{
 "domain": "www.medicaid.gov",
 "week": "2026-W31",
 "generatedAt": "2026-08-02T12:59:46.579Z",
 "reports": [
  {
   "instance_id": "VS-d0ed674e",
   "pattern_id": "VS-179ad9b3",
   "a11y_pattern_fingerprint": "6289c3141138c0f42775f98b28ae763a8dca8a79a47e2f6515a0d82b87159a69",
   "a11y_pattern_display_id": "A11Y-PAT-6289C3141138",
   "a11y_occurrence_fingerprint": "7881cdeca0460db8bc6a303b3361b9f978a58daf814118532b7dcdf8142e4b42",
   "a11y_occurrence_display_id": "A11Y-OCC-7881CDECA046",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
   "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
   "html_snippet": null,
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "frequency": {
    "instances": 315,
    "pages_affected": 149,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)",
   "description": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 149 of 7478 scanned pages (315 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=34&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=34&q="
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=34&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=9&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=28&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=6&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=31&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=16&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=25&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=796&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=866&page=24&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=29&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=24&q=",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=2&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=18&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=861&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=35&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=10&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1041&limit=10&page=1&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=831&page=7&q="
   ],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=.",
    "Locate the element: <textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "obligation": "required",
   "handling": "review",
   "policy_source": "target",
   "policy_reason": "WCAG 2.5.8 target-size results can require manual verification of spacing, equivalent controls, and essential-size exceptions.",
   "policy_evidence": [
    "https://alfa.siteimprove.com/rules/sia-r113"
   ],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r113.csv"
  },
  {
   "instance_id": "VS-0e6a4bec",
   "pattern_id": "VS-f7dba940",
   "a11y_pattern_fingerprint": "50c8c661b023dbfd5affed8d5af8109b4ad0da533ce32fe85d275900c6fabcaa",
   "a11y_pattern_display_id": "A11Y-PAT-50C8C661B023",
   "a11y_occurrence_fingerprint": "e7e57d37d59416a55d618ee16f3c5bfec00d254f2ca94dd0812fbc9e71d456f4",
   "a11y_occurrence_display_id": "A11Y-OCC-E7E57D37D594",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
   "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
   "html_snippet": null,
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "frequency": {
    "instances": 594,
    "pages_affected": 589,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "description": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 589 of 7478 scanned pages (594 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-156-156",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-156-156"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-156-156",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg013184",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-83-006-6",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7912",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1658",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7257",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-008-8",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-2-010-10",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7313",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7350",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-17-003-3",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002118",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002163",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-26-013-13",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-032-32",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-8659",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-030-30",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-17-003-3",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-14-009-9",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7897"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50.",
    "Locate the element: <a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r14.csv"
  },
  {
   "instance_id": "VS-6fbb414e",
   "pattern_id": "VS-9429bb8d",
   "a11y_pattern_fingerprint": "41421730b8811402e7a4e38fdb39d1db020db07cfff56e0caa653dd8a363684f",
   "a11y_pattern_display_id": "A11Y-PAT-41421730B881",
   "a11y_occurrence_fingerprint": "e6bd5c8ce2ee6ee9e6db07f519d79882dc2eb00a414699cd75335503896e6b45",
   "a11y_occurrence_display_id": "A11Y-OCC-E6BD5C8CE2EE",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
   "xpath": ".nav",
   "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-required-children",
   "rule_label": "Certain ARIA roles must contain particular children",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 465,
    "pages_affected": 465,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Certain ARIA roles must contain particular children (WCAG 1.3.1)",
   "description": "Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 465 of 7478 scanned pages (465 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg013184",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002115",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002163",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx003191",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx003119",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg001010",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002118",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002163",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002117",
    "https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/prv-provider/prov-affiliated-programs",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002162",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002042",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002190",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv009116",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl003047",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002148",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-service-area"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095.",
    "Locate the element: .nav",
    "Confirm the axe-core finding for rule aria-required-children against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "Add the child roles this container role requires (e.g. a list needs listitem children).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__aria-required-children.csv"
  },
  {
   "instance_id": "VS-a74c4b51",
   "pattern_id": "VS-d6097011",
   "a11y_pattern_fingerprint": "361d414a77e6bcaec1763d1b212954b1a9410dc61c478f621ee2ac3f74d66289",
   "a11y_pattern_display_id": "A11Y-PAT-361D414A77E6",
   "a11y_occurrence_fingerprint": "0aeca25b5bb23a4edaee486ddbeafefa856d788d4ae92be497f2b15c3b35bf7d",
   "a11y_occurrence_display_id": "A11Y-OCC-0AECA25B5BB2",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
   "xpath": "<ul class=\"select2-selection__rendered\" id=\"select2-edit-field-topics-container\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "frequency": {
    "instances": 400,
    "pages_affected": 383,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 383 of 7478 scanned pages (400 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
     "xpath": "<ul class=\"select2-selection__rendered\" id=\"select2-edit-field-topics-container\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
     "xpath": "<ul class=\"select2-selection__rendered\" id=\"select2-edit-field-topics-container\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg013184",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=34&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=9&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=28&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=6&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=31&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002118",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002163",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002190",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl003047",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002148",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-service-area",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003074",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003057",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl004056",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003225",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=16&q="
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=.",
    "Locate the element: <ul class=\"select2-selection__rendered\" id=\"select2-edit-field-topics-container\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "possible_duplicate_of": "VS-6fbb414e",
   "possible_duplicate_pattern": "VS-9429bb8d",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r68.csv"
  },
  {
   "instance_id": "VS-4989edbf",
   "pattern_id": "VS-efd91fdd",
   "a11y_pattern_fingerprint": "d1d13e84b2b353c542d202106372146d52a2d8bda77868a40a8ed225f6641f7b",
   "a11y_pattern_display_id": "A11Y-PAT-D1D13E84B2B3",
   "a11y_occurrence_fingerprint": "7b882f7d05de97989c10f856c8e6673aa316d68a6e5601a506a122ceeafc5f32",
   "a11y_occurrence_display_id": "A11Y-OCC-7B882F7D05DE",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
   "xpath": "<a style=\"text-decoration:none;\" href=\"#one\" title=\"\">",
   "html_snippet": null,
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r62",
   "rule_label": "Link in text block is visually distinguishable without color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r62",
   "severity": "Moderate",
   "frequency": {
    "instances": 8,
    "pages_affected": 3,
    "total_pages_scanned": 7478
   },
   "likely_source": "unknown",
   "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 3 of 7478 scanned pages (8 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
     "xpath": "<a style=\"text-decoration:none;\" href=\"#one\" title=\"\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
     "xpath": "<a style=\"text-decoration:none;\" href=\"#four\" title=\"\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
     "xpath": "<a style=\"text-decoration:none;\" href=\"#three\" title=\"\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/medicaid/quality-of-care/quality-improvement/oral-health-quality-improvement-resources/advancing-oral-health-prevention-in-primary-care",
     "xpath": "<a style=\"text-decoration:none;\" href=\"#footnote1\" title=\"\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity",
     "xpath": "<a style=\"text-decoration:none;\" href=\"#one\" title=\"\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
    "http://medicaid.gov/medicaid/quality-of-care/quality-improvement/oral-health-quality-improvement-resources/advancing-oral-health-prevention-in-primary-care",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
    "http://medicaid.gov/medicaid/quality-of-care/quality-improvement/oral-health-quality-improvement-resources/advancing-oral-health-prevention-in-primary-care",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity"
   ],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality.",
    "Locate the element: <a style=\"text-decoration:none;\" href=\"#one\" title=\"\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r62 against WCAG 1.4.1 Use of Color."
