{
 "schema_version": "0.1",
 "site": "www.medicaid.gov",
 "scan_week": "2026-W30",
 "generated_at": "2026-09-30T18:09:21.639Z",
 "source_files": [
  "docs/reports/www.medicaid.gov/2026-W30/",
  "data/www.medicaid.gov/findings.json",
  "data/www.medicaid.gov/2026-W30/summary.json"
 ],
 "summary": {
  "pages_known": 56276,
  "pages_scanned_this_week": 7314,
  "pages_with_known_issues": 48052,
  "findings": 39,
  "clusters": 37,
  "new_findings": 0,
  "persistent_findings": 38,
  "high_priority_findings": 26
 },
 "top_risks": [
  {
   "finding_id": "VS-0841abc2",
   "rule_id": "aria-input-field-name",
   "rule_label": "ARIA input fields must have an accessible name",
   "severity": "Serious",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 484,
   "rationale": "Serious severity; affects 484 pages; worsening trend",
   "top_url": "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=0&q="
  },
  {
   "finding_id": "VS-9429bb8d",
   "rule_id": "aria-required-children",
   "rule_label": "Certain ARIA roles must contain particular children",
   "severity": "Critical",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 477,
   "rationale": "Critical severity; affects 477 pages; worsening trend",
   "top_url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128"
  },
  {
   "finding_id": "VS-1467ea8a",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "severity": "Critical",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 477,
   "rationale": "Critical severity; affects 477 pages; worsening trend",
   "top_url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128"
  },
  {
   "finding_id": "VS-33841929",
   "rule_id": "label-title-only",
   "rule_label": "Form elements should have a visible label",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 5,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://www.medicaid.gov/prior-annual-medicaid-hospice-rate-letters"
  },
  {
   "finding_id": "VS-ebb1c464",
   "rule_id": "aria-prohibited-attr",
   "rule_label": "Elements must only use permitted ARIA attributes",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 2,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "http://medicaid.gov/chip/state-program-information"
  },
  {
   "finding_id": "VS-9074b4dd",
   "rule_id": "image-alt",
   "rule_label": "Images must have alternative text",
   "severity": "Critical",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 1,
   "rationale": "Critical severity; persistent across weeks",
   "top_url": "http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
  },
  {
   "finding_id": "VS-fab92378",
   "rule_id": "select-name",
   "rule_label": "Select element must have an accessible name",
   "severity": "Critical",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 1,
   "rationale": "Critical severity; persistent across weeks",
   "top_url": "https://www.medicaid.gov/tmsis/dataguide/v4/technical-instructions"
  },
  {
   "finding_id": "VS-e9fe47ac",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 1,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
  },
  {
   "finding_id": "VS-be8d563e",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 1,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://www.medicaid.gov/chip/reports-evaluations"
  },
  {
   "finding_id": "VS-646b1e0b",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "severity": "Moderate",
   "priority": "p2",
   "trend": "persistent",
   "pages_affected": 3490,
   "rationale": "affects 3490 pages; persistent across weeks",
   "top_url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317"
  }
 ],
 "findings": [
  {
   "finding_id": "VS-0841abc2",
   "fingerprint": "a3512e8b",
   "rule_id": "aria-input-field-name",
   "rule_label": "ARIA input fields must have an accessible name",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 484 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 484,
    "affected_pages_previous": 145
   },
   "frequency": {
    "instances": 1038,
    "pages_affected": 484,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "ARIA input fields must have an accessible name (WCAG 4.1.2)",
   "description": "ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 484 of 7314 scanned pages (1038 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-input-field-name (WCAG 4.1.2).",
   "actual_behavior": "ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 484 of 7314 scanned pages (1038 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=0&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=5&q=",
    "http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=1&q="
   ],
   "html_fragments": [
    {
     "fingerprint": "b83690ed",
     "html": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">",
     "selectors": [
      "span[data-select2-id=\"select2-data-1-eet5\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
      "span[data-select2-id=\"select2-data-4-2pm2\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
      "span[data-select2-id=\"select2-data-1-pyy2\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 19
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 5
    },
    {
     "pattern": "/chip/state-program-information/chip-spa",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-9429bb8d",
   "fingerprint": "d9ef25ac",
   "rule_id": "aria-required-children",
   "rule_label": "Certain ARIA roles must contain particular children",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Critical severity; affects 477 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 477,
    "affected_pages_previous": 224
   },
   "frequency": {
    "instances": 477,
    "pages_affected": 477,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Certain ARIA roles must contain particular children (WCAG 1.3.1)",
   "description": "Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 477 of 7314 scanned pages (477 instances).",
   "remediation_tip": "Add the child roles this container role requires (e.g. a list needs listitem children).",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-required-children (WCAG 1.3.1).",
   "actual_behavior": "Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 477 of 7314 scanned pages (477 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003092"
   ],
   "html_fragments": [
    {
     "fingerprint": "084e4684",
     "html": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "selectors": [
      ".nav"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx004128",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/clt002247",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx003092",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-1467ea8a",
   "fingerprint": "fc8886ab",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Critical severity; affects 477 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 477,
    "affected_pages_previous": 224
   },
   "frequency": {
    "instances": 2322,
    "pages_affected": 477,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Elements must only use supported ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 477 of 7314 scanned pages (2322 instances).",
   "remediation_tip": "Remove ARIA attributes that aren't allowed on this role/element.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-allowed-attr (WCAG 4.1.2).",
   "actual_behavior": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 477 of 7314 scanned pages (2322 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002247",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003092"
   ],
   "html_fragments": [
    {
     "fingerprint": "e8b33a04",
     "html": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>",
     "selectors": [
      "a[href$=\"#overview\"]"
     ]
    },
    {
     "fingerprint": "4b1aed0a",
     "html": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>",
     "selectors": [
      "a[href$=\"#validvalues\"]"
     ]
    },
    {
     "fingerprint": "0d0d83f3",
     "html": "<a class=\"nav-item nav-link\" href=\"#relatedrules\" role=\"link\" aria-selected=\"false\" aria-controls=\"relatedrules\" data-toggle=\"tab\">Related Rules</a>",
     "selectors": [
      "a[href$=\"#relatedrules\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx004128",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/clt002247",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx003092",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-33841929",
   "fingerprint": "e18c0475",
   "rule_id": "label-title-only",
   "rule_label": "Form elements should have a visible label",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "medium",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 5,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 34,
