# Accessibility bug reports — www.medicaid.gov, week 2026-W32

33 issue type(s) from 6885 pages scanned. Generated 2026-08-09 by [vital-scans](https://github.com/mgifford/vital-core), following [accessibility bug-reporting best practices](https://mgifford.github.io/ACCESSIBILITY.md/examples/ACCESSIBILITY_BUG_REPORTING_BEST_PRACTICES.html).

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

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

**Bug ID:** `VS-536b2faa`  
**Pattern ID:** `VS-179ad9b3`  
**URL:** https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=7&q=  
**XPath / selector:** `<textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">`  
**WCAG SC:** 2.5.8 — Target Size (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r113` ([reference](https://alfa.siteimprove.com/rules/sia-r113))  
**Severity:** Moderate  
**Frequency:** 205 instances; 97 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 97 of 6885 scanned pages (205 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=7&q=.
2. Locate the element: <textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">
3. Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum).

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

### Affected pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=7&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1006&page=12&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=1&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=1001&page=12&q=
- https://www.medicaid.gov/dq-atlas/landing/topics
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=9&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=50&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=23&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=796&page=2&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=541&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=2&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=8&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=46&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=25&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=27&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=9&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1006&page=6&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=961&page=50&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=47&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=3&q=

…and more — 97 pages total ([download CSV](csv/alfa__sia-r113.csv)).

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

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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=7&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1006&page=12&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=1&q=

---

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

**Bug ID:** `VS-f88ad328`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29  
**XPath / selector:** `<a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">`  
**WCAG SC:** 2.5.3 — Label in Name (Level A)  
**Rule:** Siteimprove Alfa — `sia-r14` ([reference](https://alfa.siteimprove.com/rules/sia-r14))  
**Severity:** Moderate  
**Frequency:** 373 instances; 373 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 373 of 6885 scanned pages (373 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29.
2. Locate the element: <a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">
3. Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name.

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

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7529
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-013-10
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-3-017-22
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-24-004-4
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002163
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7183
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1247
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-7-028-28
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-4-005-5
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-36-001-1
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003266
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003044
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002082
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-022-5
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-17-003-3
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-1-029-36
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/prv-2-011-11
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-11-160_1-163
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-5-015-1
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2012

…and more — 373 pages total ([download CSV](csv/alfa__sia-r14.csv)).

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384

---

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

**Bug ID:** `VS-861a9d0a`  
**Pattern ID:** `VS-9429bb8d`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274  
**XPath / selector:** `.nav`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `aria-required-children` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 328 instances; 328 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

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

### Description
Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 328 of 6885 scanned pages (328 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274.
2. Locate the element: .nav
3. Confirm the axe-core finding for rule aria-required-children against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002106
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002240
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg002021
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002163
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx003142
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003266
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002146
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003044
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002082
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/mcr001008
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip001007
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg007123
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg005091
- https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/elg-eligible/primary-demographics-eligibility
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv006092
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg005088
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/tpl003089
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg014198
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002168
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr002017
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002167
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip001003
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002111

…and more — 328 pages total ([download CSV](csv/axe-core__aria-required-children.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002106
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002240

---

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

**Bug ID:** `VS-0e28bafa`  
**Pattern ID:** `VS-d6097011`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274  
**XPath / selector:** `<div class="nav nav-tabs nav-justified" role="tablist">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r68` ([reference](https://alfa.siteimprove.com/rules/sia-r68))  
**Severity:** Moderate  
**Frequency:** 269 instances; 258 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 258 of 6885 scanned pages (269 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274.
2. Locate the element: <div class="nav nav-tabs nav-justified" role="tablist">
3. Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002163
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx003142
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003266
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003044
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002082
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=7&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1006&page=12&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/elg-eligible/primary-demographics-eligibility
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=1&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv006092
- 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=1001&page=12&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/tpl003089
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg014198
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip001003
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002111
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=3&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008290
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt001001
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=9&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002032
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr006074
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002228

…and more — 258 pages total ([download CSV](csv/alfa__sia-r68.csv)).

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002163

---

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

**Bug ID:** `VS-117f4df0`  
**Pattern ID:** `VS-1467ea8a`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274  
**XPath / selector:** `a[href$="#overview"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-allowed-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 1598 instances; 328 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

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

### Description
Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 328 of 6885 scanned pages (1598 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274.
2. Locate the element: a[href$="#overview"]
3. Confirm the axe-core finding for rule aria-allowed-attr against WCAG 4.1.2 Name, Role, Value.

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

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002106
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002240
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg002021
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002163
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx003142
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003266
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002146
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003044
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002082
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/mcr001008
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip001007
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg007123
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg005091
- https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/elg-eligible/primary-demographics-eligibility
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv006092
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg005088
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/tpl003089
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg014198
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002168
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr002017
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002167
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip001003
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002111

…and more — 328 pages total ([download CSV](csv/axe-core__aria-allowed-attr.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002106
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002240

---

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

**Bug ID:** `VS-ea437282`  
**Pattern ID:** `VS-0841abc2`  
**URL:** http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=0&q=  
**XPath / selector:** `span[data-select2-id="select2-data-1-9djr"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-input-field-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 395 instances; 187 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

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

### Description
ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 187 of 6885 scanned pages (395 instances).

### Steps to reproduce
1. Open http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=0&q=.
2. Locate the element: span[data-select2-id="select2-data-1-9djr"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]
3. Confirm the axe-core finding for rule aria-input-field-name against WCAG 4.1.2 Name, Role, Value.

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

### Affected pages
- http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%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/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1006&page=12&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=1&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=1001&page=12&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1006&page=11&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=21&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=9&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=736&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=50&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=3&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=10&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=23&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=796&page=2&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=541&q=
- http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=1&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=2&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=8&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=0&q=

…and more — 187 pages total ([download CSV](csv/axe-core__aria-input-field-name.csv)).

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

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

### Example pages
- http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%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=

---

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

**Bug ID:** `VS-a85402ed`  
**Pattern ID:** `VS-ebb1c464`  
**URL:** https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals  
**XPath / selector:** `#map-svg-map-1749492515862`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-prohibited-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 3 instances; 3 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### HTML snippet
```html
<div id="map-svg-map-1749492515862" class="map-container" aria-disabled="true" aria-label="State Map Image. Keyboard navigating users can use dropdown to select state." style="position: relative; widt
```

### Description
Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 3 of 6885 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals.
2. Locate the element: #map-svg-map-1749492515862
3. Confirm the axe-core finding for rule aria-prohibited-attr against WCAG 4.1.2 Name, Role, Value.