   ],
   "remediation_tip": "Make links visually distinguishable from surrounding text (not by color alone).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r62.csv"
  },
  {
   "instance_id": "VS-1bd49362",
   "pattern_id": "VS-1467ea8a",
   "a11y_pattern_fingerprint": "ea22cf589d655040cfcc8c1a46712ee71f0b18dab4eee39e5921a225d826d913",
   "a11y_pattern_display_id": "A11Y-PAT-EA22CF589D65",
   "a11y_occurrence_fingerprint": "864fa492cd5a359d47141b72f9f2e0fcefdee8bcb25bba65edf8a02ed2f2d7f9",
   "a11y_occurrence_display_id": "A11Y-OCC-864FA492CD5A",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
   "xpath": "a[href$=\"#overview\"]",
   "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 2247,
    "pages_affected": 465,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Elements must only use supported ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 465 of 7478 scanned pages (2247 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
     "xpath": "a[href$=\"#overview\"]",
     "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
     "xpath": "a[href$=\"#validvalues\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
     "xpath": "a[href$=\"#relatedrules\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#relatedrules\" role=\"link\" aria-selected=\"false\" aria-controls=\"relatedrules\" data-toggle=\"tab\">Related Rules</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
     "xpath": "a[href$=\"#overview\"]",
     "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
     "xpath": "a[href$=\"#validvalues\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg013184",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002115",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002163",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx003191",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx003119",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg001010",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002118",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002163",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002117",
    "https://www.medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/prv-provider/prov-affiliated-programs",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002162",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002042",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002190",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv009116",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl003047",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002148",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-service-area"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095.",
    "Locate the element: a[href$=\"#overview\"]",
    "Confirm the axe-core finding for rule aria-allowed-attr against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Remove ARIA attributes that aren't allowed on this role/element.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__aria-allowed-attr.csv"
  },
  {
   "instance_id": "VS-5d5de94c",
   "pattern_id": "VS-0841abc2",
   "a11y_pattern_fingerprint": "42344599d0836d87e0df158ba8e77cbadf4a96159625eee1bbbe2c5868ef04f3",
   "a11y_pattern_display_id": "A11Y-PAT-42344599D083",
   "a11y_occurrence_fingerprint": "61751fd8c211ea6055ec1200bd4033e98d619763b1229fd3e40b31870e3067da",
   "a11y_occurrence_display_id": "A11Y-OCC-61751FD8C211",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
   "xpath": "span[data-select2-id=\"select2-data-1-zx1c\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
   "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-input-field-name",
   "rule_label": "ARIA input fields must have an accessible name",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 648,
    "pages_affected": 308,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "ARIA input fields must have an accessible name (WCAG 4.1.2)",
   "description": "ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 308 of 7478 scanned pages (648 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-zx1c\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-rii3\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-tm9u\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-zvvx\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-hucd\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q="
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=34&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=9&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=4&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=28&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=6&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=31&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=7&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=20&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=25&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=41&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=9&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=32&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=53&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=16&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=1&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=25&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=5&q="
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=.",
    "Locate the element: span[data-select2-id=\"select2-data-1-zx1c\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
    "Confirm the axe-core finding for rule aria-input-field-name against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__aria-input-field-name.csv"
  },
  {
   "instance_id": "VS-5cfc2d94",
   "pattern_id": "VS-ebb1c464",
   "a11y_pattern_fingerprint": "508b5ed1ea1d4971445ccfe52b61beebb549ee13c4816cfecea933f6954c5ec1",
   "a11y_pattern_display_id": "A11Y-PAT-508B5ED1EA1D",
   "a11y_occurrence_fingerprint": "08f2b54e313d275464dfdef013d6d496eb565a109a50df287e277523d265c2f3",
   "a11y_occurrence_display_id": "A11Y-OCC-08F2B54E313D",
   "url": "http://medicaid.gov/eligibility",
   "xpath": "#map-svg-map-1749492555669",
   "html_snippet": "<div id=\"map-svg-map-1749492555669\" class=\"map-container\" aria-disabled=\"true\" aria-label=\"State Map Image. Keyboard navigating users can use dropdown to select state.\" style=\"position: relative; widt",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-prohibited-attr",
   "rule_label": "Elements must only use permitted ARIA attributes",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 13,
    "pages_affected": 3,
    "total_pages_scanned": 7478
   },
   "likely_source": "unknown",
   "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 3 of 7478 scanned pages (13 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/eligibility",
     "xpath": "#map-svg-map-1749492555669",
     "html_snippet": "<div id=\"map-svg-map-1749492555669\" class=\"map-container\" aria-disabled=\"true\" aria-label=\"State Map Image. Keyboard navigating users can use dropdown to select state.\" style=\"position: relative; widt"
    },
    {
     "url": "https://www.medicaid.gov/",
     "xpath": "div[aria-labelledby=\"nn-title-194316\"] > .flex-align-start.flex-1.display-flex > time[datetime=\"2026-07-31\"][aria-label=\"Jul 31\"]",
     "html_snippet": "<time class=\"nn-card__date flex-shrink-0 text-center margin-right-2 border\" datetime=\"2026-07-31\" aria-label=\"Jul 31\">"
    },
    {
     "url": "https://www.medicaid.gov/",
     "xpath": "div[aria-labelledby=\"nn-title-194311\"] > .flex-align-start.flex-1.display-flex > time[datetime=\"2026-07-31\"][aria-label=\"Jul 31\"]",
     "html_snippet": "<time class=\"nn-card__date flex-shrink-0 text-center margin-right-2 border\" datetime=\"2026-07-31\" aria-label=\"Jul 31\">"
    },
    {
     "url": "https://www.medicaid.gov/",
     "xpath": "time[datetime=\"2026-07-27\"]",
     "html_snippet": "<time class=\"nn-card__date flex-shrink-0 text-center margin-right-2 border\" datetime=\"2026-07-27\" aria-label=\"Jul 27\">"
    },
    {
     "url": "https://www.medicaid.gov/homepage",
     "xpath": "time[datetime=\"2026-07-22\"]",
     "html_snippet": "<time class=\"nn-card__date flex-shrink-0 text-center margin-right-2 border\" datetime=\"2026-07-22\" aria-label=\"Jul 22\">"
    }
   ],
   "example_pages": [
    "http://medicaid.gov/eligibility",
    "https://www.medicaid.gov/",
    "https://www.medicaid.gov/homepage"
   ],
   "affected_pages": [
    "http://medicaid.gov/eligibility",
    "https://www.medicaid.gov/",
    "https://www.medicaid.gov/homepage"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/eligibility.",
    "Locate the element: #map-svg-map-1749492555669",
    "Confirm the axe-core finding for rule aria-prohibited-attr against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__aria-prohibited-attr.csv"
  },
  {
   "instance_id": "VS-5ad4482c",
   "pattern_id": "VS-a48e6078",
   "a11y_pattern_fingerprint": "4e31479a6ded13f767c55899a0ecb11c41498f3083dbfe4c2f13533aecd09225",
   "a11y_pattern_display_id": "A11Y-PAT-4E31479A6DED",
   "a11y_occurrence_fingerprint": "b2593d852a8196978c04a3b4b86525132811b91d05ac171eace85cb2446b589a",
   "a11y_occurrence_display_id": "A11Y-OCC-B2593D852A81",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
   "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
   "html_snippet": null,
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r8",
   "rule_label": "Form field has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r8",
   "severity": "Moderate",
   "frequency": {
    "instances": 315,
    "pages_affected": 149,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Form field has accessible name (WCAG 4.1.2)",
   "description": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 149 of 7478 scanned pages (315 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=34&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=34&q="