    "pages_affected": 5,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Form elements should have a visible label (WCAG criterion undetermined)",
   "description": "Form elements should have a visible label. Detected by axe-core rule label-title-only on 5 of 7314 scanned pages (34 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule label-title-only.",
   "actual_behavior": "Form elements should have a visible label. Detected by axe-core rule label-title-only on 5 of 7314 scanned pages (34 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/prior-annual-medicaid-hospice-rate-letters",
    "https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report",
    "https://www.medicaid.gov/chip/reports-evaluations"
   ],
   "html_fragments": [
    {
     "fingerprint": "50034708",
     "html": "<select aria-labelledby=\"filter-th-152991-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by Year\">",
     "selectors": [
      "select[aria-labelledby=\"filter-th-152991-1\"]",
      "select[aria-labelledby=\"filter-th-87381-0\"]",
      "select[aria-labelledby=\"filter-th-127961-0\"]"
     ]
    },
    {
     "fingerprint": "6aa0b2ba",
     "html": "<select aria-labelledby=\"filter-th-152991-2\" class=\"usa-select height-1\" data-col-index=\"2\" title=\"Filter by Date\">",
     "selectors": [
      "select[aria-labelledby=\"filter-th-152991-2\"]"
     ]
    },
    {
     "fingerprint": "1926a37c",
     "html": "<select aria-labelledby=\"filter-th-87381-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by State Full Name\">",
     "selectors": [
      "select[aria-labelledby=\"filter-th-87381-1\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/prior-annual-medicaid-hospice-rate-letters",
     "count": 1
    },
    {
     "pattern": "/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report",
     "count": 1
    },
    {
     "pattern": "/chip/reports-evaluations",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-ebb1c464",
   "fingerprint": "62f3ac21",
   "rule_id": "aria-prohibited-attr",
   "rule_label": "Elements must only use permitted ARIA attributes",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 2,
    "affected_pages_previous": 4
   },
   "frequency": {
    "instances": 8,
    "pages_affected": 2,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Elements must only use permitted ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 2 of 7314 scanned pages (8 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-prohibited-attr (WCAG 4.1.2).",
   "actual_behavior": "Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 2 of 7314 scanned pages (8 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicaid.gov/chip/state-program-information",
    "https://www.medicaid.gov/index.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "429c27ca",
     "html": "<div id=\"map-svg-map-default-1745254648\" class=\"map-container\" aria-disabled=\"true\" aria-label=\"State Map Image. Keyboard navigating users can use dropdown to select state.\" style=\"position: relative;",
     "selectors": [
      "#map-svg-map-default-1745254648",
      "#map-svg-map-default-1745255177"
     ]
    },
    {
     "fingerprint": "c3725f9a",
     "html": "<time class=\"nn-card__date flex-shrink-0 text-center margin-right-2 border\" datetime=\"2026-07-14\" aria-label=\"Jul 14\">",
     "selectors": [
      "time[datetime=\"2026-07-14\"]"
     ]
    },
    {
     "fingerprint": "2148da37",
     "html": "<time class=\"nn-card__date flex-shrink-0 text-center margin-right-2 border\" datetime=\"2026-07-07\" aria-label=\"Jul 07\">",
     "selectors": [
      "time[datetime=\"2026-07-07\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/chip/state-program-information",
     "count": 1
    },
    {
     "pattern": "/index.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-9074b4dd",
   "fingerprint": "f1846b41",
   "rule_id": "image-alt",
   "rule_label": "Images must have alternative text",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Critical severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 5,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Images must have alternative text (WCAG 1.1.1)",
   "description": "Images must have alternative text. Detected by axe-core rule image-alt on 1 of 7314 scanned pages (1 instances).",
   "remediation_tip": "Give every <img> a meaningful alt attribute. Use alt=\"\" only for decorative images so screen readers skip them.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule image-alt (WCAG 1.1.1).",
   "actual_behavior": "Images must have alternative text. Detected by axe-core rule image-alt on 1 of 7314 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "html_fragments": [
    {
     "fingerprint": "f1289ef1",
     "html": "<img src=\"/media/file/monitor-eval-1115-demonstrations0.png/\">",
     "selectors": [
      "p:nth-child(1) > a > img"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicaid/section-1115-demonstrations/{id}-demonstration-monitoring-evaluation",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-fab92378",
   "fingerprint": "56ca23c2",
   "rule_id": "select-name",
   "rule_label": "Select element must have an accessible name",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Critical severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 6,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Select element must have an accessible name (WCAG 4.1.2)",
   "description": "Select element must have an accessible name. Detected by axe-core rule select-name on 1 of 7314 scanned pages (1 instances).",
   "remediation_tip": "Give the <select> an accessible name via a <label> or aria-label.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule select-name (WCAG 4.1.2).",
   "actual_behavior": "Select element must have an accessible name. Detected by axe-core rule select-name on 1 of 7314 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/technical-instructions"
   ],
   "html_fragments": [
    {
     "fingerprint": "7cb1a9e7",
     "html": "<select id=\"items-per-page\" class=\"form-select\">\n                                <option value=\"10\">10</option>\n                                <option value=\"25\">25</option>\n                         ",
     "selectors": [
      "#items-per-page"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/technical-instructions",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-e9fe47ac",
   "fingerprint": "f85a6839",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 6,
    "affected_pages_current": 1,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Links must have discernible text (WCAG 2.4.4)",
   "description": "Links must have discernible text. Detected by axe-core rule link-name on 1 of 7314 scanned pages (1 instances).",
   "remediation_tip": "Give the link discernible text. Avoid empty links and icon-only links without an aria-label.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule link-name (WCAG 2.4.4).",
   "actual_behavior": "Links must have discernible text. Detected by axe-core rule link-name on 1 of 7314 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "html_fragments": [
    {
     "fingerprint": "9f443a36",
     "html": "<a href=\"/medicaid/section-1115-demonstrations/downloads/monitor-eval-1115-demonstrations-infographic.pdf\"><img src=\"/media/file/monitor-eval-1115-demonstrations0.png/\"></a>",
     "selectors": [
      "p:nth-child(1) > a"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicaid/section-1115-demonstrations/{id}-demonstration-monitoring-evaluation",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-be8d563e",
   "fingerprint": "1820bc84",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 5,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)",
   "description": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 1 of 7314 scanned pages (2 instances).",
   "remediation_tip": "Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule color-contrast (WCAG 1.4.3).",
   "actual_behavior": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 1 of 7314 scanned pages (2 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/chip/reports-evaluations"
   ],
   "html_fragments": [
    {
     "fingerprint": "6e1733f7",
     "html": "<span id=\"nav-icon\">🛈</span>",
     "selectors": [
      ".helpful-box-gray-sm > p > span",
      ".helpful-box-gray-sm > span"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/chip/reports-evaluations",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   }
  },
  {
   "finding_id": "VS-646b1e0b",
   "fingerprint": "afad441e",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 3490 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 3490,
    "affected_pages_previous": 3426
   },
   "frequency": {
    "instances": 124686,