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

### Affected pages
- https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals
- https://www.medicaid.gov/about-us/where-can-people-get-help-medicaid-chip
- https://www.medicaid.gov/medicaid/data-systems/it-procurement-opportunities

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

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

### Example pages
- https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals
- https://www.medicaid.gov/about-us/where-can-people-get-help-medicaid-chip
- https://www.medicaid.gov/medicaid/data-systems/it-procurement-opportunities

---

## Form field has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-4bc481e5`  
**Pattern ID:** `VS-a48e6078`  
**URL:** https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=7&q=  
**XPath / selector:** `<span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r8` ([reference](https://alfa.siteimprove.com/rules/sia-r8))  
**Severity:** Moderate  
**Frequency:** 203 instances; 96 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 96 of 6885 scanned pages (203 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=7&q=.
2. Locate the element: <span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">
3. Confirm the Siteimprove Alfa finding for rule sia-r8 against WCAG 4.1.2 Name, Role, Value.

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

### Affected pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=7&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1006&page=12&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=1&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=1001&page=12&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=9&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=50&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=23&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=796&page=2&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=541&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=2&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=8&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=46&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=25&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=27&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=9&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1006&page=6&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=961&page=50&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=47&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=851&page=5&q=

…and more — 96 pages total ([download CSV](csv/alfa__sia-r8.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=7&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1006&page=12&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=1&q=

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-6bf4d73e`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117  
**XPath / selector:** `text: "Here's how you know "`  
**WCAG SC:** 1.4.6 — Contrast (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r66` ([reference](https://alfa.siteimprove.com/rules/sia-r66))  
**Severity:** Moderate  
**Frequency:** 122700 instances; 3201 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 3201 of 6885 scanned pages (122700 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117.
2. Locate the element: text: "Here's how you know "
3. Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced).

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

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8530&page=4
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2076&f%5B1%5D=sub_topic_faq_library_facet%3A2406&f%5B2%5D=sub_topic_faq_library_facet%3A2451&f%5B3%5D=sub_topic_faq_library_facet%3A2506&page=82
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2001&f%5B1%5D=sub_topic_faq_library_facet%3A2036&f%5B2%5D=sub_topic_faq_library_facet%3A2081&f%5B3%5D=sub_topic_faq_library_facet%3A2106&f%5B4%5D=sub_topic_faq_library_facet%3A2451&page=84
- 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%3A6171&page=111
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3266&f%5B2%5D=topics%3A8301&page=0
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A916&f%5B1%5D=state%3A1051&page=3
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16
- 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%3A6171&page=3
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384
- 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/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A806&f%5B1%5D=state%3A926&f%5B2%5D=state%3A996&page=1662
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1851&f%5B1%5D=sub_topic_faq_library_facet%3A1876&f%5B2%5D=sub_topic_faq_library_facet%3A2076&f%5B3%5D=sub_topic_faq_library_facet%3A2446&page=84
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7529
- https://www.medicaid.gov/faq?fcf=41303&page=0&sl=yes
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A966&f%5B1%5D=topics%3A771&f%5B2%5D=topics%3A1016&page=1656
- 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
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1491&f%5B1%5D=fpg_topics_facet%3A1516&f%5B2%5D=fpg_topics_facet%3A8901&page=0
- 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-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A806&f%5B1%5D=waiver_state_facet%3A816&f%5B2%5D=waiver_state_facet%3A1041&page=3
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A711&f%5B1%5D=state%3A756&f%5B2%5D=state%3A836&f%5B3%5D=state%3A841&f%5B4%5D=state%3A1046&f%5B5%5D=topics%3A741&f%5B6%5D=topics%3A7401&page=1665
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2371&f%5B1%5D=sub_topic_faq_library_facet%3A2431&f%5B2%5D=sub_topic_faq_library_facet%3A2451&page=84
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1946&f%5B1%5D=sub_topic_faq_library_facet%3A2021&f%5B2%5D=sub_topic_faq_library_facet%3A2081&page=3
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1931&f%5B1%5D=sub_topic_faq_library_facet%3A1946&f%5B2%5D=sub_topic_faq_library_facet%3A1986&f%5B3%5D=sub_topic_faq_library_facet%3A2511&page=5

…and more — 3201 pages total ([download CSV](csv/alfa__sia-r66.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8530&page=4
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2076&f%5B1%5D=sub_topic_faq_library_facet%3A2406&f%5B2%5D=sub_topic_faq_library_facet%3A2451&f%5B3%5D=sub_topic_faq_library_facet%3A2506&page=82

---

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

**Bug ID:** `VS-5681c797`  
**Pattern ID:** `VS-2208081b`  
**URL:** http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8530&page=4  
**XPath / selector:** `<p class="usa-footer__contact-info margin-bottom-0">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r73` ([reference](https://alfa.siteimprove.com/rules/sia-r73))  
**Severity:** Moderate  
**Frequency:** 4784 instances; 2446 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 2446 of 6885 scanned pages (4784 instances).