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=34&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=9&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=28&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=6&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=31&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=16&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=25&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=796&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=866&page=24&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=29&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=24&q=",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=2&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=18&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=861&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=35&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=10&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_approval_date%5D%5Bgte%5D=&filter%5Bfield_approval_date%5D%5Blte%5D=&filter%5Bfield_effective_date%5D%5Bgte%5D=&filter%5Bfield_effective_date%5D%5Blte%5D=&filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1041&limit=10&page=1&q=&sort=field_approval_date%3Adesc",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=831&page=7&q="
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=.",
    "Locate the element: <span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r8 against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Associate the form field with a label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r8.csv"
  },
  {
   "instance_id": "VS-1fd14477",
   "pattern_id": "VS-646b1e0b",
   "a11y_pattern_fingerprint": "c222b671df04a74389e09c0bbe0acf11c4ddc21bcede2a33817524d97a9c05e6",
   "a11y_pattern_display_id": "A11Y-PAT-C222B671DF04",
   "a11y_occurrence_fingerprint": "10d1db068dfdd79584bc35a300770251a0b99d74aaa9bc2c067d0b6a5eebaae8",
   "a11y_occurrence_display_id": "A11Y-OCC-10D1DB068DFD",
   "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
   "xpath": "text: \"Here’s how you know\"",
   "html_snippet": null,
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "frequency": {
    "instances": 114340,
    "pages_affected": 3319,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 3319 of 7478 scanned pages (114340 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
     "xpath": "text: \"Here’s how you know\"",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
     "xpath": "text: \"FAQs\"",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
     "xpath": "text: \"Home\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3001&f%5B2%5D=topics%3A4676&page=1659",
     "xpath": "text: \"Here’s how you know\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3001&f%5B2%5D=topics%3A4676&page=1659",
     "xpath": "text: \"FAQs\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3001&f%5B2%5D=topics%3A4676&page=1659",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A751&f%5B2%5D=fpg_topics_facet%3A936&f%5B3%5D=fpg_topics_facet%3A8716&f%5B4%5D=fpg_topics_facet%3A8861&f%5B5%5D=fpg_topics_facet%3A8901&page=6"
   ],
   "affected_pages": [
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3001&f%5B2%5D=topics%3A4676&page=1659",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A751&f%5B2%5D=fpg_topics_facet%3A936&f%5B3%5D=fpg_topics_facet%3A8716&f%5B4%5D=fpg_topics_facet%3A8861&f%5B5%5D=fpg_topics_facet%3A8901&page=6",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A891&f%5B1%5D=waiver_state_facet%3A901&page=69",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A711&f%5B1%5D=state%3A796&f%5B2%5D=state%3A816&f%5B3%5D=state%3A866&f%5B4%5D=state%3A976&f%5B5%5D=state%3A1036&f%5B6%5D=state%3A1046&f%5B7%5D=topics%3A3046&f%5B8%5D=topics%3A7406&page=1660",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8383&page=61",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1516&f%5B1%5D=fpg_topics_facet%3A8601&f%5B2%5D=fpg_topics_facet%3A8716&f%5B3%5D=fpg_topics_facet%3A8861&page=4",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments/approved-state-directed-payment-preprints?items_per_page=50&page=5",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A796&f%5B1%5D=state%3A831&page=1663",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1856&f%5B1%5D=sub_topic_faq_library_facet%3A2091&f%5B2%5D=sub_topic_faq_library_facet%3A2096&f%5B3%5D=sub_topic_faq_library_facet%3A2371&f%5B4%5D=sub_topic_faq_library_facet%3A2436&page=0",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-14-004-5",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1976&f%5B1%5D=sub_topic_faq_library_facet%3A1986&f%5B2%5D=sub_topic_faq_library_facet%3A2091&f%5B3%5D=sub_topic_faq_library_facet%3A2431&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1971&fcf=41230&page=0&sl=yes",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A716&f%5B1%5D=waiver_state_facet%3A991&items_per_page=10&page=5",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A2826&page=109",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2451&fcf=40870&page=4&sl=yes",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/110976",
    "http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A906&f%5B2%5D=fpg_topics_facet%3A1016&f%5B3%5D=fpg_topics_facet%3A1491&f%5B4%5D=fpg_topics_facet%3A8711&f%5B5%5D=fpg_topics_facet%3A8716&f%5B6%5D=fpg_topics_facet%3A8861&page=110",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1471&f%5B1%5D=fpg_topics_facet%3A1501&f%5B2%5D=fpg_topics_facet%3A1516&f%5B3%5D=fpg_topics_facet%3A8406&page=106",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1881&f%5B1%5D=sub_topic_faq_library_facet%3A1911&f%5B2%5D=sub_topic_faq_library_facet%3A2501&page=82",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-729"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0.",
    "Locate the element: text: \"Here’s how you know\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r66.csv"
  },
  {
   "instance_id": "VS-7e56ae53",
   "pattern_id": "VS-2208081b",
   "a11y_pattern_fingerprint": "e0c097b8956c24f601b45554efc6e35e8d61b38db9473bb9ebd1420dc3da3a9d",
   "a11y_pattern_display_id": "A11Y-PAT-E0C097B8956C",
   "a11y_occurrence_fingerprint": "77a7f1da99c71b64cf290ff968375b943a4d5f434289d7b2016c84ae4cb5c513",
   "a11y_occurrence_display_id": "A11Y-OCC-77A7F1DA99C7",
   "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
   "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "frequency": {
    "instances": 6316,
    "pages_affected": 2182,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 2182 of 7478 scanned pages (6316 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3001&f%5B2%5D=topics%3A4676&page=1659",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A751&f%5B2%5D=fpg_topics_facet%3A936&f%5B3%5D=fpg_topics_facet%3A8716&f%5B4%5D=fpg_topics_facet%3A8861&f%5B5%5D=fpg_topics_facet%3A8901&page=6",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A891&f%5B1%5D=waiver_state_facet%3A901&page=69",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3001&f%5B2%5D=topics%3A4676&page=1659",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A751&f%5B2%5D=fpg_topics_facet%3A936&f%5B3%5D=fpg_topics_facet%3A8716&f%5B4%5D=fpg_topics_facet%3A8861&f%5B5%5D=fpg_topics_facet%3A8901&page=6"
   ],
   "affected_pages": [
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3001&f%5B2%5D=topics%3A4676&page=1659",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A751&f%5B2%5D=fpg_topics_facet%3A936&f%5B3%5D=fpg_topics_facet%3A8716&f%5B4%5D=fpg_topics_facet%3A8861&f%5B5%5D=fpg_topics_facet%3A8901&page=6",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A891&f%5B1%5D=waiver_state_facet%3A901&page=69",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A711&f%5B1%5D=state%3A796&f%5B2%5D=state%3A816&f%5B3%5D=state%3A866&f%5B4%5D=state%3A976&f%5B5%5D=state%3A1036&f%5B6%5D=state%3A1046&f%5B7%5D=topics%3A3046&f%5B8%5D=topics%3A7406&page=1660",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8383&page=61",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1516&f%5B1%5D=fpg_topics_facet%3A8601&f%5B2%5D=fpg_topics_facet%3A8716&f%5B3%5D=fpg_topics_facet%3A8861&page=4",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments/approved-state-directed-payment-preprints?items_per_page=50&page=5",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A796&f%5B1%5D=state%3A831&page=1663",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1856&f%5B1%5D=sub_topic_faq_library_facet%3A2091&f%5B2%5D=sub_topic_faq_library_facet%3A2096&f%5B3%5D=sub_topic_faq_library_facet%3A2371&f%5B4%5D=sub_topic_faq_library_facet%3A2436&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1976&f%5B1%5D=sub_topic_faq_library_facet%3A1986&f%5B2%5D=sub_topic_faq_library_facet%3A2091&f%5B3%5D=sub_topic_faq_library_facet%3A2431&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1971&fcf=41230&page=0&sl=yes",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A716&f%5B1%5D=waiver_state_facet%3A991&items_per_page=10&page=5",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A2826&page=109",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2451&fcf=40870&page=4&sl=yes",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/110976",
    "http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A906&f%5B2%5D=fpg_topics_facet%3A1016&f%5B3%5D=fpg_topics_facet%3A1491&f%5B4%5D=fpg_topics_facet%3A8711&f%5B5%5D=fpg_topics_facet%3A8716&f%5B6%5D=fpg_topics_facet%3A8861&page=110",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1471&f%5B1%5D=fpg_topics_facet%3A1501&f%5B2%5D=fpg_topics_facet%3A1516&f%5B3%5D=fpg_topics_facet%3A8406&page=106",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1881&f%5B1%5D=sub_topic_faq_library_facet%3A1911&f%5B2%5D=sub_topic_faq_library_facet%3A2501&page=82",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A836&f%5B1%5D=state%3A846&f%5B2%5D=state%3A851&f%5B3%5D=state%3A971&f%5B4%5D=topics%3A856&page=1",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A771&f%5B10%5D=fpg_topics_facet%3A6481&f%5B11%5D=fpg_topics_facet%3A6486&f%5B12%5D=fpg_topics_facet%3A8411&f%5B13%5D=fpg_topics_facet%3A8601&f%5B14%5D=fpg_type_facet%3A1486&f%5B2%5D=fpg_topics_facet%3A906&f%5B3%5D=fpg_topics_facet%3A1021&f%5B4%5D=fpg_topics_facet%3A1491&f%5B5%5D=fpg_topics_facet%3A1516&f%5B6%5D=fpg_topics_facet%3A1521&f%5B7%5D=fpg_topics_facet%3A1531&f%5B8%5D=fpg_topics_facet%3A2826&f%5B9%5D=fpg_topics_facet%3A3261&page=1"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0.",