    "pages_affected": 3490,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 3490 of 7314 scanned pages (124686 instances).",
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r66 (WCAG 1.4.6).",
   "actual_behavior": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 3490 of 7314 scanned pages (124686 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2341&f%5B1%5D=sub_topic_faq_library_facet%3A2356&f%5B2%5D=sub_topic_faq_library_facet%3A2371&f%5B3%5D=sub_topic_faq_library_facet%3A2421&f%5B4%5D=sub_topic_faq_library_facet%3A2521&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1911&f%5B1%5D=sub_topic_faq_library_facet%3A1956&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2511&page=0"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/faq",
     "count": 5
    },
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 5
    },
    {
     "pattern": "/federal-policy-guidance",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-cb53cc4d",
   "fingerprint": "1738fa81",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 3490 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 3490,
    "affected_pages_previous": 3426
   },
   "frequency": {
    "instances": 74437,
    "pages_affected": 3490,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 3490 of 7314 scanned pages (74437 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r111 (WCAG 2.5.5).",
   "actual_behavior": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 3490 of 7314 scanned pages (74437 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2341&f%5B1%5D=sub_topic_faq_library_facet%3A2356&f%5B2%5D=sub_topic_faq_library_facet%3A2371&f%5B3%5D=sub_topic_faq_library_facet%3A2421&f%5B4%5D=sub_topic_faq_library_facet%3A2521&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1911&f%5B1%5D=sub_topic_faq_library_facet%3A1956&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2511&page=0"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/faq",
     "count": 5
    },
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 5
    },
    {
     "pattern": "/federal-policy-guidance",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-c18be945",
   "fingerprint": "8634e2fd",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 3486 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 3486,
    "affected_pages_previous": 3425
   },
   "frequency": {
    "instances": 50955,
    "pages_affected": 3486,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3486 of 7314 scanned pages (50955 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r57.",
   "actual_behavior": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3486 of 7314 scanned pages (50955 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2341&f%5B1%5D=sub_topic_faq_library_facet%3A2356&f%5B2%5D=sub_topic_faq_library_facet%3A2371&f%5B3%5D=sub_topic_faq_library_facet%3A2421&f%5B4%5D=sub_topic_faq_library_facet%3A2521&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1911&f%5B1%5D=sub_topic_faq_library_facet%3A1956&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2511&page=0"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/faq",
     "count": 5
    },
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 5
    },
    {
     "pattern": "/federal-policy-guidance",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-2208081b",
   "fingerprint": "40bbca09",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 2380 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 2380,
    "affected_pages_previous": 2885
   },
   "frequency": {
    "instances": 5735,
    "pages_affected": 2380,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 2380 of 7314 scanned pages (5735 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r73 (WCAG 1.4.8).",
   "actual_behavior": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 2380 of 7314 scanned pages (5735 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2341&f%5B1%5D=sub_topic_faq_library_facet%3A2356&f%5B2%5D=sub_topic_faq_library_facet%3A2371&f%5B3%5D=sub_topic_faq_library_facet%3A2421&f%5B4%5D=sub_topic_faq_library_facet%3A2521&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1911&f%5B1%5D=sub_topic_faq_library_facet%3A1956&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2511&page=0",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A891&f%5B1%5D=topics%3A5896&page=1660"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 8
    },
    {
     "pattern": "/federal-policy-guidance",
     "count": 6
    },
    {
     "pattern": "/faq",
     "count": 5
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f18df681",
   "fingerprint": "09987718",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 2256 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 2256,
    "affected_pages_previous": 1046
   },
   "frequency": {
    "instances": 10051,
    "pages_affected": 2256,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 2256 of 7314 scanned pages (10051 instances).",
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule region.",
   "actual_behavior": "All page content should be contained by landmarks. Detected by axe-core rule region on 2256 of 7314 scanned pages (10051 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663"
   ],
   "html_fragments": [
    {
     "fingerprint": "b8db5cfb",
     "html": "<div class=\"small p-1\">",
     "selectors": [
      ".small"
     ]
    },
    {
     "fingerprint": "658adb3f",
     "html": "<div class=\"d-flex justify-content-between m-2 mb-2\">",
     "selectors": [
      ".justify-content-between"
     ]
    },
    {
     "fingerprint": "ffcbeb49",
     "html": "<p class=\"font-weight-bold m-0 mr-1\">Version:</p>",
     "selectors": [
      ".font-weight-bold"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-1386",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-7317",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-7663",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-fa44f293",
   "fingerprint": "a01b2a6c",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 2252 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 2252,
    "affected_pages_previous": 1041
   },
   "frequency": {
    "instances": 2252,
    "pages_affected": 2252,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Page should contain a level-one heading (WCAG criterion undetermined)",
   "description": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 2252 of 7314 scanned pages (2252 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule page-has-heading-one.",
   "actual_behavior": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 2252 of 7314 scanned pages (2252 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663"
   ],
   "html_fragments": [
    {
     "fingerprint": "c30e96bb",
     "html": "<html class=\"no-js\" lang=\"en\">",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-1386",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-7317",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-7663",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d5d82446",
   "fingerprint": "3627341e",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 2246 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 2246,
    "affected_pages_previous": 1041
   },
   "frequency": {
    "instances": 2246,
    "pages_affected": 2246,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Document should have one main landmark (WCAG criterion undetermined)",
   "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 2246 of 7314 scanned pages (2246 instances).",
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-one-main.",
   "actual_behavior": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 2246 of 7314 scanned pages (2246 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1386",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663"
   ],
   "html_fragments": [
    {
     "fingerprint": "c30e96bb",
     "html": "<html class=\"no-js\" lang=\"en\">",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-1386",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-7317",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-7663",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-aa242c2d",
   "fingerprint": "9bf7674d",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1116 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 1116,
    "affected_pages_previous": 543
   },
   "frequency": {
    "instances": 1116,
    "pages_affected": 1116,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "First focusable element is link to main content (WCAG criterion undetermined)",
   "description": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 1116 of 7314 scanned pages (1116 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r87.",