### Steps to reproduce
1. Open http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8530&page=4.
2. Locate the element: <p class="usa-footer__contact-info margin-bottom-0">
3. Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8530&page=4
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2076&f%5B1%5D=sub_topic_faq_library_facet%3A2406&f%5B2%5D=sub_topic_faq_library_facet%3A2451&f%5B3%5D=sub_topic_faq_library_facet%3A2506&page=82
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2001&f%5B1%5D=sub_topic_faq_library_facet%3A2036&f%5B2%5D=sub_topic_faq_library_facet%3A2081&f%5B3%5D=sub_topic_faq_library_facet%3A2106&f%5B4%5D=sub_topic_faq_library_facet%3A2451&page=84
- 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%3A6171&page=111
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3266&f%5B2%5D=topics%3A8301&page=0
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A916&f%5B1%5D=state%3A1051&page=3
- 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%3A6171&page=3
- 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/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A806&f%5B1%5D=state%3A926&f%5B2%5D=state%3A996&page=1662
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1851&f%5B1%5D=sub_topic_faq_library_facet%3A1876&f%5B2%5D=sub_topic_faq_library_facet%3A2076&f%5B3%5D=sub_topic_faq_library_facet%3A2446&page=84
- https://www.medicaid.gov/faq?fcf=41303&page=0&sl=yes
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A966&f%5B1%5D=topics%3A771&f%5B2%5D=topics%3A1016&page=1656
- 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
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1491&f%5B1%5D=fpg_topics_facet%3A1516&f%5B2%5D=fpg_topics_facet%3A8901&page=0
- 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-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A806&f%5B1%5D=waiver_state_facet%3A816&f%5B2%5D=waiver_state_facet%3A1041&page=3
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A711&f%5B1%5D=state%3A756&f%5B2%5D=state%3A836&f%5B3%5D=state%3A841&f%5B4%5D=state%3A1046&f%5B5%5D=topics%3A741&f%5B6%5D=topics%3A7401&page=1665
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2371&f%5B1%5D=sub_topic_faq_library_facet%3A2431&f%5B2%5D=sub_topic_faq_library_facet%3A2451&page=84
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1946&f%5B1%5D=sub_topic_faq_library_facet%3A2021&f%5B2%5D=sub_topic_faq_library_facet%3A2081&page=3
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1931&f%5B1%5D=sub_topic_faq_library_facet%3A1946&f%5B2%5D=sub_topic_faq_library_facet%3A1986&f%5B3%5D=sub_topic_faq_library_facet%3A2511&page=5
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A541&objectId=1864675&page=66
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1471&f%5B1%5D=fpg_topics_facet%3A6481&page=1
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A736&f%5B1%5D=waiver_state_facet%3A786&f%5B2%5D=waiver_state_facet%3A976&items_per_page=50&page=2
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=40604&page=4
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/81446

…and more — 2446 pages total ([download CSV](csv/alfa__sia-r73.csv)).

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

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

### Example pages
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8530&page=4
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2076&f%5B1%5D=sub_topic_faq_library_facet%3A2406&f%5B2%5D=sub_topic_faq_library_facet%3A2451&f%5B3%5D=sub_topic_faq_library_facet%3A2506&page=82
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2001&f%5B1%5D=sub_topic_faq_library_facet%3A2036&f%5B2%5D=sub_topic_faq_library_facet%3A2081&f%5B3%5D=sub_topic_faq_library_facet%3A2106&f%5B4%5D=sub_topic_faq_library_facet%3A2451&page=84

---

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

**Bug ID:** `VS-a946b6b9`  
**Pattern ID:** `VS-fbf54eba`  
**URL:** https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=50&page=4  
**XPath / selector:** `<p class="field-content">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r74` ([reference](https://alfa.siteimprove.com/rules/sia-r74))  
**Severity:** Moderate  
**Frequency:** 68 instances; 7 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 7 of 6885 scanned pages (68 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=50&page=4.
2. Locate the element: <p class="field-content">
3. Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=50&page=4
- https://www.medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=24
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22SD%22%5D
- http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=1
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NM%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NY%22%5D

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

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

### Example pages
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=50&page=4
- https://www.medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=24

---

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

**Bug ID:** `VS-45e6f629`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117  
**XPath / selector:** `<button class="btn btn-outline-primary dropdown-toggle py-1 px-2" type="button" id="dropdownMenuButton" data-toggle="dropdown">`  
**WCAG SC:** 2.5.5 — Target Size (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r111` ([reference](https://alfa.siteimprove.com/rules/sia-r111))  
**Severity:** Moderate  
**Frequency:** 72269 instances; 3201 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 3201 of 6885 scanned pages (72269 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117.
2. Locate the element: <button class="btn btn-outline-primary dropdown-toggle py-1 px-2" type="button" id="dropdownMenuButton" data-toggle="dropdown">
3. Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced).

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

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8530&page=4
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2076&f%5B1%5D=sub_topic_faq_library_facet%3A2406&f%5B2%5D=sub_topic_faq_library_facet%3A2451&f%5B3%5D=sub_topic_faq_library_facet%3A2506&page=82
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2001&f%5B1%5D=sub_topic_faq_library_facet%3A2036&f%5B2%5D=sub_topic_faq_library_facet%3A2081&f%5B3%5D=sub_topic_faq_library_facet%3A2106&f%5B4%5D=sub_topic_faq_library_facet%3A2451&page=84
- 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%3A6171&page=111
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3266&f%5B2%5D=topics%3A8301&page=0
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A916&f%5B1%5D=state%3A1051&page=3
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16
- 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%3A6171&page=3
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384
- 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/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A806&f%5B1%5D=state%3A926&f%5B2%5D=state%3A996&page=1662
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1851&f%5B1%5D=sub_topic_faq_library_facet%3A1876&f%5B2%5D=sub_topic_faq_library_facet%3A2076&f%5B3%5D=sub_topic_faq_library_facet%3A2446&page=84
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7529
- https://www.medicaid.gov/faq?fcf=41303&page=0&sl=yes
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A966&f%5B1%5D=topics%3A771&f%5B2%5D=topics%3A1016&page=1656
- 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
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1491&f%5B1%5D=fpg_topics_facet%3A1516&f%5B2%5D=fpg_topics_facet%3A8901&page=0
- 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-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A806&f%5B1%5D=waiver_state_facet%3A816&f%5B2%5D=waiver_state_facet%3A1041&page=3
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A711&f%5B1%5D=state%3A756&f%5B2%5D=state%3A836&f%5B3%5D=state%3A841&f%5B4%5D=state%3A1046&f%5B5%5D=topics%3A741&f%5B6%5D=topics%3A7401&page=1665
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2371&f%5B1%5D=sub_topic_faq_library_facet%3A2431&f%5B2%5D=sub_topic_faq_library_facet%3A2451&page=84
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1946&f%5B1%5D=sub_topic_faq_library_facet%3A2021&f%5B2%5D=sub_topic_faq_library_facet%3A2081&page=3
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1931&f%5B1%5D=sub_topic_faq_library_facet%3A1946&f%5B2%5D=sub_topic_faq_library_facet%3A1986&f%5B3%5D=sub_topic_faq_library_facet%3A2511&page=5

…and more — 3201 pages total ([download CSV](csv/alfa__sia-r111.csv)).

