page=1&q=&sort=field_faq_date%3Adesc
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=

---

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

**Bug ID:** `VS-3adb53e6`  
**Pattern ID:** `VS-c18be945`  
**URL:** http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0  
**XPath / selector:** `text: "  Feedback  "`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 87580 instances; 4120 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A801&page=1658
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-6-010-10
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A786&f%5B1%5D=state%3A846&f%5B2%5D=state%3A976&f%5B3%5D=topics%3A7426&page=0&task=event-based-vision
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A891&f%5B1%5D=topics%3A5896&page=1660
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A971&page=1656
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6637
- https://www.medicaid.gov/faq?fcf=&fd=09%2F13%2F2017&page=2&sb=-published&sl=yes&stid=22%2C23&td=09%2F13%2F2017&tid=6
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3137
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?objectId=1899651&page=1
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2587
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A1001&items_per_page=10&objectId=1888355&page=68
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003222
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1971&fcf=41230&page=0&sl=yes
- http://medicaid.gov/faq?page=0
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361
- https://www.medicaid.gov/faq?fcf=40803&page=6&sl=yes
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-337

…and more — 4120 pages total ([download CSV](csv/alfa__sia-r57.csv)).

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

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

### Example pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A801&page=1658
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236

---

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

**Bug ID:** `VS-0905c4a8`  
**Pattern ID:** `VS-aa242c2d`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r87` ([reference](https://alfa.siteimprove.com/rules/sia-r87))  
**Severity:** Moderate  
**Frequency:** 1931 instances; 1931 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-6-010-10
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6637
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3137
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2587
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003222
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-337
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8898
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7534
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7380
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-60-008-8
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-648
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2098
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8966
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6875

…and more — 1931 pages total ([download CSV](csv/alfa__sia-r87.csv)).

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-6-010-10

---

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

**Bug ID:** `VS-07fc5396`  
**Pattern ID:** `VS-7118fead`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r61` ([reference](https://alfa.siteimprove.com/rules/sia-r61))  
**Severity:** Moderate  
**Frequency:** 1917 instances; 1917 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-6-010-10
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6637
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3137
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-747
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2587
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003222
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8356
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-361
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-337
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-1126
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8898
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7534
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7380
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-60-008-8
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-648
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2098
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8966
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6875
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2188

…and more — 1917 pages total ([download CSV](csv/alfa__sia-r61.csv)).

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-6-010-10

---

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

**Bug ID:** `VS-ad93c9c0`  
**Pattern ID:** `VS-e05344b9`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236  
**XPath / selector:** `@aria-selected="true"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18))  
**Severity:** Moderate  
**Frequency:** 2038 instances; 419 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003222
- https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D
- 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/crx001001
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002053
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002090
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002116
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003197
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002078
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg014193
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002017
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002027
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002157
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003227
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg001010
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg016210
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx001012
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002073
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002065
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002028

…and more — 419 pages total ([download CSV](csv/alfa__sia-r18.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg018236
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002085
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179

---

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

**Bug ID:** `VS-b1592912`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2611  
**XPath / selector:** `td`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 313 instances; 251 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<td valign="top" colspan="7" class="dataTables_empty">No data available in table</td>
```

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

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2611.
2. Locate the element: td
3. Confirm the deprecated-html finding for rule presentational-attr.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2611
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8898
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6719
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7036
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002118
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7371
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8849
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002249
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002089
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-963
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-3-008-1
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3160
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002218
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv001009
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6234
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-12-095-90
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-708
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8630
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6643
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8963
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/tpl-8-001-1
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002140
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8346
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr007083
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2464

…and more — 251 pages total ([download CSV](csv/deprecated-html__presentational-attr.csv)).

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

### Suggested fix
Not captured by automated scan — requires manual testing.

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2611
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8898
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6719

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-ad72be24`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa  
**XPath / selector:** `<h4 class="usa-footer__primary-link">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 227 instances; 205 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D
- https://www.medicaid.gov/state-overviews
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106876
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/104786
- http://medicaid.gov/state-overviews/stateprofile.html?state=Hawaii
- https://www.medicaid.gov/state-overviews/puerto-rico.html
- https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/170476
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/107766
- https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/improving-asthma-control
- https://www.medicaid.gov/federal-policy-guidance-sidebar-content
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=20
- http://medicaid.gov/state-overviews/stateprofile.html?state=North-Carolina
- http://medicaid.gov/medicaid/enrollment-strategies/express-lane-eligibility-medicaid-and-chip-coverage
- https://www.medicaid.gov/state-overviews/stateprofile.html?state=Nevada
- http://medicaid.gov/medicaid/benefits/telehealth/office-of-civil-rights-hipaa-guidance
- http://medicaid.gov/state-overviews/stateprofile.html?state=New-Jersey
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/101031
- https://www.medicaid.gov/medicaid/managed-care/managed-care-entities
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/state-option-to-delay-procedural-disenrollments
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ME%22%5D
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106601
- https://www.medicaid.gov/chip/financing
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/90986

…and more — 205 pages total ([download CSV](csv/alfa__sia-r53.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D
- https://www.medicaid.gov/state-overviews

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-ec9a6590`  
**Pattern ID:** `VS-2cd767ca`  
**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">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 34 instances; 9 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ME%22%5D
- https://www.medicaid.gov/dq-atlas/landing/resources/whats-new
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22OK%22%5D
- https://www.medicaid.gov/dq-atlas/landing/resources/about
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KY%22%5D
- https://www.medicaid.gov/dq-atlas/landing/resources
- 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%22SC%22%5D

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

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

### Example pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ME%22%5D
- https://www.medicaid.gov/dq-atlas/landing/resources/whats-new

---

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

**Bug ID:** `VS-55ff4a50`  
**Pattern ID:** `VS-4c341c77`  
**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">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r85` ([reference](https://alfa.siteimprove.com/rules/sia-r85))  
**Severity:** Moderate  
**Frequency:** 239 instances; 5 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ME%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22OK%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KY%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22SC%22%5D

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

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

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

---

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

**Bug ID:** `VS-408d365f`  
**Pattern ID:** `VS-e5ec42f0`  
**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">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r72` ([reference](https://alfa.siteimprove.com/rules/sia-r72))  
**Severity:** Moderate  
**Frequency:** 687 instances; 4 of 8816 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

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

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ME%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22OK%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KY%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22SC%22%5D

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

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

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