   "actual_behavior": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 1116 of 7314 scanned pages (1116 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-7317",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-7663",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx004128",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "Popper",
     "lift": 3.06,
     "pages_with_both": 126
    },
    {
     "technology": "Bootstrap",
     "lift": 3.06,
     "pages_with_both": 126
    },
    {
     "technology": "DataTables",
     "lift": 3.04,
     "pages_with_both": 126
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-7118fead",
   "fingerprint": "0d932ac9",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1108 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 1108,
    "affected_pages_previous": 539
   },
   "frequency": {
    "instances": 1108,
    "pages_affected": 1108,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 1108 of 7314 scanned pages (1108 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r61.",
   "actual_behavior": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 1108 of 7314 scanned pages (1108 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7317",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-7317",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-7663",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx004128",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "Popper",
     "lift": 3.08,
     "pages_with_both": 125
    },
    {
     "technology": "Bootstrap",
     "lift": 3.08,
     "pages_with_both": 125
    },
    {
     "technology": "DataTables",
     "lift": 3.07,
     "pages_with_both": 125
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f7dba940",
   "fingerprint": "477d8088",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 563 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 563,
    "affected_pages_previous": 284
   },
   "frequency": {
    "instances": 563,
    "pages_affected": 563,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "description": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 563 of 7314 scanned pages (563 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r14 (WCAG 2.5.3).",
   "actual_behavior": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 563 of 7314 scanned pages (563 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-015-15",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003092"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx004128",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/mis-8-015-15",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx003092",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "Popper",
     "lift": 3.08,
     "pages_with_both": 63
    },
    {
     "technology": "Bootstrap",
     "lift": 3.08,
     "pages_with_both": 63
    },
    {
     "technology": "DataTables",
     "lift": 3.07,
     "pages_with_both": 63
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   }
  },
  {
   "finding_id": "VS-d6097011",
   "fingerprint": "b46c5395",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 462 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 462,
    "affected_pages_previous": 183
   },
   "frequency": {
    "instances": 496,
    "pages_affected": 462,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 462 of 7314 scanned pages (496 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r68 (WCAG 1.3.1).",
   "actual_behavior": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 462 of 7314 scanned pages (496 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=0&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003092"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 8
    },
    {
     "pattern": "/chip/state-program-information/chip-spa",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx004128",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "Popper",
     "lift": 1.77,
     "pages_with_both": 27
    },
    {
     "technology": "Bootstrap",
     "lift": 1.77,
     "pages_with_both": 27
    },
    {
     "technology": "DataTables",
     "lift": 1.76,
     "pages_with_both": 27
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-e05344b9",
   "fingerprint": "9d7a222a",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 246 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 246,
    "affected_pages_previous": 117
   },
   "frequency": {
    "instances": 1228,
    "pages_affected": 246,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)",
   "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 246 of 7314 scanned pages (1228 instances).",
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r18.",
   "actual_behavior": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 246 of 7314 scanned pages (1228 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004128",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003092",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv004062"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx004128",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/ftx003092",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/prv004062",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "DataTables",
     "lift": 2.96,
     "pages_with_both": 28
    },
    {
     "technology": "Popper",
     "lift": 2.87,
     "pages_with_both": 27
    },
    {
     "technology": "Bootstrap",
     "lift": 2.87,
     "pages_with_both": 27
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d25f622d",
   "fingerprint": "98ff321a",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 245 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 245,
    "affected_pages_previous": 116
   },
   "frequency": {
    "instances": 268,
    "pages_affected": 245,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 245 of 7314 scanned pages (268 instances).",
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule heading-order.",
   "actual_behavior": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 245 of 7314 scanned pages (268 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j",
    "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-and-chip-enrollment-trend-snapshot",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/well-child-care"
   ],
   "html_fragments": [
    {
     "fingerprint": "c24ea3e3",
     "html": "<h3>Related Resources</h3>",
     "selectors": [
      ".field--name-field-resources-list > h3"
     ]
    },
    {
     "fingerprint": "07a7ab9b",
     "html": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>",
     "selectors": [
      ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/state-resource-center/disaster-response-toolkit/federal-disaster-resources/{id}",
     "count": 4
    },
    {
     "pattern": "/new-notable",
     "count": 2
    },
    {
     "pattern": "/state-overviews/stateprofile.html",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-a48e6078",
   "fingerprint": "2ccef0fa",
   "rule_id": "sia-r8",
   "rule_label": "Form field has accessible name",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r8",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 229 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 229,
    "affected_pages_previous": 69
   },
   "frequency": {
    "instances": 491,
    "pages_affected": 229,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Form field has accessible name (WCAG 4.1.2)",
   "description": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 229 of 7314 scanned pages (491 instances).",
   "remediation_tip": "Associate the form field with a label.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r8 (WCAG 4.1.2).",
   "actual_behavior": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 229 of 7314 scanned pages (491 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=0&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%5B%5D=736&q="
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 16
    },
    {
     "pattern": "/chip/state-program-information/chip-spa",
     "count": 4
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 3
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 1.61,
     "pages_with_both": 20
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-179ad9b3",
   "fingerprint": "0e001fcc",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 228 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 228,
    "affected_pages_previous": 69
   },
   "frequency": {
    "instances": 490,
    "pages_affected": 228,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)",
   "description": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 228 of 7314 scanned pages (490 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r113 (WCAG 2.5.8).",