    "Locate the element: <p class=\"usa-footer__contact-info margin-bottom-0\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r73.csv"
  },
  {
   "instance_id": "VS-1a0e9aff",
   "pattern_id": "VS-fbf54eba",
   "a11y_pattern_fingerprint": "00a59202e949d97d2b398ee61f6745def9b225afdc5a85f105d249fc4d81ee55",
   "a11y_pattern_display_id": "A11Y-PAT-00A59202E949",
   "a11y_occurrence_fingerprint": "660135296946267c5f725e3f6376effc92fd2cb07af1d223be949f83125f4e7c",
   "a11y_occurrence_display_id": "A11Y-OCC-660135296946",
   "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/budget-neutrality",
   "xpath": "<p style=\"-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:inherit;color:rgb(27, 27, 27);font-family:\"Source Sans Pro Web\", \"Helvetica Neue\", Helvetica, Roboto, Arial, sans",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "frequency": {
    "instances": 30,
    "pages_affected": 9,
    "total_pages_scanned": 7478
   },
   "likely_source": "unknown",
   "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 9 of 7478 scanned pages (30 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/budget-neutrality",
     "xpath": "<p style=\"-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:inherit;color:rgb(27, 27, 27);font-family:\"Source Sans Pro Web\", \"Helvetica Neue\", Helvetica, Roboto, Arial, sans",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/budget-neutrality",
     "xpath": "<p style=\"-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:inherit;color:rgb(27, 27, 27);font-family:\"Source Sans Pro Web\", \"Helvetica Neue\", Helvetica, Roboto, Arial, sans",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/budget-neutrality",
     "xpath": "<p style=\"-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:inherit;color:rgb(27, 27, 27);font-family:\"Source Sans Pro Web\", \"Helvetica Neue\", Helvetica, Roboto, Arial, sans",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=3",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=3",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/budget-neutrality",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=3",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/budget-neutrality",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=3",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
    "https://www.medicaid.gov/medicaid/eligibility-policy/medicaid-eligibility-quality-control-program",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NY%22%5D",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=5",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AZ%22%5D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/section-1115-demonstrations/budget-neutrality.",
    "Locate the element: <p style=\"-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:inherit;color:rgb(27, 27, 27);font-family:\"Source Sans Pro Web\", \"Helvetica Neue\", Helvetica, Roboto, Arial, sans",
    "Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r74.csv"
  },
  {
   "instance_id": "VS-2de7b1f8",
   "pattern_id": "VS-cb53cc4d",
   "a11y_pattern_fingerprint": "f01c95b5ed8f78ffc8718bbd2753ce49117d9a33be843f9db2918655d93cd2fb",
   "a11y_pattern_display_id": "A11Y-PAT-F01C95B5ED8F",
   "a11y_occurrence_fingerprint": "ed40810b00914a7e4d22157a1ce2b7d1f83f1154ad67a61ec18052b9c4608cbc",
   "a11y_occurrence_display_id": "A11Y-OCC-ED40810B0091",
   "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
   "xpath": "<button class=\"usa-button\" type=\"submit\">",
   "html_snippet": null,
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "frequency": {
    "instances": 67902,
    "pages_affected": 3319,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 3319 of 7478 scanned pages (67902 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
     "xpath": "<button class=\"usa-button\" type=\"submit\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
     "xpath": "<a target=\"_self\" href=\"/faq\" aria-label=\"Go to Frequently Asked Questions (FAQs)\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
     "xpath": "<button class=\"usa-button usa-button-round medicaid-tooltip\" type=\"button\" aria-label=\"More information about the search\" aria-controls=\"medicaid-solr-searches-help-modal\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3001&f%5B2%5D=topics%3A4676&page=1659",
     "xpath": "<button class=\"usa-button\" type=\"submit\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3001&f%5B2%5D=topics%3A4676&page=1659",
     "xpath": "<a target=\"_self\" href=\"/faq\" aria-label=\"Go to Frequently Asked Questions (FAQs)\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3001&f%5B2%5D=topics%3A4676&page=1659",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A751&f%5B2%5D=fpg_topics_facet%3A936&f%5B3%5D=fpg_topics_facet%3A8716&f%5B4%5D=fpg_topics_facet%3A8861&f%5B5%5D=fpg_topics_facet%3A8901&page=6"
   ],
   "affected_pages": [
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3001&f%5B2%5D=topics%3A4676&page=1659",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A751&f%5B2%5D=fpg_topics_facet%3A936&f%5B3%5D=fpg_topics_facet%3A8716&f%5B4%5D=fpg_topics_facet%3A8861&f%5B5%5D=fpg_topics_facet%3A8901&page=6",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A891&f%5B1%5D=waiver_state_facet%3A901&page=69",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A711&f%5B1%5D=state%3A796&f%5B2%5D=state%3A816&f%5B3%5D=state%3A866&f%5B4%5D=state%3A976&f%5B5%5D=state%3A1036&f%5B6%5D=state%3A1046&f%5B7%5D=topics%3A3046&f%5B8%5D=topics%3A7406&page=1660",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8383&page=61",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1516&f%5B1%5D=fpg_topics_facet%3A8601&f%5B2%5D=fpg_topics_facet%3A8716&f%5B3%5D=fpg_topics_facet%3A8861&page=4",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments/approved-state-directed-payment-preprints?items_per_page=50&page=5",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A796&f%5B1%5D=state%3A831&page=1663",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1856&f%5B1%5D=sub_topic_faq_library_facet%3A2091&f%5B2%5D=sub_topic_faq_library_facet%3A2096&f%5B3%5D=sub_topic_faq_library_facet%3A2371&f%5B4%5D=sub_topic_faq_library_facet%3A2436&page=0",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-14-004-5",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1976&f%5B1%5D=sub_topic_faq_library_facet%3A1986&f%5B2%5D=sub_topic_faq_library_facet%3A2091&f%5B3%5D=sub_topic_faq_library_facet%3A2431&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1971&fcf=41230&page=0&sl=yes",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A716&f%5B1%5D=waiver_state_facet%3A991&items_per_page=10&page=5",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A2826&page=109",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2451&fcf=40870&page=4&sl=yes",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/110976",
    "http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A906&f%5B2%5D=fpg_topics_facet%3A1016&f%5B3%5D=fpg_topics_facet%3A1491&f%5B4%5D=fpg_topics_facet%3A8711&f%5B5%5D=fpg_topics_facet%3A8716&f%5B6%5D=fpg_topics_facet%3A8861&page=110",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1471&f%5B1%5D=fpg_topics_facet%3A1501&f%5B2%5D=fpg_topics_facet%3A1516&f%5B3%5D=fpg_topics_facet%3A8406&page=106",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1881&f%5B1%5D=sub_topic_faq_library_facet%3A1911&f%5B2%5D=sub_topic_faq_library_facet%3A2501&page=82",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-729"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0.",
    "Locate the element: <button class=\"usa-button\" type=\"submit\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r111.csv"
  },
  {
   "instance_id": "VS-08625ac5",
   "pattern_id": "VS-33841929",
   "a11y_pattern_fingerprint": "25f429f8e052fd791c0e769cf8634db99e8a419e1449663471f7f1d4316f2656",
   "a11y_pattern_display_id": "A11Y-PAT-25F429F8E052",
   "a11y_occurrence_fingerprint": "4f8e54bb5fe9dfc3591e5a9376d59a0584c269a42aa92821736151274c97db50",
   "a11y_occurrence_display_id": "A11Y-OCC-4F8E54BB5FE9",
   "url": "http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices",
   "xpath": "select[aria-labelledby=\"filter-th-87376-0\"]",
   "html_snippet": "<select aria-labelledby=\"filter-th-87376-0\" class=\"usa-select height-1\" data-col-index=\"0\" title=\"Filter by Year\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "label-title-only",
   "rule_label": "Form elements should have a visible label",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 10,
    "pages_affected": 3,
    "total_pages_scanned": 7478
   },
   "likely_source": "unknown",
   "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 3 of 7478 scanned pages (10 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices",
     "xpath": "select[aria-labelledby=\"filter-th-87376-0\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87376-0\" class=\"usa-select height-1\" data-col-index=\"0\" title=\"Filter by Year\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices",
     "xpath": "select[aria-labelledby=\"filter-th-87376-1\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87376-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by State Full Name\">"
    },
    {
     "url": "https://www.medicaid.gov/prior-annual-medicaid-hospice-rate-letters",
     "xpath": "select[aria-labelledby=\"filter-th-152991-1\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-152991-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by Year\">"
    },
    {
     "url": "https://www.medicaid.gov/prior-annual-medicaid-hospice-rate-letters",
     "xpath": "select[aria-labelledby=\"filter-th-152991-2\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-152991-2\" class=\"usa-select height-1\" data-col-index=\"2\" title=\"Filter by Date\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report",