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8530&page=4
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2076&f%5B1%5D=sub_topic_faq_library_facet%3A2406&f%5B2%5D=sub_topic_faq_library_facet%3A2451&f%5B3%5D=sub_topic_faq_library_facet%3A2506&page=82

---

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

**Bug ID:** `VS-268cd7c0`  
**Pattern ID:** `VS-33841929`  
**URL:** https://www.medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing  
**XPath / selector:** `select[aria-labelledby="filter-th-87386-0"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `label-title-only` ([reference](https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 19 instances; 1 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### HTML snippet
```html
<select aria-labelledby="filter-th-87386-0" class="usa-select height-1" data-col-index="0" title="Filter by Type">
          <option value="">All</option>
        <option value="Federal Upper Limit">F
```

### Description
Form elements should have a visible label. Detected by axe-core rule label-title-only on 1 of 6885 scanned pages (19 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing.
2. Locate the element: select[aria-labelledby="filter-th-87386-0"]
3. Confirm the axe-core finding for rule label-title-only.

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

### Affected pages
- https://www.medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing

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

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

---

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

**Bug ID:** `VS-9605e6ed`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `page-has-heading-one` ([reference](https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1550 instances; 1550 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

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

### Description
Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 1550 of 6885 scanned pages (1550 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117.
2. Locate the element: html
3. Confirm the axe-core finding for rule page-has-heading-one.

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

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-45-003-3
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7529
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-22-006-6
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002106
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8666
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002240
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1542
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-013-10
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7293
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-3-017-22
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-40-001-1
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-1-064-64
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-25-031-31
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-8653
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6127
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg002021
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8431
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-24-004-4

…and more — 1550 pages total ([download CSV](csv/axe-core__page-has-heading-one.csv)).

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29

---

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

**Bug ID:** `VS-02a6a6df`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117  
**XPath / selector:** `.small`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `region` ([reference](https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 6889 instances; 1548 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

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

### Description
All page content should be contained by landmarks. Detected by axe-core rule region on 1548 of 6885 scanned pages (6889 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117.
2. Locate the element: .small
3. Confirm the axe-core finding for rule region.

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

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-45-003-3
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7529
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-22-006-6
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002106
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8666
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002240
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1542
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-013-10
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7293
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-3-017-22
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-40-001-1
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-1-064-64
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-25-031-31
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-8653
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6127
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg002021
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8431
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-24-004-4

…and more — 1548 pages total ([download CSV](csv/axe-core__region.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29

---

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

**Bug ID:** `VS-37bb2542`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-one-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1544 instances; 1544 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

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

### Description
Document should have one main landmark. Detected by axe-core rule landmark-one-main on 1544 of 6885 scanned pages (1544 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117.
2. Locate the element: html
3. Confirm the axe-core finding for rule landmark-one-main.

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

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-45-003-3
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7529
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-22-006-6
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002106
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8666
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002240
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1542
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-013-10
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7293
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-3-017-22
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-40-001-1
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-1-064-64
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-25-031-31
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-8653
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6127
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg002021
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8431
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-24-004-4

…and more — 1544 pages total ([download CSV](csv/axe-core__landmark-one-main.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8942
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29

---

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

**Bug ID:** `VS-d2c8ff15`  
**Pattern ID:** `VS-d25f622d`  
**URL:** https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/well-child-care  
**XPath / selector:** `.field--name-field-resources-list > h3`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 155 instances; 144 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### HTML snippet
```html
<h3>Related Resources</h3>
```

### Description
Heading levels should only increase by one. Detected by axe-core rule heading-order on 144 of 6885 scanned pages (155 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/well-child-care.
2. Locate the element: .field--name-field-resources-list > h3
3. Confirm the axe-core finding for rule heading-order.

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

### Affected pages
- https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/well-child-care
- https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581
- https://www.medicaid.gov/state-overviews
- https://www.medicaid.gov/about-us/organization/adrienne-delozier
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/99166
- https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/covid-19-phe-unwinding-section-1902e14a-waiver-approvals
- https://www.medicaid.gov/medicaid/enrollment-strategies/medicaid-and-chip-coverage-of-lawfully-residing-children-pregnant-women
- http://medicaid.gov/state-overviews/stateprofile.html?state=Hawaii
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/97856
- https://www.medicaid.gov/medicaid/managed-care/guidance/medicaid-and-chip-managed-care-reporting/how-to-use-mcpar-public-use-files
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/173631
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/107766
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NJ%22%5D
- https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/interest-calculation-for-late-rebate-payments
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/176601
- https://www.medicaid.gov/medicaid/benefits/telehealth/telehealth-terms
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/103466
- https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/file-formats-and-data-definitions/state/manufacturer-email-communications-archive
- http://medicaid.gov/medicaid/section-1115-demonstrations/substance-use-disorder-section-1115-demonstration-opportunity
- https://www.medicaid.gov/medicaid/long-term-services-supports/institutional-long-term-care/nursing-facilities
- http://medicaid.gov/medicaid/long-term-services-supports/workforce-initiative/workforce-development-through-nwd-systemsadrcs
- https://www.medicaid.gov/about-us/where-can-people-get-help-medicaid-chip
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/50202
- https://www.medicaid.gov/medicaid/financial-management/state-budget-expenditure-reporting-for-medicaid-and-chip/expenditure-reports-mbes/cbes
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106231

…and more — 144 pages total ([download CSV](csv/axe-core__heading-order.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/well-child-care
- https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581
- https://www.medicaid.gov/state-overviews

---

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

**Bug ID:** `VS-b1a8999e`  
**Pattern ID:** `VS-8806389c`  
**URL:** https://www.medicaid.gov/state-overviews  
**XPath / selector:** `.landing-page-blue-ribbon > aside`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 27 instances; 27 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### HTML snippet
```html
<aside class="grid-container" role="complementary">
```

### Description
Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 27 of 6885 scanned pages (27 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/state-overviews.
2. Locate the element: .landing-page-blue-ribbon > aside
3. Confirm the axe-core finding for rule landmark-unique.