   "actual_behavior": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 228 of 7314 scanned pages (490 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=0&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%5B%5D=736&q="
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 16
    },
    {
     "pattern": "/chip/state-program-information/chip-spa",
     "count": 4
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 3
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 1.61,
     "pages_with_both": 20
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-04a9d28c",
   "fingerprint": "02cfba82",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine": "deprecated-html",
   "tool": "deprecated-html",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": null,
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 144 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 144,
    "affected_pages_previous": 65
   },
   "frequency": {
    "instances": 180,
    "pages_affected": 144,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)",
   "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 144 of 7314 scanned pages (180 instances).",
   "remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "expected_behavior": "Element passes deprecated-html rule presentational-attr.",
   "actual_behavior": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 144 of 7314 scanned pages (180 instances).",
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl003037"
   ],
   "html_fragments": [
    {
     "fingerprint": "8febe8a4",
     "html": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>",
     "selectors": [
      "td"
     ]
    },
    {
     "fingerprint": "95a33b85",
     "html": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>",
     "selectors": [
      "td"
     ]
    },
    {
     "fingerprint": "fd2c7be6",
     "html": "<td valign=\"top\" colspan=\"2\" class=\"dataTables_empty\">No data available in table</td>",
     "selectors": [
      "td"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/clt004274",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v3/data-elements/tpl003037",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f054f4a4",
   "fingerprint": "5fa3b5a6",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 115 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 115,
    "affected_pages_previous": 58
   },
   "frequency": {
    "instances": 128,
    "pages_affected": 115,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 115 of 7314 scanned pages (128 instances).",
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r53.",
   "actual_behavior": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 115 of 7314 scanned pages (128 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-and-chip-enrollment-trend-snapshot",
    "https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/performance-indicator-technical-assistance",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/99166"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/state-resource-center/disaster-response-toolkit/federal-disaster-resources/{id}",
     "count": 4
    },
    {
     "pattern": "/medicaid/quality-of-care/core-set-data-dashboard/main",
     "count": 2
    },
    {
     "pattern": "/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-and-chip-enrollment-trend-snapshot",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-4fac2f41",
   "fingerprint": "550210da",
   "rule_id": "aria-allowed-role",
   "rule_label": "ARIA role should be appropriate for the element",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "severity": "Minor",
   "priority": "p3",
   "confidence": "high",
   "rationale": "affects 487 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 487,
    "affected_pages_previous": 145
   },
   "frequency": {
    "instances": 1042,
    "pages_affected": 487,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "ARIA role should be appropriate for the element (WCAG criterion undetermined)",
   "description": "ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 487 of 7314 scanned pages (1042 instances).",
   "remediation_tip": "Remove or change the ARIA role — it isn't allowed on this element type.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-allowed-role.",
   "actual_behavior": "ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 487 of 7314 scanned pages (1042 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=0&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=5&q=",
    "http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=1&q="
   ],
   "html_fragments": [
    {
     "fingerprint": "e5333dd9",
     "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",
     "selectors": [
      "span[data-select2-id=\"select2-data-1-eet5\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
      "span[data-select2-id=\"select2-data-4-2pm2\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
      "span[data-select2-id=\"select2-data-1-pyy2\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 19
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 5
    },
    {
     "pattern": "/chip/state-program-information/chip-spa",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-8806389c",
   "fingerprint": "ffb2ae06",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 45,
    "affected_pages_previous": 11
   },
   "frequency": {
    "instances": 45,
    "pages_affected": 45,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)",
   "description": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 45 of 7314 scanned pages (45 instances).",
   "remediation_tip": "When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. \"Primary\" and \"Footer\" navigation) so screen-reader users can tell them apart.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-unique.",
   "actual_behavior": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 45 of 7314 scanned pages (45 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/resources-for-states/medicaid-and-chip-program-portal/macpro-training-help",
    "http://medicaid.gov/chip",
    "https://www.medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial"
   ],
   "html_fragments": [
    {
     "fingerprint": "9f8096be",
     "html": "<aside class=\"section\" role=\"complementary\">",
     "selectors": [
      ".section"
     ]
    },
    {
     "fingerprint": "571f8a9c",
     "html": "<aside class=\"grid-container\" role=\"complementary\">",
     "selectors": [
      ".landing-page-blue-ribbon > aside"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/resources-for-states/disaster-response-toolkit/federal-disaster-resources",
     "count": 4
    },
    {
     "pattern": "/medicaid/long-term-services-supports/real-choice-systems-change/state-profile-tool-grant-program",
     "count": 2
    },
    {
     "pattern": "/resources-for-states/medicaid-and-chip-program-portal/macpro-training-help",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-fbf54eba",
   "fingerprint": "773d6316",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 8,
    "affected_pages_previous": 4
   },
   "frequency": {
    "instances": 21,
    "pages_affected": 8,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Link is distinguishable without relying on color (WCAG 1.4.8)",
   "description": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 8 of 7314 scanned pages (21 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r74 (WCAG 1.4.8).",
   "actual_behavior": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 8 of 7314 scanned pages (21 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22WI%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22VI%22%5D"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/quality-of-care/core-set-data-dashboard/main",
     "count": 5
    },
    {
     "pattern": "/medicaid/eligibility-policy/medicaid-eligibility-quality-control-program",
     "count": 1
    },
    {
     "pattern": "/resources-for-states/disaster-response-toolkit/federal-disaster-resources",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-4c341c77",
   "fingerprint": "aada626a",
   "rule_id": "sia-r85",
   "rule_label": "Keyboard trap does not exist",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r85",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 5,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 228,
    "pages_affected": 5,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Keyboard trap does not exist (WCAG criterion undetermined)",
   "description": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 5 of 7314 scanned pages (228 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r85.",
   "actual_behavior": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 5 of 7314 scanned pages (228 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22WI%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22VI%22%5D"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/quality-of-care/core-set-data-dashboard/main",
