{ "schema_version": "0.1", "site": "www.medicaid.gov", "scan_week": "2026-W32", "generated_at": "2026-09-30T18:09:21.870Z", "source_files": [ "docs/reports/www.medicaid.gov/2026-W32/", "data/www.medicaid.gov/findings.json", "data/www.medicaid.gov/2026-W32/summary.json" ], "summary": { "pages_known": 56276, "pages_scanned_this_week": 6885, "pages_with_known_issues": 48052, "findings": 33, "clusters": 32, "new_findings": 0, "persistent_findings": 32, "high_priority_findings": 22 }, "top_risks": [ { "finding_id": "VS-9429bb8d", "rule_id": "aria-required-children", "rule_label": "Certain ARIA roles must contain particular children", "severity": "Critical", "priority": "p1", "trend": "persistent", "pages_affected": 328, "rationale": "Critical severity; affects 328 pages; persistent across weeks", "top_url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274" }, { "finding_id": "VS-1467ea8a", "rule_id": "aria-allowed-attr", "rule_label": "Elements must only use supported ARIA attributes", "severity": "Critical", "priority": "p1", "trend": "persistent", "pages_affected": 328, "rationale": "Critical severity; affects 328 pages; persistent across weeks", "top_url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274" }, { "finding_id": "VS-0841abc2", "rule_id": "aria-input-field-name", "rule_label": "ARIA input fields must have an accessible name", "severity": "Serious", "priority": "p1", "trend": "persistent", "pages_affected": 187, "rationale": "Serious severity; affects 187 pages; persistent across weeks", "top_url": "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=0&q=" }, { "finding_id": "VS-ebb1c464", "rule_id": "aria-prohibited-attr", "rule_label": "Elements must only use permitted ARIA attributes", "severity": "Serious", "priority": "p1", "trend": "persistent", "pages_affected": 3, "rationale": "Serious severity; persistent across weeks", "top_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" }, { "finding_id": "VS-33841929", "rule_id": "label-title-only", "rule_label": "Form elements should have a visible label", "severity": "Serious", "priority": "p1", "trend": "persistent", "pages_affected": 1, "rationale": "Serious severity; persistent across weeks", "top_url": "https://www.medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing" }, { "finding_id": "VS-646b1e0b", "rule_id": "sia-r66", "rule_label": "Text has enhanced contrast", "severity": "Moderate", "priority": "p2", "trend": "persistent", "pages_affected": 3201, "rationale": "affects 3201 pages; persistent across weeks", "top_url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117" }, { "finding_id": "VS-cb53cc4d", "rule_id": "sia-r111", "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)", "severity": "Moderate", "priority": "p2", "trend": "persistent", "pages_affected": 3201, "rationale": "affects 3201 pages; persistent across weeks", "top_url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117" }, { "finding_id": "VS-c18be945", "rule_id": "sia-r57", "rule_label": "Scrolling content can be accessed by keyboard", "severity": "Moderate", "priority": "p2", "trend": "persistent", "pages_affected": 3199, "rationale": "affects 3199 pages; persistent across weeks", "top_url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117" }, { "finding_id": "VS-2208081b", "rule_id": "sia-r73", "rule_label": "Text has minimum contrast ratio of 4.5:1", "severity": "Moderate", "priority": "p2", "trend": "improving", "pages_affected": 2446, "rationale": "affects 2446 pages", "top_url": "http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8530&page=4" }, { "finding_id": "VS-fa44f293", "rule_id": "page-has-heading-one", "rule_label": "Page should contain a level-one heading", "severity": "Moderate", "priority": "p2", "trend": "worsening", "pages_affected": 1550, "rationale": "affects 1550 pages; worsening trend", "top_url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6117" } ], "findings": [ { "finding_id": "VS-9429bb8d", "fingerprint": "d9ef25ac", "rule_id": "aria-required-children", "rule_label": "Certain ARIA roles must contain particular children", "engine": "axe-core", "tool": "axe-core", "wcag_sc": "1.3.1", "wcag_name": "Info and Relationships", "wcag_level": "A", "wcag_version": "2.0", "wcag_category": "WCAG 2.0 A", "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI", "severity": "Critical", "priority": "p1", "confidence": "high", "rationale": "Critical severity; affects 328 pages; persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W32", "weeks_observed": 9, "affected_pages_current": 328, "affected_pages_previous": 224 }, "frequency": { "instances": 328, "pages_affected": 328, "total_pages_scanned": 6885 }, "on_key_page": false, "summary": "Certain ARIA roles must contain particular children (WCAG 1.3.1)", "description": "Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 328 of 6885 scanned pages (328 instances).", "remediation_tip": "Add the child roles this container role requires (e.g. a list needs listitem children).", "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI", "expected_behavior": "Element passes axe-core rule aria-required-children (WCAG 1.3.1).", "actual_behavior": "Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 328 of 6885 scanned pages (328 instances).", "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274", "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002106", "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002240" ], "html_fragments": [ { "fingerprint": "084e4684", "html": "