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

### Affected pages
- https://www.medicaid.gov/state-overviews
- http://medicaid.gov/medicaid/financial-management/payment-limit-demonstrations
- https://www.medicaid.gov/medicaid/financial-management/state-budget-expenditure-reporting-for-medicaid-and-chip/expenditure-reports-mbes/cbes
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit
- http://medicaid.gov/about-us
- http://medicaid.gov/medicaid/managed-care
- https://www.medicaid.gov/medicaid/long-term-services-supports/medicaid-employment-initiatives
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=50&page=4
- https://www.medicaid.gov/medicaid/managed-care/guidance/medicaid-and-chip-managed-care-reporting
- https://www.medicaid.gov/medicaid-provider-reassignment-regulation-final-rule
- http://medicaid.gov/medicaid/data-systems
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19
- https://www.medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=24
- https://www.medicaid.gov/style-guide/foundation/spacing
- https://www.medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution
- http://medicaid.gov/medicaid/data-systems/health-information-technology
- https://www.medicaid.gov/medicaid/eligibility-policy
- http://medicaid.gov/medicaid/quality-of-care/performance-measurement/adult-and-child-health-care-quality-measures
- https://www.medicaid.gov/style-guide/components/banner
- http://medicaid.gov/medicaid/long-term-services-supports/institutional-long-term-care
- http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=1
- http://medicaid.gov/medicaid/quality-of-care/quality-improvement/measuring-and-improving-quality-home-and-community-based-services
- http://medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=4

…and more — 27 pages total ([download CSV](csv/axe-core__landmark-unique.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/state-overviews
- http://medicaid.gov/medicaid/financial-management/payment-limit-demonstrations
- https://www.medicaid.gov/medicaid/financial-management/state-budget-expenditure-reporting-for-medicaid-and-chip/expenditure-reports-mbes/cbes

---

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

**Bug ID:** `VS-9da824fc`  
**Pattern ID:** `VS-424cced9`  
**URL:** https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1876&f%5B1%5D=sub_topic_faq_library_facet%3A2031&f%5B2%5D=sub_topic_faq_library_facet%3A2091&f%5B3%5D=sub_topic_faq_library_facet%3A2401&page=0  
**XPath / selector:** `.usa-alert`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-contentinfo-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-contentinfo-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 12 instances; 12 of 6885 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W32 (3 weeks)

### HTML snippet
```html
<div class="usa-alert usa-alert--error usa-alert--slim" role="contentinfo" aria-label="Error message">
```

### Description
Contentinfo landmark should not be contained in another landmark. Detected by axe-core rule landmark-contentinfo-is-top-level on 12 of 6885 scanned pages (12 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1876&f%5B1%5D=sub_topic_faq_library_facet%3A2031&f%5B2%5D=sub_topic_faq_library_facet%3A2091&f%5B3%5D=sub_topic_faq_library_facet%3A2401&page=0.
2. Locate the element: .usa-alert
3. Confirm the axe-core finding for rule landmark-contentinfo-is-top-level.

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

### Affected pages
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1876&f%5B1%5D=sub_topic_faq_library_facet%3A2031&f%5B2%5D=sub_topic_faq_library_facet%3A2091&f%5B3%5D=sub_topic_faq_library_facet%3A2401&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1941&f%5B1%5D=sub_topic_faq_library_facet%3A2341&f%5B2%5D=sub_topic_faq_library_facet%3A2451&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1976&f%5B1%5D=sub_topic_faq_library_facet%3A2026&f%5B2%5D=sub_topic_faq_library_facet%3A2451&f%5B3%5D=sub_topic_faq_library_facet%3A2506&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1891&f%5B1%5D=sub_topic_faq_library_facet%3A1996&f%5B2%5D=sub_topic_faq_library_facet%3A2406&f%5B3%5D=sub_topic_faq_library_facet%3A2451&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1941&f%5B1%5D=sub_topic_faq_library_facet%3A1986&f%5B2%5D=sub_topic_faq_library_facet%3A1991&f%5B3%5D=sub_topic_faq_library_facet%3A2006&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1946&f%5B1%5D=sub_topic_faq_library_facet%3A1961&f%5B2%5D=sub_topic_faq_library_facet%3A1971&f%5B3%5D=sub_topic_faq_library_facet%3A2431&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1891&f%5B1%5D=sub_topic_faq_library_facet%3A2031&f%5B2%5D=sub_topic_faq_library_facet%3A2076&f%5B3%5D=sub_topic_faq_library_facet%3A2521&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1956&f%5B1%5D=sub_topic_faq_library_facet%3A2001&f%5B2%5D=sub_topic_faq_library_facet%3A2036&f%5B3%5D=sub_topic_faq_library_facet%3A2451&f%5B4%5D=sub_topic_faq_library_facet%3A2526&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1896&f%5B1%5D=sub_topic_faq_library_facet%3A2411&f%5B2%5D=sub_topic_faq_library_facet%3A2426&f%5B3%5D=sub_topic_faq_library_facet%3A2451&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1901&f%5B1%5D=sub_topic_faq_library_facet%3A1906&f%5B2%5D=sub_topic_faq_library_facet%3A2031&f%5B3%5D=sub_topic_faq_library_facet%3A2081&f%5B4%5D=sub_topic_faq_library_facet%3A2476&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1881&f%5B1%5D=sub_topic_faq_library_facet%3A2011&f%5B2%5D=sub_topic_faq_library_facet%3A2406&f%5B3%5D=sub_topic_faq_library_facet%3A2521&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2346&f%5B1%5D=sub_topic_faq_library_facet%3A2441&f%5B2%5D=sub_topic_faq_library_facet%3A2481&f%5B3%5D=sub_topic_faq_library_facet%3A2531&page=0

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

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

### Example pages
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1876&f%5B1%5D=sub_topic_faq_library_facet%3A2031&f%5B2%5D=sub_topic_faq_library_facet%3A2091&f%5B3%5D=sub_topic_faq_library_facet%3A2401&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1941&f%5B1%5D=sub_topic_faq_library_facet%3A2341&f%5B2%5D=sub_topic_faq_library_facet%3A2451&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1976&f%5B1%5D=sub_topic_faq_library_facet%3A2026&f%5B2%5D=sub_topic_faq_library_facet%3A2451&f%5B3%5D=sub_topic_faq_library_facet%3A2506&page=0