     "count": 5
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-2cd767ca",
   "fingerprint": "3123e4f3",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 5,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 5,
    "pages_affected": 5,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 5 of 7314 scanned pages (5 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r78.",
   "actual_behavior": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 5 of 7314 scanned pages (5 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22WI%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22VI%22%5D"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/quality-of-care/core-set-data-dashboard/main",
     "count": 5
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-e5ec42f0",
   "fingerprint": "5e16fc6a",
   "rule_id": "sia-r72",
   "rule_label": "Element role is consistent with ARIA landmark",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r72",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 7,
    "affected_pages_current": 5,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 655,
    "pages_affected": 5,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Element role is consistent with ARIA landmark (WCAG criterion undetermined)",
   "description": "Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 5 of 7314 scanned pages (655 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r72",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r72.",
   "actual_behavior": "Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 5 of 7314 scanned pages (655 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22WI%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NH%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22IA%22%5D"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/quality-of-care/core-set-data-dashboard/main",
     "count": 4
    },
    {
     "pattern": "/state-overviews/scorecard/about",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-ff3ceb19",
   "fingerprint": "e04cf6f7",
   "rule_id": "landmark-main-is-top-level",
   "rule_label": "Main landmark should not be contained in another landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W28",
    "last_observed": "2026-W30",
    "weeks_observed": 3,
    "affected_pages_current": 4,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 4,
    "pages_affected": 4,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Main landmark should not be contained in another landmark (WCAG criterion undetermined)",
   "description": "Main landmark should not be contained in another landmark. Detected by axe-core rule landmark-main-is-top-level on 4 of 7314 scanned pages (4 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-main-is-top-level.",
   "actual_behavior": "Main landmark should not be contained in another landmark. Detected by axe-core rule landmark-main-is-top-level on 4 of 7314 scanned pages (4 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/style-guide",
    "https://www.medicaid.gov/style-guide/patterns",
    "https://www.medicaid.gov/style-guide/foundation/logo"
   ],
   "html_fragments": [
    {
     "fingerprint": "16092c9e",
     "html": "<main id=\"content\" class=\"grid-col-12 desktop:grid-col-9\" role=\"main\">",
     "selectors": [
      ".style-guide-page > .grid-gap-sm.grid-row > main"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/style-guide",
     "count": 1
    },
    {
     "pattern": "/style-guide/patterns",
     "count": 1
    },
    {
     "pattern": "/style-guide/foundation/logo",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-cd69be3a",
   "fingerprint": "dd1abed5",
   "rule_id": "landmark-no-duplicate-main",
   "rule_label": "Document should not have more than one main landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W28",
    "last_observed": "2026-W30",
    "weeks_observed": 3,
    "affected_pages_current": 4,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 4,
    "pages_affected": 4,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Document should not have more than one main landmark (WCAG criterion undetermined)",
   "description": "Document should not have more than one main landmark. Detected by axe-core rule landmark-no-duplicate-main on 4 of 7314 scanned pages (4 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-no-duplicate-main.",
   "actual_behavior": "Document should not have more than one main landmark. Detected by axe-core rule landmark-no-duplicate-main on 4 of 7314 scanned pages (4 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/style-guide",
    "https://www.medicaid.gov/style-guide/patterns",
    "https://www.medicaid.gov/style-guide/foundation/logo"
   ],
   "html_fragments": [
    {
     "fingerprint": "468d6694",
     "html": "<main id=\"content\" class=\"main-content grid-col-12\" role=\"main\">",
     "selectors": [
      ".main-content"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/style-guide",
     "count": 1
    },
    {
     "pattern": "/style-guide/patterns",
     "count": 1
    },
    {
     "pattern": "/style-guide/foundation/logo",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-0ba8ce9d",
   "fingerprint": "1b1ae391",
   "rule_id": "scope-attr-valid",
   "rule_label": "scope attribute should be used correctly",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 6,
    "affected_pages_current": 2,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 57,
    "pages_affected": 2,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "scope attribute should be used correctly (WCAG criterion undetermined)",
   "description": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 2 of 7314 scanned pages (57 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule scope-attr-valid.",
   "actual_behavior": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 2 of 7314 scanned pages (57 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/state-overviews/scorecard/about",
    "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels"
   ],
   "html_fragments": [
    {
     "fingerprint": "80eaa86c",
     "html": "<td scope=\"row\">Prenatal and Postpartum Care</td>",
     "selectors": [
      ".table-container:nth-child(5) > table > tbody > tr > td[scope=\"row\"]"
     ]
    },
    {
     "fingerprint": "03c7c46a",
     "html": "<td scope=\"row\">1. Home and Community-Based Services Statewide Transition Plan Approval Status</td>",
     "selectors": [
      ".table-container:nth-child(7) > table > tbody > tr:nth-child(1) > td[scope=\"row\"]"
     ]
    },
    {
     "fingerprint": "dce0882a",
     "html": "<td scope=\"row\">2. Managed Long-Term Services and Supports</td>",
     "selectors": [
      "tr:nth-child(2) > td[scope=\"row\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/state-overviews/scorecard/about",
     "count": 1
    },
    {
     "pattern": "/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-a24eaa8c",
   "fingerprint": "8d462fe1",
   "rule_id": "sia-r2",
   "rule_label": "Image has accessible name",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r2",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 5,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Image has accessible name (WCAG 1.1.1)",
   "description": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 1 of 7314 scanned pages (1 instances).",
   "remediation_tip": "Give every <img> an accessible name (alt text), or alt=\"\" if purely decorative.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r2 (WCAG 1.1.1).",
   "actual_behavior": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 1 of 7314 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/section-1115-demonstrations/{id}-demonstration-monitoring-evaluation",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-4408605e",
   "fingerprint": "265d5c76",
   "rule_id": "sia-r46",
   "rule_label": "Element has required aria-owns",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r46",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 5,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Element has required aria-owns (WCAG 1.3.1)",
   "description": "Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 1 of 7314 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r46",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r46 (WCAG 1.3.1).",
   "actual_behavior": "Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 1 of 7314 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicaid.gov/medicaid/outreach-tools/helping-connect-enrollees-care"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/outreach-tools/helping-connect-enrollees-care",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-efd91fdd",