     "xpath": "select[aria-labelledby=\"filter-th-87381-0\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87381-0\" class=\"usa-select height-1\" data-col-index=\"0\" title=\"Filter by Year\">"
    }
   ],
   "example_pages": [
    "http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices",
    "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"
   ],
   "affected_pages": [
    "http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices",
    "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices.",
    "Locate the element: select[aria-labelledby=\"filter-th-87376-0\"]",
    "Confirm the axe-core finding for rule label-title-only."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__label-title-only.csv"
  },
  {
   "instance_id": "VS-f7200168",
   "pattern_id": "VS-f18df681",
   "a11y_pattern_fingerprint": "fbef4ff3e32c4833d9c61a04ccc7db84d73dd7c229243df34c4072053dfeba79",
   "a11y_pattern_display_id": "A11Y-PAT-FBEF4FF3E32C",
   "a11y_occurrence_fingerprint": "3efd4dd62ee31b3321cbda0f234825e63b3dfe299e9d47201665d1299171a3b3",
   "a11y_occurrence_display_id": "A11Y-OCC-3EFD4DD62EE3",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953",
   "xpath": ".small",
   "html_snippet": "<div class=\"small p-1\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 10132,
    "pages_affected": 2279,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 2279 of 7478 scanned pages (10132 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953",
     "xpath": ".small",
     "html_snippet": "<div class=\"small p-1\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953",
     "xpath": ".justify-content-between",
     "html_snippet": "<div class=\"d-flex justify-content-between m-2 mb-2\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953",
     "xpath": ".font-weight-bold",
     "html_snippet": "<p class=\"font-weight-bold m-0 mr-1\">Version:</p>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": ".small",
     "html_snippet": "<div class=\"small p-1\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": ".justify-content-between",
     "html_snippet": "<div class=\"d-flex justify-content-between m-2 mb-2\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2003",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-81-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7394",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-14-004-5",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-015-15",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-729",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-083-126",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7125",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-648",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-156-156",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-937"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953.",
    "Locate the element: .small",
    "Confirm the axe-core finding for rule region."
   ],
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Use Drupal's region system (header, navigation, main, sidebar, footer) and map each to an HTML5 landmark element in your theme's page.html.twig.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__region.csv"
  },
  {
   "instance_id": "VS-bc01ba9b",
   "pattern_id": "VS-fa44f293",
   "a11y_pattern_fingerprint": "b9790a0b2b788597b7a0d3e5734ca98ab0938dac6abebd5b0d1acff5de0a5e31",
   "a11y_pattern_display_id": "A11Y-PAT-B9790A0B2B78",
   "a11y_occurrence_fingerprint": "40cbbd738f762f060a8ab4501593315d21229242d5a9ea10d3cc28da37fddae9",
   "a11y_occurrence_display_id": "A11Y-OCC-40CBBD738F76",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953",
   "xpath": "html",
   "html_snippet": "<html class=\"no-js\" lang=\"en\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 2278,
    "pages_affected": 2278,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Page should contain a level-one heading (WCAG criterion undetermined)",
   "description": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 2278 of 7478 scanned pages (2278 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2003",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2003",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-81-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7394",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-14-004-5",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-015-15",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-729",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-083-126",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7125",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-648",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-156-156",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-937"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule page-has-heading-one."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__page-has-heading-one.csv"
  },
  {
   "instance_id": "VS-8241b526",
   "pattern_id": "VS-d5d82446",
   "a11y_pattern_fingerprint": "e0548b94661fca016e56f7a6e654dc2c2889714e73bcf48c1394e8cb092b990e",
   "a11y_pattern_display_id": "A11Y-PAT-E0548B94661F",
   "a11y_occurrence_fingerprint": "3a66455c14cb14168985e1d3fdc2dad6295a6bcfa7b3b1ff62bcafc54b2095c5",
   "a11y_occurrence_display_id": "A11Y-OCC-3A66455C14CB",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953",
   "xpath": "html",
   "html_snippet": "<html class=\"no-js\" lang=\"en\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 2274,
    "pages_affected": 2274,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Document should have one main landmark (WCAG criterion undetermined)",
   "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 2274 of 7478 scanned pages (2274 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2003",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-21-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2003",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7663",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-81-007-7",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7394",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-14-004-5",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-015-15",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-729",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-083-126",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7125",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-648",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-156-156",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-937"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7953.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule landmark-one-main."
   ],
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__landmark-one-main.csv"
  },
  {
   "instance_id": "VS-7c8f0191",
   "pattern_id": "VS-d25f622d",
   "a11y_pattern_fingerprint": "85a15a981bde8ee58844c5e56067fdeaa245cec856c3777166818f94f523a1f0",
   "a11y_pattern_display_id": "A11Y-PAT-85A15A981BDE",
   "a11y_occurrence_fingerprint": "8f36b1ebabf405270b0f84d8fb1c339b11930beb4ddcaf517f2c16fe4923d926",
   "a11y_occurrence_display_id": "A11Y-OCC-8F36B1EBABF4",
   "url": "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
   "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
   "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 211,
    "pages_affected": 191,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 191 of 7478 scanned pages (211 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
     "xpath": ".field--name-field-resources-list > h3",
     "html_snippet": "<h3>Related Resources</h3>"
    },
    {
     "url": "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D",
     "xpath": "h4",
     "html_snippet": "<h4 _ngcontent-ng-c1107956043=\"\" class=\"title\">Selected characteristics</h4>"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "http://medicaid.gov/medicaid/data-systems/health-information-exchange/federal-financial-participation-for-hit-and-hie",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22GU%22%5D",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
    "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106876",
    "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106701",
    "http://medicaid.gov/medicaid/financial-management/medicaid-administrative-claiming",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54063",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/program-areas/reducing-substance-use-disorders/collaborative-learning",
    "https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center/request-health-home-planning-funds",
    "https://www.medicaid.gov/new-notable?page=92",
    "https://www.medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial/medicaid-budget-and-expenditure-system-mbes/cms-37-medicaid-program-budget-report",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
    "http://medicaid.gov/about-us/organization/jeremy-silanskis",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/improving-asthma-control",
    "http://medicaid.gov/eligibility",
    "https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/medicare-and-other-coverage-guidance",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/budget-neutrality",
    "http://medicaid.gov/resources-for-states",
    "http://medicaid.gov/medicaid/benefits/telehealth/office-of-civil-rights-hipaa-guidance",
    "https://www.medicaid.gov/medicaid/managed-care/managed-care-entities",
    "http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/innovative-practices",
    "https://www.medicaid.gov/new-notable?page=4",
    "http://medicaid.gov/medicaid/quality-of-care/quality-improvement/oral-health-quality-improvement-resources/advancing-oral-health-prevention-in-primary-care"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments.",
    "Locate the element: .region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
    "Confirm the axe-core finding for rule heading-order."