---

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

**Bug ID:** `VS-9e937838`  
**Pattern ID:** `VS-b465dfd7`  
**URL:** https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1876&f%5B1%5D=sub_topic_faq_library_facet%3A2031&f%5B2%5D=sub_topic_faq_library_facet%3A2091&f%5B3%5D=sub_topic_faq_library_facet%3A2401&page=0  
**XPath / selector:** `.usa-alert`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-no-duplicate-contentinfo` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-contentinfo?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 12 instances; 12 of 6885 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W32 (3 weeks)

### HTML snippet
```html
<div class="usa-alert usa-alert--error usa-alert--slim" role="contentinfo" aria-label="Error message">
```

### Description
Document should not have more than one contentinfo landmark. Detected by axe-core rule landmark-no-duplicate-contentinfo on 12 of 6885 scanned pages (12 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1876&f%5B1%5D=sub_topic_faq_library_facet%3A2031&f%5B2%5D=sub_topic_faq_library_facet%3A2091&f%5B3%5D=sub_topic_faq_library_facet%3A2401&page=0.
2. Locate the element: .usa-alert
3. Confirm the axe-core finding for rule landmark-no-duplicate-contentinfo.

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

### Affected pages
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1876&f%5B1%5D=sub_topic_faq_library_facet%3A2031&f%5B2%5D=sub_topic_faq_library_facet%3A2091&f%5B3%5D=sub_topic_faq_library_facet%3A2401&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1941&f%5B1%5D=sub_topic_faq_library_facet%3A2341&f%5B2%5D=sub_topic_faq_library_facet%3A2451&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1976&f%5B1%5D=sub_topic_faq_library_facet%3A2026&f%5B2%5D=sub_topic_faq_library_facet%3A2451&f%5B3%5D=sub_topic_faq_library_facet%3A2506&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1891&f%5B1%5D=sub_topic_faq_library_facet%3A1996&f%5B2%5D=sub_topic_faq_library_facet%3A2406&f%5B3%5D=sub_topic_faq_library_facet%3A2451&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1941&f%5B1%5D=sub_topic_faq_library_facet%3A1986&f%5B2%5D=sub_topic_faq_library_facet%3A1991&f%5B3%5D=sub_topic_faq_library_facet%3A2006&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1946&f%5B1%5D=sub_topic_faq_library_facet%3A1961&f%5B2%5D=sub_topic_faq_library_facet%3A1971&f%5B3%5D=sub_topic_faq_library_facet%3A2431&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1891&f%5B1%5D=sub_topic_faq_library_facet%3A2031&f%5B2%5D=sub_topic_faq_library_facet%3A2076&f%5B3%5D=sub_topic_faq_library_facet%3A2521&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1956&f%5B1%5D=sub_topic_faq_library_facet%3A2001&f%5B2%5D=sub_topic_faq_library_facet%3A2036&f%5B3%5D=sub_topic_faq_library_facet%3A2451&f%5B4%5D=sub_topic_faq_library_facet%3A2526&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1896&f%5B1%5D=sub_topic_faq_library_facet%3A2411&f%5B2%5D=sub_topic_faq_library_facet%3A2426&f%5B3%5D=sub_topic_faq_library_facet%3A2451&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1901&f%5B1%5D=sub_topic_faq_library_facet%3A1906&f%5B2%5D=sub_topic_faq_library_facet%3A2031&f%5B3%5D=sub_topic_faq_library_facet%3A2081&f%5B4%5D=sub_topic_faq_library_facet%3A2476&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1881&f%5B1%5D=sub_topic_faq_library_facet%3A2011&f%5B2%5D=sub_topic_faq_library_facet%3A2406&f%5B3%5D=sub_topic_faq_library_facet%3A2521&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2346&f%5B1%5D=sub_topic_faq_library_facet%3A2441&f%5B2%5D=sub_topic_faq_library_facet%3A2481&f%5B3%5D=sub_topic_faq_library_facet%3A2531&page=0

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

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

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

### Example pages
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1876&f%5B1%5D=sub_topic_faq_library_facet%3A2031&f%5B2%5D=sub_topic_faq_library_facet%3A2091&f%5B3%5D=sub_topic_faq_library_facet%3A2401&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1941&f%5B1%5D=sub_topic_faq_library_facet%3A2341&f%5B2%5D=sub_topic_faq_library_facet%3A2451&page=0
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1976&f%5B1%5D=sub_topic_faq_library_facet%3A2026&f%5B2%5D=sub_topic_faq_library_facet%3A2451&f%5B3%5D=sub_topic_faq_library_facet%3A2506&page=0

---

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

**Bug ID:** `VS-fa9f06a1`  
**Pattern ID:** `VS-ff3ceb19`  
**URL:** https://www.medicaid.gov/style-guide/foundation/spacing  
**XPath / selector:** `.style-guide-page > .grid-gap-sm.grid-row > main`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-main-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 6885 pages affected
  
**History:** first seen 2026-W28, last seen 2026-W32 (5 weeks)

### HTML snippet
```html
<main id="content" class="grid-col-12 desktop:grid-col-9" role="main">
```

### Description
Main landmark should not be contained in another landmark. Detected by axe-core rule landmark-main-is-top-level on 2 of 6885 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/style-guide/foundation/spacing.
2. Locate the element: .style-guide-page > .grid-gap-sm.grid-row > main
3. Confirm the axe-core finding for rule landmark-main-is-top-level.

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

### Affected pages
- https://www.medicaid.gov/style-guide/foundation/spacing
- https://www.medicaid.gov/style-guide/components/banner

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

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

### Example pages
- https://www.medicaid.gov/style-guide/foundation/spacing
- https://www.medicaid.gov/style-guide/components/banner

---

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

**Bug ID:** `VS-99949cfd`  
**Pattern ID:** `VS-cd69be3a`  
**URL:** https://www.medicaid.gov/style-guide/foundation/spacing  
**XPath / selector:** `.main-content`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-no-duplicate-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 6885 pages affected
  
**History:** first seen 2026-W28, last seen 2026-W32 (5 weeks)

### HTML snippet
```html
<main id="content" class="main-content grid-col-12" role="main">
```

### Description
Document should not have more than one main landmark. Detected by axe-core rule landmark-no-duplicate-main on 2 of 6885 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/style-guide/foundation/spacing.
2. Locate the element: .main-content
3. Confirm the axe-core finding for rule landmark-no-duplicate-main.