   "fingerprint": "12434796",
   "rule_id": "sia-r62",
   "rule_label": "Link in text block is visually distinguishable without color",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r62",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 4,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 3,
    "pages_affected": 1,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Link in text block is visually distinguishable without color (WCAG 1.4.1)",
   "description": "Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 1 of 7314 scanned pages (3 instances).",
   "remediation_tip": "Make links visually distinguishable from surrounding text (not by color alone).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r62 (WCAG 1.4.1).",
   "actual_behavior": "Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 1 of 7314 scanned pages (3 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicaid.gov/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-28ebd979",
   "fingerprint": "032345cc",
   "rule_id": "sia-r11",
   "rule_label": "Link has accessible name",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r11",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W30",
    "weeks_observed": 5,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 7314
   },
   "on_key_page": false,
   "summary": "Link has accessible name (WCAG 2.4.4)",
   "description": "Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 1 of 7314 scanned pages (1 instances).",
   "remediation_tip": "Give the link an accessible name via text content or aria-label.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r11",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r11 (WCAG 2.4.4).",
   "actual_behavior": "Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 1 of 7314 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/section-1115-demonstrations/{id}-demonstration-monitoring-evaluation",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  }
 ],
 "clusters": {
  "by_wcag_criterion": [
   {
    "cluster_id": "71f257a8",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.6",
    "wcag_name": "Contrast (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-646b1e0b"
    ],
    "total_pages_affected": 3490,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b393058c",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.5",
    "wcag_name": "Target Size (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-cb53cc4d"
    ],
    "total_pages_affected": 3490,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "36ac08de",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-c18be945"
    ],
    "total_pages_affected": 3486,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "140fec0b",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.8",
    "wcag_name": "Visual Presentation",
    "wcag_level": "AAA",
    "findings": [
     "VS-2208081b",
     "VS-fbf54eba"
    ],
    "total_pages_affected": 2388,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "0649d9b9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f18df681"
    ],
    "total_pages_affected": 2256,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b8f97020",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-fa44f293"
    ],
    "total_pages_affected": 2252,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "91fd3b4c",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d5d82446"
    ],
    "total_pages_affected": 2246,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "a849192e",
    "type": "wcag_criterion",
    "wcag_sc": "4.1.2",
    "wcag_name": "Name, Role, Value",
    "wcag_level": "A",
    "findings": [
     "VS-0841abc2",
     "VS-1467ea8a",
     "VS-ebb1c464",
     "VS-fab92378",
     "VS-a48e6078"
    ],
    "total_pages_affected": 1193,
    "max_severity": "Critical"
   },
   {
    "cluster_id": "0ba1e7fd",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-aa242c2d"
    ],
    "total_pages_affected": 1116,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "75cf28e4",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-7118fead"
    ],
    "total_pages_affected": 1108,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "423bd52e",
    "type": "wcag_criterion",
    "wcag_sc": "1.3.1",
    "wcag_name": "Info and Relationships",
    "wcag_level": "A",
    "findings": [
     "VS-9429bb8d",
     "VS-d6097011",
     "VS-4408605e"
    ],
    "total_pages_affected": 940,
    "max_severity": "Critical"
   },
   {
    "cluster_id": "fd9ed1c5",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.3",
    "wcag_name": "Label in Name",
    "wcag_level": "A",
    "findings": [
     "VS-f7dba940"
    ],
    "total_pages_affected": 563,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "97a17643",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-4fac2f41"
    ],
    "total_pages_affected": 487,
    "max_severity": "Minor"
   },
   {
    "cluster_id": "0c75ddb8",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-e05344b9"
    ],
    "total_pages_affected": 246,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "e08c8d69",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d25f622d"
    ],
    "total_pages_affected": 245,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "24c4a455",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.8",
    "wcag_name": "Target Size (Minimum)",
    "wcag_level": "AA",
    "findings": [
     "VS-179ad9b3"
    ],
    "total_pages_affected": 228,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "66669a92",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-04a9d28c"
    ],
    "total_pages_affected": 144,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b05da4e9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f054f4a4"
    ],
    "total_pages_affected": 115,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "c7d2a838",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-8806389c"
    ],
    "total_pages_affected": 45,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "30f45b67",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-33841929"
    ],
    "total_pages_affected": 5,
    "max_severity": "Serious"
   }
  ],
  "by_url_pattern": [
   {
    "cluster_id": "2decabbc",
    "type": "url_pattern",
    "pattern": "/medicaid/quality-of-care/core-set-data-dashboard/main",
    "findings": [
     "VS-fbf54eba",
     "VS-4c341c77",
     "VS-2cd767ca",
     "VS-e5ec42f0"
    ],
    "total_pages": 19
   },
   {
    "cluster_id": "8a451558",
    "type": "url_pattern",
    "pattern": "/medicaid/section-1115-demonstrations/{id}-demonstration-monitoring-evaluation",
    "findings": [
     "VS-9074b4dd",
     "VS-e9fe47ac",
     "VS-a24eaa8c",
     "VS-28ebd979"
    ],
    "total_pages": 4
   },
   {
    "cluster_id": "5fe59796",
    "type": "url_pattern",
    "pattern": "/chip/reports-evaluations",
    "findings": [
     "VS-33841929",
     "VS-be8d563e"
    ],
    "total_pages": 2
   },
   {
    "cluster_id": "77a338cc",
    "type": "url_pattern",
    "pattern": "/state-overviews/scorecard/about",
    "findings": [
     "VS-e5ec42f0",
     "VS-0ba8ce9d"
    ],
    "total_pages": 2
   },
   {
    "cluster_id": "cb22f0e1",
    "type": "url_pattern",
    "pattern": "/style-guide",
    "findings": [
     "VS-ff3ceb19",
     "VS-cd69be3a"
    ],
    "total_pages": 2
   },
   {
    "cluster_id": "d326b668",
    "type": "url_pattern",
    "pattern": "/style-guide/patterns",
    "findings": [
     "VS-ff3ceb19",
     "VS-cd69be3a"
    ],
    "total_pages": 2
   },
   {
    "cluster_id": "2d751e64",
    "type": "url_pattern",
    "pattern": "/style-guide/foundation/logo",
    "findings": [
     "VS-ff3ceb19",
     "VS-cd69be3a"
    ],
    "total_pages": 2
   }
  ]
 },
 "technology_findings": [
  {
   "technology": "Popper",
   "finding": "axe:landmark-one-main",
   "lift": 3.08,
   "pages_with_both": 235,
   "technology_pages": 235,
   "interpretation": "Pages using Popper are 3.08× more likely to have finding axe:landmark-one-main."
  },
  {
   "technology": "Popper",
   "finding": "axe:region",
   "lift": 3.08,
   "pages_with_both": 235,
   "technology_pages": 235,
   "interpretation": "Pages using Popper are 3.08× more likely to have finding axe:region."
  },
  {
   "technology": "Bootstrap",
   "finding": "axe:landmark-one-main",
   "lift": 3.08,
   "pages_with_both": 235,
   "technology_pages": 235,
   "interpretation": "Pages using Bootstrap are 3.08× more likely to have finding axe:landmark-one-main."
  },
  {
   "technology": "Bootstrap",
   "finding": "axe:region",
   "lift": 3.08,
   "pages_with_both": 235,
   "technology_pages": 235,
   "interpretation": "Pages using Bootstrap are 3.08× more likely to have finding axe:region."