   ],
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Drupal Views and blocks can insert headings at arbitrary levels. In the Views UI, set \"Title tag\" for each display. For block titles, configure the heading level in the block's layout settings.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__heading-order.csv"
  },
  {
   "instance_id": "VS-01f01755",
   "pattern_id": "VS-8806389c",
   "a11y_pattern_fingerprint": "94e0218b7fbdaffcb5b21134c4dc8c71ab5a17513897ab7889e76550a460aa19",
   "a11y_pattern_display_id": "A11Y-PAT-94E0218B7FBD",
   "a11y_occurrence_fingerprint": "8ce49f48ece1cbc8e8ed6a1fc04b6cba7df37a5248824e4f9f66f92de8ee49bd",
   "a11y_occurrence_display_id": "A11Y-OCC-8CE49F48ECE1",
   "url": "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
   "xpath": ".section",
   "html_snippet": "<aside class=\"section\" role=\"complementary\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 39,
    "pages_affected": 39,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)",
   "description": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 39 of 7478 scanned pages (39 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/financial-management/medicaid-administrative-claiming",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "http://medicaid.gov/resources-for-states",
     "xpath": ".landing-page-blue-ribbon > aside",
     "html_snippet": "<aside class=\"grid-container\" role=\"complementary\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "http://medicaid.gov/medicaid/financial-management/medicaid-administrative-claiming",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "http://medicaid.gov/medicaid/financial-management/medicaid-administrative-claiming",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas",
    "http://medicaid.gov/resources-for-states",
    "https://www.medicaid.gov/medicaid/benefits/prevention",
    "http://medicaid.gov/resources-for-states/spa-and-1915-waiver-processing",
    "https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=3",
    "https://www.medicaid.gov/medicaid/long-term-services-supports/real-choice-systems-change/state-profile-tool-grant-program",
    "https://www.medicaid.gov/medicaid/managed-care/guidance",
    "https://www.medicaid.gov/",
    "https://www.medicaid.gov/style-guide/components/button",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=18",
    "http://medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas",
    "https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program",
    "http://medicaid.gov/medicaid/benefits/prevention",
    "http://medicaid.gov/medicaid/long-term-services-supports/balancing-long-term-services-supports",
    "https://www.medicaid.gov/style-guide/components/back-to-top",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-of-care-performance-measurement/chip-quality-of-care-performance-measurement",
    "https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19",
    "https://www.medicaid.gov/medicaid/eligibility-policy",
    "https://www.medicaid.gov/medicaid/benefits/alternative-benefit-plan-coverage",
    "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas/quality-measurement"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments.",
    "Locate the element: .section",
    "Confirm the axe-core finding for rule landmark-unique."
   ],
   "remediation_tip": "When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. \"Primary\" and \"Footer\" navigation) so screen-reader users can tell them apart.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__landmark-unique.csv"
  },
  {
   "instance_id": "VS-3614bc86",
   "pattern_id": "VS-ff3ceb19",
   "a11y_pattern_fingerprint": "d4ecafa7c635f4162f2c52f6fc50e1661a342ddbe0094718e54496f73657cb5a",
   "a11y_pattern_display_id": "A11Y-PAT-D4ECAFA7C635",
   "a11y_occurrence_fingerprint": "42e1d781c8840299f261e5ae2b1931200ba7bd120fc5abc82bc484f470e4994b",
   "a11y_occurrence_display_id": "A11Y-OCC-42E1D781C884",
   "url": "https://www.medicaid.gov/style-guide/components/button",
   "xpath": ".style-guide-page > .grid-gap-sm.grid-row > main",
   "html_snippet": "<main id=\"content\" class=\"grid-col-12 desktop:grid-col-9\" role=\"main\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-main-is-top-level",
   "rule_label": "Main landmark should not be contained in another landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 3,
    "pages_affected": 3,
    "total_pages_scanned": 7478
   },
   "likely_source": "unknown",
   "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 3 of 7478 scanned pages (3 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/style-guide/components/button",
     "xpath": ".style-guide-page > .grid-gap-sm.grid-row > main",
     "html_snippet": "<main id=\"content\" class=\"grid-col-12 desktop:grid-col-9\" role=\"main\">"
    },
    {
     "url": "https://www.medicaid.gov/style-guide/components/back-to-top",
     "xpath": ".style-guide-page > .grid-gap-sm.grid-row > main",
     "html_snippet": "<main id=\"content\" class=\"grid-col-12 desktop:grid-col-9\" role=\"main\">"
    },
    {
     "url": "https://www.medicaid.gov/style-guide/components",
     "xpath": ".style-guide-page > .grid-gap-sm.grid-row > main",
     "html_snippet": "<main id=\"content\" class=\"grid-col-12 desktop:grid-col-9\" role=\"main\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/style-guide/components/button",
    "https://www.medicaid.gov/style-guide/components/back-to-top",
    "https://www.medicaid.gov/style-guide/components"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/style-guide/components/button",
    "https://www.medicaid.gov/style-guide/components/back-to-top",
    "https://www.medicaid.gov/style-guide/components"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/style-guide/components/button.",
    "Locate the element: .style-guide-page > .grid-gap-sm.grid-row > main",
    "Confirm the axe-core finding for rule landmark-main-is-top-level."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W28",
   "last_seen": "2026-W31",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__landmark-main-is-top-level.csv"
  },
  {
   "instance_id": "VS-eb8eb499",
   "pattern_id": "VS-cd69be3a",
   "a11y_pattern_fingerprint": "c3b2d2b8513dc39f381c73f80f595b0155be4b66ec133517da89d89b84c3b370",
   "a11y_pattern_display_id": "A11Y-PAT-C3B2D2B8513D",
   "a11y_occurrence_fingerprint": "179d30240b44c375cfc8c21d17d51088c4c48862dbd3984e0d9a569ba1e55f4a",
   "a11y_occurrence_display_id": "A11Y-OCC-179D30240B44",
   "url": "https://www.medicaid.gov/style-guide/components/button",
   "xpath": ".main-content",
   "html_snippet": "<main id=\"content\" class=\"main-content grid-col-12\" role=\"main\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-no-duplicate-main",
   "rule_label": "Document should not have more than one main landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 3,
    "pages_affected": 3,
    "total_pages_scanned": 7478
   },
   "likely_source": "unknown",
   "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 3 of 7478 scanned pages (3 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/style-guide/components/button",
     "xpath": ".main-content",
     "html_snippet": "<main id=\"content\" class=\"main-content grid-col-12\" role=\"main\">"
    },
    {
     "url": "https://www.medicaid.gov/style-guide/components/back-to-top",
     "xpath": ".main-content",
     "html_snippet": "<main id=\"content\" class=\"main-content grid-col-12\" role=\"main\">"
    },
    {
     "url": "https://www.medicaid.gov/style-guide/components",
     "xpath": ".main-content",
     "html_snippet": "<main id=\"content\" class=\"main-content grid-col-12\" role=\"main\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/style-guide/components/button",
    "https://www.medicaid.gov/style-guide/components/back-to-top",
    "https://www.medicaid.gov/style-guide/components"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/style-guide/components/button",
    "https://www.medicaid.gov/style-guide/components/back-to-top",
    "https://www.medicaid.gov/style-guide/components"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/style-guide/components/button.",
    "Locate the element: .main-content",
    "Confirm the axe-core finding for rule landmark-no-duplicate-main."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W28",
   "last_seen": "2026-W31",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/axe-core__landmark-no-duplicate-main.csv"
  },
  {
   "instance_id": "VS-7c21ade5",
   "pattern_id": "VS-4fac2f41",
   "a11y_pattern_fingerprint": "3a96f8b84b75d162565d0c2833f80a8a0b171338b481f3be33e065faa47fbabd",
   "a11y_pattern_display_id": "A11Y-PAT-3A96F8B84B75",
   "a11y_occurrence_fingerprint": "35b3a62e9a3bb5685bc9de9c09e46fda445cb1b159ec877766504f9525990c5f",
   "a11y_occurrence_display_id": "A11Y-OCC-35B3A62E9A3B",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
   "xpath": "span[data-select2-id=\"select2-data-1-zx1c\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
   "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-role",
   "rule_label": "ARIA role should be appropriate for the element",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 653,
    "pages_affected": 311,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "ARIA role should be appropriate for the element (WCAG criterion undetermined)",
   "description": "ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 311 of 7478 scanned pages (653 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-zx1c\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-rii3\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-tm9u\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-zvvx\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-hucd\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q="
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=786&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=10&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=34&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=9&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=4&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=28&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=6&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=31&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=7&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=20&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=25&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=41&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=9&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=32&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=53&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=16&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=1&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=25&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=5&q="
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=.",
    "Locate the element: span[data-select2-id=\"select2-data-1-zx1c\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
    "Confirm the axe-core finding for rule aria-allowed-role."