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

### Affected pages
- https://www.medicaid.gov/style-guide/foundation/spacing
- https://www.medicaid.gov/style-guide/components/banner

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

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

### Example pages
- https://www.medicaid.gov/style-guide/foundation/spacing
- https://www.medicaid.gov/style-guide/components/banner

---

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

**Bug ID:** `VS-ef2fbe1b`  
**Pattern ID:** `VS-4fac2f41`  
**URL:** http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=0&q=  
**XPath / selector:** `span[data-select2-id="select2-data-1-9djr"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `aria-allowed-role` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 395 instances; 187 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

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

### Description
ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 187 of 6885 scanned pages (395 instances).

### Steps to reproduce
1. Open http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=0&q=.
2. Locate the element: span[data-select2-id="select2-data-1-9djr"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea
3. Confirm the axe-core finding for rule aria-allowed-role.

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

### Affected pages
- http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%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/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1006&page=12&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=1&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=1001&page=12&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1006&page=11&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=21&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=9&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=736&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=50&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=3&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=10&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=23&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=796&page=2&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=541&q=
- http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=1&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=2&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=8&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=0&q=

…and more — 187 pages total ([download CSV](csv/axe-core__aria-allowed-role.csv)).

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

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

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

### Example pages
- http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%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=

---

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

**Bug ID:** `VS-32c67cf1`  
**Pattern ID:** `VS-c18be945`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117  
**XPath / selector:** `text: "
                An official website of the United States government
                "`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 35513 instances; 3199 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3199 of 6885 scanned pages (35513 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117.
2. Locate the element: text: "
                An official website of the United States government
                "
3. Confirm the Siteimprove Alfa finding for rule sia-r57.

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

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8530&page=4
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2076&f%5B1%5D=sub_topic_faq_library_facet%3A2406&f%5B2%5D=sub_topic_faq_library_facet%3A2451&f%5B3%5D=sub_topic_faq_library_facet%3A2506&page=82
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2001&f%5B1%5D=sub_topic_faq_library_facet%3A2036&f%5B2%5D=sub_topic_faq_library_facet%3A2081&f%5B3%5D=sub_topic_faq_library_facet%3A2106&f%5B4%5D=sub_topic_faq_library_facet%3A2451&page=84
- 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%3A6171&page=111
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A936&f%5B1%5D=topics%3A3266&f%5B2%5D=topics%3A8301&page=0
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A916&f%5B1%5D=state%3A1051&page=3
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16
- 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%3A6171&page=3
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384
- 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/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A806&f%5B1%5D=state%3A926&f%5B2%5D=state%3A996&page=1662
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1851&f%5B1%5D=sub_topic_faq_library_facet%3A1876&f%5B2%5D=sub_topic_faq_library_facet%3A2076&f%5B3%5D=sub_topic_faq_library_facet%3A2446&page=84
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7529
- https://www.medicaid.gov/faq?fcf=41303&page=0&sl=yes
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A966&f%5B1%5D=topics%3A771&f%5B2%5D=topics%3A1016&page=1656
- 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
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1491&f%5B1%5D=fpg_topics_facet%3A1516&f%5B2%5D=fpg_topics_facet%3A8901&page=0
- 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-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A806&f%5B1%5D=waiver_state_facet%3A816&f%5B2%5D=waiver_state_facet%3A1041&page=3
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A711&f%5B1%5D=state%3A756&f%5B2%5D=state%3A836&f%5B3%5D=state%3A841&f%5B4%5D=state%3A1046&f%5B5%5D=topics%3A741&f%5B6%5D=topics%3A7401&page=1665
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2371&f%5B1%5D=sub_topic_faq_library_facet%3A2431&f%5B2%5D=sub_topic_faq_library_facet%3A2451&page=84
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1946&f%5B1%5D=sub_topic_faq_library_facet%3A2021&f%5B2%5D=sub_topic_faq_library_facet%3A2081&page=3
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1931&f%5B1%5D=sub_topic_faq_library_facet%3A1946&f%5B2%5D=sub_topic_faq_library_facet%3A1986&f%5B3%5D=sub_topic_faq_library_facet%3A2511&page=5

…and more — 3199 pages total ([download CSV](csv/alfa__sia-r57.csv)).

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8530&page=4
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2076&f%5B1%5D=sub_topic_faq_library_facet%3A2406&f%5B2%5D=sub_topic_faq_library_facet%3A2451&f%5B3%5D=sub_topic_faq_library_facet%3A2506&page=82

---

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

**Bug ID:** `VS-55d817d1`  
**Pattern ID:** `VS-aa242c2d`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r87` ([reference](https://alfa.siteimprove.com/rules/sia-r87))  
**Severity:** Moderate  
**Frequency:** 759 instances; 759 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 759 of 6885 scanned pages (759 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r87.

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

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7529
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-013-10
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7293
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-3-017-22
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-1-064-64
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-24-004-4
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002163
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-779
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7183
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx003142
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-626
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-3-012-17
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1247
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-7-028-28
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-4-005-5
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-36-001-1
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003266
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-11-025-103
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-10-004-4

…and more — 759 pages total ([download CSV](csv/alfa__sia-r87.csv)).

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16

---

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

**Bug ID:** `VS-ec2d63d7`  
**Pattern ID:** `VS-7118fead`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r61` ([reference](https://alfa.siteimprove.com/rules/sia-r61))  
**Severity:** Moderate  
**Frequency:** 758 instances; 758 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 758 of 6885 scanned pages (758 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r61.

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

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-384
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7529
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-013-10
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7293
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-3-017-22
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-1-064-64
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-24-004-4
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002163
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-779
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7183
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx003142
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-626
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-3-012-17
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1247
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-7-028-28
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-4-005-5
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-36-001-1
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003266
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-11-025-103
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-10-004-4

…and more — 758 pages total ([download CSV](csv/alfa__sia-r61.csv)).