  },
  {
   "technology": "Popper",
   "finding": "axe:page-has-heading-one",
   "lift": 3.08,
   "pages_with_both": 234,
   "technology_pages": 235,
   "interpretation": "Pages using Popper are 3.08× more likely to have finding axe:page-has-heading-one."
  },
  {
   "technology": "Bootstrap",
   "finding": "axe:page-has-heading-one",
   "lift": 3.08,
   "pages_with_both": 234,
   "technology_pages": 235,
   "interpretation": "Pages using Bootstrap are 3.08× more likely to have finding axe:page-has-heading-one."
  },
  {
   "technology": "Popper",
   "finding": "alfa:sia-r61",
   "lift": 3.08,
   "pages_with_both": 125,
   "technology_pages": 235,
   "interpretation": "Pages using Popper are 3.08× more likely to have finding alfa:sia-r61."
  },
  {
   "technology": "Bootstrap",
   "finding": "alfa:sia-r61",
   "lift": 3.08,
   "pages_with_both": 125,
   "technology_pages": 235,
   "interpretation": "Pages using Bootstrap are 3.08× more likely to have finding alfa:sia-r61."
  },
  {
   "technology": "Popper",
   "finding": "alfa:sia-r14",
   "lift": 3.08,
   "pages_with_both": 63,
   "technology_pages": 235,
   "interpretation": "Pages using Popper are 3.08× more likely to have finding alfa:sia-r14."
  },
  {
   "technology": "Bootstrap",
   "finding": "alfa:sia-r14",
   "lift": 3.08,
   "pages_with_both": 63,
   "technology_pages": 235,
   "interpretation": "Pages using Bootstrap are 3.08× more likely to have finding alfa:sia-r14."
  },
  {
   "technology": "Popper",
   "finding": "axe:aria-allowed-attr",
   "lift": 3.08,
   "pages_with_both": 50,
   "technology_pages": 235,
   "interpretation": "Pages using Popper are 3.08× more likely to have finding axe:aria-allowed-attr."
  },
  {
   "technology": "Popper",
   "finding": "axe:aria-required-children",
   "lift": 3.08,
   "pages_with_both": 50,
   "technology_pages": 235,
   "interpretation": "Pages using Popper are 3.08× more likely to have finding axe:aria-required-children."
  },
  {
   "technology": "Bootstrap",
   "finding": "axe:aria-allowed-attr",
   "lift": 3.08,
   "pages_with_both": 50,
   "technology_pages": 235,
   "interpretation": "Pages using Bootstrap are 3.08× more likely to have finding axe:aria-allowed-attr."
  },
  {
   "technology": "Bootstrap",
   "finding": "axe:aria-required-children",
   "lift": 3.08,
   "pages_with_both": 50,
   "technology_pages": 235,
   "interpretation": "Pages using Bootstrap are 3.08× more likely to have finding axe:aria-required-children."
  },
  {
   "technology": "DataTables",
   "finding": "axe:landmark-one-main",
   "lift": 3.07,
   "pages_with_both": 235,
   "technology_pages": 236,
   "interpretation": "Pages using DataTables are 3.07× more likely to have finding axe:landmark-one-main."
  }
 ],
 "third_party_findings": [
  {
   "origin": "googletagmanager.com",
   "pages_served": 1749,
   "pages_with_findings": 1246,
   "finding_co_occurrence_rate": 0.71,
   "median_bytes": 156115,
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A756&f%5B1%5D=waiver_state_facet%3A866&f%5B2%5D=waiver_state_facet%3A961&items_per_page=50&page=68",
    "https://www.medicaid.gov/faq?fcf=41521&page=5&sl=yes",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=0&q="
   ]
  },
  {
   "origin": "akamaihd.net",
   "pages_served": 91,
   "pages_with_findings": 63,
   "finding_co_occurrence_rate": 0.69,
   "median_bytes": 4826,
   "example_pages": [
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1911&f%5B1%5D=sub_topic_faq_library_facet%3A2331&f%5B2%5D=topic_faq_library_facet%3A2181&fcf=40872&page=0&sl=yes",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A756&f%5B1%5D=state%3A991&f%5B2%5D=topics%3A701&f%5B3%5D=topics%3A3261&page=0",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=22638&f%5B0%5D=waiver_state_facet%3A786&f%5B1%5D=waiver_state_facet%3A871&page=61"
   ]
  },
  {
   "origin": "qualtrics.com",
   "pages_served": 1202,
   "pages_with_findings": 699,
   "finding_co_occurrence_rate": 0.58,
   "median_bytes": 849637,
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A756&f%5B1%5D=waiver_state_facet%3A866&f%5B2%5D=waiver_state_facet%3A961&items_per_page=50&page=68",
    "https://www.medicaid.gov/faq?fcf=41521&page=5&sl=yes",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=0&q="
   ]
  },
  {
   "origin": "chartbeat.com",
   "pages_served": 1202,
   "pages_with_findings": 699,
   "finding_co_occurrence_rate": 0.58,
   "median_bytes": 40167,
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A756&f%5B1%5D=waiver_state_facet%3A866&f%5B2%5D=waiver_state_facet%3A961&items_per_page=50&page=68",
    "https://www.medicaid.gov/faq?fcf=41521&page=5&sl=yes",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=0&q="
   ]
  },
  {
   "origin": "digitalgov.gov",
   "pages_served": 1202,
   "pages_with_findings": 699,
   "finding_co_occurrence_rate": 0.58,
   "median_bytes": 30230,
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A756&f%5B1%5D=waiver_state_facet%3A866&f%5B2%5D=waiver_state_facet%3A961&items_per_page=50&page=68",
    "https://www.medicaid.gov/faq?fcf=41521&page=5&sl=yes",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=0&q="
   ]
  }
 ],
 "metadata": {
  "generator": "vital-core",
  "schema_version": "0.1",
  "total_pages_scanned": 7314,
  "notes": [
   "Healthy pages (no known issues) are intentionally excluded.",
   "Representative examples are used instead of complete occurrence lists.",
   "Fingerprints are stable hashes for tracking recurring patterns over time.",
   "Fragment fingerprints normalize volatile attributes (id, style, data-*) before hashing.",
   "Technology lift values indicate association, not causation.",
   "Confidence reflects sample size: high=10+ affected pages, medium=3-9, low=1-2."
  ]
 }
}