   ],
   "remediation_tip": "Remove or change the ARIA role — it isn't allowed on this element type.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__aria-allowed-role.csv"
  },
  {
   "instance_id": "VS-3adb53e6",
   "pattern_id": "VS-c18be945",
   "a11y_pattern_fingerprint": "950ad6e472d0a3d13d08b0256e775cf1055f2e07b82bfa3856cbb7008e1635fe",
   "a11y_pattern_display_id": "A11Y-PAT-950AD6E472D0",
   "a11y_occurrence_fingerprint": "ffc72905281c7bb46eb3f84be62c774e8a66b011a9c70ff25007b6812e3dda6f",
   "a11y_occurrence_display_id": "A11Y-OCC-FFC72905281C",
   "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
   "xpath": "text: \"  Feedback  \"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "frequency": {
    "instances": 54363,
    "pages_affected": 3317,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3317 of 7478 scanned pages (54363 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
     "xpath": "text: \"  Feedback  \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3001&f%5B2%5D=topics%3A4676&page=1659",
     "xpath": "text: \"  Feedback  \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A751&f%5B2%5D=fpg_topics_facet%3A936&f%5B3%5D=fpg_topics_facet%3A8716&f%5B4%5D=fpg_topics_facet%3A8861&f%5B5%5D=fpg_topics_facet%3A8901&page=6",
     "xpath": "text: \"  Feedback  \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
     "xpath": "text: \"  Feedback  \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A891&f%5B1%5D=waiver_state_facet%3A901&page=69",
     "xpath": "text: \"  Feedback  \"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3001&f%5B2%5D=topics%3A4676&page=1659",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A751&f%5B2%5D=fpg_topics_facet%3A936&f%5B3%5D=fpg_topics_facet%3A8716&f%5B4%5D=fpg_topics_facet%3A8861&f%5B5%5D=fpg_topics_facet%3A8901&page=6"
   ],
   "affected_pages": [
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3001&f%5B2%5D=topics%3A4676&page=1659",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A751&f%5B2%5D=fpg_topics_facet%3A936&f%5B3%5D=fpg_topics_facet%3A8716&f%5B4%5D=fpg_topics_facet%3A8861&f%5B5%5D=fpg_topics_facet%3A8901&page=6",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A891&f%5B1%5D=waiver_state_facet%3A901&page=69",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A711&f%5B1%5D=state%3A796&f%5B2%5D=state%3A816&f%5B3%5D=state%3A866&f%5B4%5D=state%3A976&f%5B5%5D=state%3A1036&f%5B6%5D=state%3A1046&f%5B7%5D=topics%3A3046&f%5B8%5D=topics%3A7406&page=1660",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8383&page=61",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1516&f%5B1%5D=fpg_topics_facet%3A8601&f%5B2%5D=fpg_topics_facet%3A8716&f%5B3%5D=fpg_topics_facet%3A8861&page=4",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments/approved-state-directed-payment-preprints?items_per_page=50&page=5",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A796&f%5B1%5D=state%3A831&page=1663",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=8&q=",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1856&f%5B1%5D=sub_topic_faq_library_facet%3A2091&f%5B2%5D=sub_topic_faq_library_facet%3A2096&f%5B3%5D=sub_topic_faq_library_facet%3A2371&f%5B4%5D=sub_topic_faq_library_facet%3A2436&page=0",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-14-004-5",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1976&f%5B1%5D=sub_topic_faq_library_facet%3A1986&f%5B2%5D=sub_topic_faq_library_facet%3A2091&f%5B3%5D=sub_topic_faq_library_facet%3A2431&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1971&fcf=41230&page=0&sl=yes",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A716&f%5B1%5D=waiver_state_facet%3A991&items_per_page=10&page=5",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A2826&page=109",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2451&fcf=40870&page=4&sl=yes",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/110976",
    "http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A906&f%5B2%5D=fpg_topics_facet%3A1016&f%5B3%5D=fpg_topics_facet%3A1491&f%5B4%5D=fpg_topics_facet%3A8711&f%5B5%5D=fpg_topics_facet%3A8716&f%5B6%5D=fpg_topics_facet%3A8861&page=110",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1471&f%5B1%5D=fpg_topics_facet%3A1501&f%5B2%5D=fpg_topics_facet%3A1516&f%5B3%5D=fpg_topics_facet%3A8406&page=106",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1881&f%5B1%5D=sub_topic_faq_library_facet%3A1911&f%5B2%5D=sub_topic_faq_library_facet%3A2501&page=82",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-729"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?page=0.",
    "Locate the element: text: \"  Feedback  \"",
    "Confirm the Siteimprove Alfa finding for rule sia-r57."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r57.csv"
  },
  {
   "instance_id": "VS-b762c651",
   "pattern_id": "VS-aa242c2d",
   "a11y_pattern_fingerprint": "9bbfd94bd90376189a5c933a4d16c8a76c606598a68b0d2e61eecf739964bd9d",
   "a11y_pattern_display_id": "A11Y-PAT-9BBFD94BD903",
   "a11y_occurrence_fingerprint": "97f16c8043e92e469ec3e953f8fededc3a10720a39087acd9b918128957a8b73",
   "a11y_occurrence_display_id": "A11Y-OCC-97F16C8043E9",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "frequency": {
    "instances": 1142,
    "pages_affected": 1142,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "First focusable element is link to main content (WCAG criterion undetermined)",
   "description": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 1142 of 7478 scanned pages (1142 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-14-004-5",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-729",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7125",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-14-004-5"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-14-004-5",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-729",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7125",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-648",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-156-156",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg013184",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-444",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2256",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6586",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-83-006-6",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6321",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7912",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7023",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1658",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7675",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2460",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7257"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r87."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r87.csv"
  },
  {
   "instance_id": "VS-ceb71760",
   "pattern_id": "VS-7118fead",
   "a11y_pattern_fingerprint": "d71a88e83b9226ce1c0d790a0f6c20a91532d96068ebea7e887804b7fc25ae3d",
   "a11y_pattern_display_id": "A11Y-PAT-D71A88E83B92",
   "a11y_occurrence_fingerprint": "5dd6c4cd5422ed17d5f368a515e06be982418d5489678fe4dafdbffd39ac1e65",
   "a11y_occurrence_display_id": "A11Y-OCC-5DD6C4CD5422",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "frequency": {
    "instances": 1136,
    "pages_affected": 1136,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 1136 of 7478 scanned pages (1136 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-14-004-5",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-729",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7125",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-14-004-5"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-14-004-5",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-729",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7125",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7441",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-648",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-156-156",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8417",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg013184",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-444",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2256",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6586",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-83-006-6",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6321",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/Waiver-Descript-Factsheet/OR",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7912",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7023",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1658",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7675",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2460"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-21-050-50.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r61."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r61.csv"
  },
  {
   "instance_id": "VS-4bb4de80",
   "pattern_id": "VS-e05344b9",
   "a11y_pattern_fingerprint": "1f096d7d348a6e73ae969784c8c1abde5919a38d6f373291c1b3cdfd860d9c27",
   "a11y_pattern_display_id": "A11Y-PAT-1F096D7D348A",
   "a11y_occurrence_fingerprint": "ad968d86968fb82bb09f64dcbb8789be2052c0f9f688c52fa23da79767d40a20",
   "a11y_occurrence_display_id": "A11Y-OCC-AD968D86968F",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
   "xpath": "@aria-selected=\"true\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "frequency": {
    "instances": 1163,
    "pages_affected": 241,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)",
   "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 241 of 7478 scanned pages (1163 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
     "xpath": "@aria-selected=\"true\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
     "xpath": "@aria-selected=\"true\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx009326",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg013184",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002118",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002163",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002190",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl003047",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002148",
    "https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/mcr-managed-care-plan-information/managed-care-service-area",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003074",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003057",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl004056",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003225",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/mcr004057",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg002020",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg015202",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/tpl003089",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002099",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002076",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002084",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002147",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008283",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/tpl003037"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002035.",
    "Locate the element: @aria-selected=\"true\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r18."