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-029-29
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16

---

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

**Bug ID:** `VS-3ee98faa`  
**Pattern ID:** `VS-e05344b9`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274  
**XPath / selector:** `@aria-selected="true"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18))  
**Severity:** Moderate  
**Frequency:** 830 instances; 167 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 167 of 6885 scanned pages (830 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274.
2. Locate the element: @aria-selected="true"
3. Confirm the Siteimprove Alfa finding for rule sia-r18.

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

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002163
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx003142
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot003266
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg003044
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002082
- https://www.medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/elg-eligible/primary-demographics-eligibility
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv006092
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/tpl003089
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg014198
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip001003
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002111
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008290
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt001001
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002032
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr006074
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002228
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv005074
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002054
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx001009
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002140
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002047
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg022257
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl002023

…and more — 167 pages total ([download CSV](csv/alfa__sia-r18.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot001014
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002163

---

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

**Bug ID:** `VS-654cd4ca`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1542  
**XPath / selector:** `td`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 126 instances; 98 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

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

### Description
Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 98 of 6885 scanned pages (126 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1542.
2. Locate the element: td
3. Confirm the deprecated-html finding for rule presentational-attr.

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

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1542
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002146
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6936
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1658
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-27-017-17
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2374
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7313
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-694
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7113
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008290
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2435
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8956
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1035
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002021
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9012
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6947
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8661
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg022257
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8223
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6134
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7028
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-11-010-154
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-4-002-2
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9216
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7308

…and more — 98 pages total ([download CSV](csv/deprecated-html__presentational-attr.csv)).

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1542
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002146
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6936

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-28bb9412`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/99166  
**XPath / selector:** `<h4 class="usa-footer__primary-link">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 82 instances; 78 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 78 of 6885 scanned pages (82 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/99166.
2. Locate the element: <h4 class="usa-footer__primary-link">
3. Confirm the Siteimprove Alfa finding for rule sia-r53.

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

### Affected pages
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/99166
- http://medicaid.gov/state-overviews/stateprofile.html?state=Hawaii
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/97856
- https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/interest-calculation-for-late-rebate-payments
- https://www.medicaid.gov/medicaid/benefits/telehealth/telehealth-terms
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/103466
- https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/file-formats-and-data-definitions/state/manufacturer-email-communications-archive
- http://medicaid.gov/medicaid/section-1115-demonstrations/substance-use-disorder-section-1115-demonstration-opportunity
- https://www.medicaid.gov/medicaid/long-term-services-supports/institutional-long-term-care/nursing-facilities
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/173636
- http://medicaid.gov/about-us
- https://www.medicaid.gov/new-notable?page=0
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/99306
- https://www.medicaid.gov/medicaid/long-term-services-supports/medicaid-employment-initiatives
- https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person/money-follows-person-additional-resources
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=50&page=4
- https://www.medicaid.gov/new-notable?page=88
- http://medicaid.gov/resources-for-states/eligibility-enrollment-and-renewal-tools-and-resources/application-and-fair-hearings-resources
- https://www.medicaid.gov/medicaid/benefits/prevention/webinar-archive
- http://medicaid.gov/medicaid/section-1115-demonstrations/health-related-social-needs
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/170481
- https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center/request-health-homes-technical-assistance
- https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46577
- https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/medicaid-and-chip-enrollment-trend-snapshot
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19

…and more — 78 pages total ([download CSV](csv/alfa__sia-r53.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/99166
- http://medicaid.gov/state-overviews/stateprofile.html?state=Hawaii
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/97856

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-c6b8eb7b`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** http://medicaid.gov/resources-for-states/medicaid-and-chip-program-portal  
**XPath / selector:** `<h4>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 5 instances; 4 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 4 of 6885 scanned pages (5 instances).

### Steps to reproduce
1. Open http://medicaid.gov/resources-for-states/medicaid-and-chip-program-portal.
2. Locate the element: <h4>
3. Confirm the Siteimprove Alfa finding for rule sia-r78.

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

### Affected pages
- http://medicaid.gov/resources-for-states/medicaid-and-chip-program-portal
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22SD%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NM%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NY%22%5D

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

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

### Example pages
- http://medicaid.gov/resources-for-states/medicaid-and-chip-program-portal
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22SD%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NM%22%5D

---

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

**Bug ID:** `VS-a743e550`  
**Pattern ID:** `VS-4c341c77`  
**URL:** https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22SD%22%5D  
**XPath / selector:** `<p class="selected-states-header">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r85` ([reference](https://alfa.siteimprove.com/rules/sia-r85))  
**Severity:** Moderate  
**Frequency:** 159 instances; 3 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 3 of 6885 scanned pages (159 instances).

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

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

### Affected pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22SD%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NM%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NY%22%5D

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

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

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

---

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

**Bug ID:** `VS-dec7cc39`  
**Pattern ID:** `VS-e5ec42f0`  
**URL:** https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22SD%22%5D  
**XPath / selector:** `<p _ngcontent-ng-c2822395467="" class="title core-set">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r72` ([reference](https://alfa.siteimprove.com/rules/sia-r72))  
**Severity:** Moderate  
**Frequency:** 459 instances; 3 of 6885 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 3 of 6885 scanned pages (459 instances).

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

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

### Affected pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22SD%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NM%22%5D
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22NY%22%5D

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

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

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

---

## Input purpose can be determined (WCAG criterion undetermined)

**Bug ID:** `VS-e804a412`  
**Pattern ID:** `VS-3fb891c5`  
**URL:** https://www.medicaid.gov/dq-atlas/landing/topics  
**XPath / selector:** `<div _ngcontent-ng-c305556689="" role="radiogroup" class="toggle-input-container">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r60` ([reference](https://alfa.siteimprove.com/rules/sia-r60))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 6885 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W32 (3 weeks)

### Description
Input purpose can be determined. Detected by Siteimprove Alfa rule sia-r60 on 1 of 6885 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/dq-atlas/landing/topics.
2. Locate the element: <div _ngcontent-ng-c305556689="" role="radiogroup" class="toggle-input-container">
3. Confirm the Siteimprove Alfa finding for rule sia-r60.

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

### Affected pages
- https://www.medicaid.gov/dq-atlas/landing/topics

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

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r60