   ],
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r18.csv"
  },
  {
   "instance_id": "VS-fd47ab5d",
   "pattern_id": "VS-04a9d28c",
   "a11y_pattern_fingerprint": "56a6becbcfff85f715f09e97b699bae8f9e5cd3dd97d00e80e5669888e67d9c0",
   "a11y_pattern_display_id": "A11Y-PAT-56A6BECBCFFF",
   "a11y_occurrence_fingerprint": "fe83b9ed6ae286f96dcb410cf3bc73039fe860177dbc29e57133cc941a7f5a26",
   "a11y_occurrence_display_id": "A11Y-OCC-FE83B9ED6AE2",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023",
   "xpath": "td",
   "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine_key": "deprecated-html",
   "tool": "deprecated-html",
   "rule_url": null,
   "severity": "Moderate",
   "frequency": {
    "instances": 163,
    "pages_affected": 132,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)",
   "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 132 of 7478 scanned pages (163 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"5\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-014-14",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6379",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002117",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-014-14",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6379"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-014-14",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6379",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002117",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6214",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003225",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/mcr004057",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8877",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-005-5",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7006",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8037",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt003189",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7649",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg007124",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004268",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1392",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/prv-5-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-3008",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-008-22",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003207",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl002023",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002244",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx006201",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-608",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-7-014-14"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023.",
    "Locate the element: td",
    "Confirm the deprecated-html finding for rule presentational-attr."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/deprecated-html__presentational-attr.csv"
  },
  {
   "instance_id": "VS-445ff332",
   "pattern_id": "VS-f054f4a4",
   "a11y_pattern_fingerprint": "82f0115236489cbf7e7f113fdfd27b524072c7c43e37572941e91819b5f10cbb",
   "a11y_pattern_display_id": "A11Y-PAT-82F011523648",
   "a11y_occurrence_fingerprint": "969cd86eff7f9a76454e79136d6fedd0320ff3a73e8e3fd7889625c291ca13d7",
   "a11y_occurrence_display_id": "A11Y-OCC-969CD86EFF7F",
   "url": "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
   "xpath": "<h4 class=\"usa-footer__primary-link\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "frequency": {
    "instances": 119,
    "pages_affected": 108,
    "total_pages_scanned": 7478
   },
   "likely_source": "template",
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 108 of 7478 scanned pages (119 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106876",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106701",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/new-notable?page=92",
     "xpath": "<h4 class=\"margin-0\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
    "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106876"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations",
    "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106876",
    "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106701",
    "https://www.medicaid.gov/new-notable?page=92",
    "https://www.medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial/medicaid-budget-and-expenditure-system-mbes/cms-37-medicaid-program-budget-report",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality",
    "http://medicaid.gov/about-us/organization/jeremy-silanskis",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/improving-asthma-control",
    "http://medicaid.gov/eligibility",
    "https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/medicare-and-other-coverage-guidance",
    "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/budget-neutrality",
    "http://medicaid.gov/resources-for-states",
    "https://www.medicaid.gov/medicaid/managed-care/managed-care-entities",
    "http://medicaid.gov/medicaid/quality-of-care/quality-improvement/oral-health-quality-improvement-resources/advancing-oral-health-prevention-in-primary-care",
    "http://medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center/request-health-home-planning-funds",
    "http://medicaid.gov/medicaid/program-integrity/affordable-care-act-program-integrity-provisions",
    "http://medicaid.gov/state-overviews/stateprofile.html?state=New-York",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106626",
    "https://www.medicaid.gov/about-us/organization/todd-jones",
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/physician-administered-drugs-pad",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/192741",
    "http://medicaid.gov/medicaid/quality-of-care/quality-improvement/improving-tobacco-cessation/state-stories",
    "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person/money-follows-person-additional-resources"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments.",
    "Locate the element: <h4 class=\"usa-footer__primary-link\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r53."
   ],
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r53.csv"
  },
  {
   "instance_id": "VS-ea01f8e9",
   "pattern_id": "VS-2cd767ca",
   "a11y_pattern_fingerprint": "8b5c7c0abaa24199c3ae8a821e752f6c2b7d9a054b6611feaa545d0ec5680c59",
   "a11y_pattern_display_id": "A11Y-PAT-8B5C7C0ABAA2",
   "a11y_occurrence_fingerprint": "9a15c285d20e83d69824d51b5c518d5c47980f7d17f78e5eb00ccaafa065a5c3",
   "a11y_occurrence_display_id": "A11Y-OCC-9A15C285D20E",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
   "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "frequency": {
    "instances": 5,
    "pages_affected": 5,
    "total_pages_scanned": 7478
   },
   "likely_source": "unknown",
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 5 of 7478 scanned pages (5 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NY%22%5D",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AZ%22%5D",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NY%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AZ%22%5D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D.",
    "Locate the element: <h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header core-set ng-star-inserted\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r78."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r78.csv"
  },
  {
   "instance_id": "VS-6d53d87f",
   "pattern_id": "VS-e5ec42f0",
   "a11y_pattern_fingerprint": "3567d42eeb758bb84f6a71085f5f0509ea361cbdfc808dea5fc56f7862cb94fe",
   "a11y_pattern_display_id": "A11Y-PAT-3567D42EEB75",
   "a11y_occurrence_fingerprint": "d6a2683ff74b99ff9785fedfaef0ef70173ccba22c8ac097d3ae922a22b222c2",
   "a11y_occurrence_display_id": "A11Y-OCC-D6A2683FF74B",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
   "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r72",
   "rule_label": "Element role is consistent with ARIA landmark",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r72",
   "severity": "Moderate",
   "frequency": {
    "instances": 900,
    "pages_affected": 5,
    "total_pages_scanned": 7478
   },
   "likely_source": "unknown",
   "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 7478 scanned pages (900 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
     "xpath": "<p class=\"chart-label\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NY%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AZ%22%5D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D.",
    "Locate the element: <p _ngcontent-ng-c2822395467=\"\" class=\"title core-set\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r72."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r72",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r72.csv"
  },
  {
   "instance_id": "VS-a381b0d4",
   "pattern_id": "VS-4c341c77",
   "a11y_pattern_fingerprint": "745ff630e526bd7a65bacc77c59576fc266fa55f2f4eddcc0cc3f42435b250d5",
   "a11y_pattern_display_id": "A11Y-PAT-745FF630E526",
   "a11y_occurrence_fingerprint": "a3ec7d9dc3f1d240857cbd957b542de519b1b188d66b2bcb5a849bf916799462",
   "a11y_occurrence_display_id": "A11Y-OCC-A3EC7D9DC3F1",
   "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
   "xpath": "<p class=\"selected-states-header\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r85",
   "rule_label": "Keyboard trap does not exist",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r85",
   "severity": "Moderate",
   "frequency": {
    "instances": 247,
    "pages_affected": 4,
    "total_pages_scanned": 7478
   },
   "likely_source": "unknown",
   "summary": "Keyboard trap does not exist (WCAG criterion undetermined)",
   "description": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 4 of 7478 scanned pages (247 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D",
     "xpath": "<p class=\"selected-states-header\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NY%22%5D"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22PA%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NY%22%5D",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22AZ%22%5D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22KS%22%5D.",
    "Locate the element: <p class=\"selected-states-header\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r85."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W31",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r85.csv"
  }
 ],
 "policy": {
  "suppression": {
   "patterns": 0,
   "pages": 0,
   "occurrences": 0,
   "entries": []
  }
 }
}