", "selectors": [ ".nav" ] } ], "url_patterns": [ { "pattern": "/tmsis/dataguide/v4/data-elements/clt004274", "count": 1 }, { "pattern": "/tmsis/dataguide/v3/data-elements/cip002106", "count": 1 }, { "pattern": "/tmsis/dataguide/v4/data-elements/cot002240", "count": 1 } ], "associated_technologies": [], "impact": { "groups": [ { "code": "WV", "group": "Without vision", "prevalence": 0.01, "percent": "1.0%", "estimatedExcluded": null }, { "code": "LV", "group": "Limited vision", "prevalence": 0.024, "percent": "2.4%", "estimatedExcluded": null }, { "code": "LCLA", "group": "Limited cognitive, language, or learning ability", "prevalence": 0.11, "percent": "11.0%", "estimatedExcluded": null } ], "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)." } }, { "finding_id": "VS-1467ea8a", "fingerprint": "fc8886ab", "rule_id": "aria-allowed-attr", "rule_label": "Elements must only use supported ARIA attributes", "engine": "axe-core", "tool": "axe-core", "wcag_sc": "4.1.2", "wcag_name": "Name, Role, Value", "wcag_level": "A", "wcag_version": "2.0", "wcag_category": "WCAG 2.0 A", "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI", "severity": "Critical", "priority": "p1", "confidence": "high", "rationale": "Critical severity; affects 328 pages; persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W32", "weeks_observed": 9, "affected_pages_current": 328, "affected_pages_previous": 224 }, "frequency": { "instances": 1598, "pages_affected": 328, "total_pages_scanned": 6885 }, "on_key_page": false, "summary": "Elements must only use supported ARIA attributes (WCAG 4.1.2)", "description": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 328 of 6885 scanned pages (1598 instances).", "remediation_tip": "Remove ARIA attributes that aren't allowed on this role/element.", "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI", "expected_behavior": "Element passes axe-core rule aria-allowed-attr (WCAG 4.1.2).", "actual_behavior": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 328 of 6885 scanned pages (1598 instances).", "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt004274", "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002106", "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002240" ], "html_fragments": [ { "fingerprint": "e8b33a04", "html": "Overview", "selectors": [ "a[href$=\"#overview\"]" ] }, { "fingerprint": "4b1aed0a", "html": "Valid Values", "selectors": [ "a[href$=\"#validvalues\"]" ] }, { "fingerprint": "0d0d83f3", "html": "Related Rules", "selectors": [ "a[href$=\"#relatedrules\"]" ] } ], "url_patterns": [ { "pattern": "/tmsis/dataguide/v4/data-elements/clt004274", "count": 1 }, { "pattern": "/tmsis/dataguide/v3/data-elements/cip002106", "count": 1 }, { "pattern": "/tmsis/dataguide/v4/data-elements/cot002240", "count": 1 } ], "associated_technologies": [], "impact": { "groups": [ { "code": "WV", "group": "Without vision", "prevalence": 0.01, "percent": "1.0%", "estimatedExcluded": null }, { "code": "LV", "group": "Limited vision", "prevalence": 0.024, "percent": "2.4%", "estimatedExcluded": null }, { "code": "LM", "group": "Limited manipulation/strength", "prevalence": 0.13, "percent": "13.0%", "estimatedExcluded": null } ], "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)." } }, { "finding_id": "VS-0841abc2", "fingerprint": "a3512e8b", "rule_id": "aria-input-field-name", "rule_label": "ARIA input fields must have an accessible name", "engine": "axe-core", "tool": "axe-core", "wcag_sc": "4.1.2", "wcag_name": "Name, Role, Value", "wcag_level": "A", "wcag_version": "2.0", "wcag_category": "WCAG 2.0 A", "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI", "severity": "Serious", "priority": "p1", "confidence": "high", "rationale": "Serious severity; affects 187 pages; persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W32", "weeks_observed": 9, "affected_pages_current": 187, "affected_pages_previous": 145 }, "frequency": { "instances": 395, "pages_affected": 187, "total_pages_scanned": 6885 }, "on_key_page": false, "summary": "ARIA input fields must have an accessible name (WCAG 4.1.2)", "description": "ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 187 of 6885 scanned pages (395 instances).", "remediation_tip": null, "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI", "expected_behavior": "Element passes axe-core rule aria-input-field-name (WCAG 4.1.2).", "actual_behavior": "ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 187 of 6885 scanned pages (395 instances).", "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=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=" ], "html_fragments": [ { "fingerprint": "b83690ed", "html": "", "selectors": [ "span[data-select2-id=\"select2-data-1-9djr\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]", "span[data-select2-id=\"select2-data-4-e3jc\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]", "span[data-select2-id=\"select2-data-1-trdo\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]" ] } ], "url_patterns": [ { "pattern": "/medicaid/medicaid-state-plan-amendments", "count": 18 }, { "pattern": "/chip/state-program-information/chip-spa", "count": 4 }, { "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list", "count": 3 } ], "associated_technologies": [], "impact": { "groups": [ { "code": "WV", "group": "Without vision", "prevalence": 0.01, "percent": "1.0%", "estimatedExcluded": null }, { "code": "LV", "group": "Limited vision", "prevalence": 0.024, "percent": "2.4%", "estimatedExcluded": null }, { "code": "LM", "group": "Limited manipulation/strength", "prevalence": 0.13, "percent": "13.0%", "estimatedExcluded": null } ], "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)." } }, { "finding_id": "VS-ebb1c464", "fingerprint": "62f3ac21", "rule_id": "aria-prohibited-attr", "rule_label": "Elements must only use permitted ARIA attributes", "engine": "axe-core", "tool": "axe-core", "wcag_sc": "4.1.2", "wcag_name": "Name, Role, Value", "wcag_level": "A", "wcag_version": "2.0", "wcag_category": "WCAG 2.0 A", "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI", "severity": "Serious", "priority": "p1", "confidence": "medium", "rationale": "Serious severity; persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W32", "weeks_observed": 9, "affected_pages_current": 3, "affected_pages_previous": 4 }, "frequency": { "instances": 3, "pages_affected": 3, "total_pages_scanned": 6885 }, "on_key_page": false, "summary": "Elements must only use permitted ARIA attributes (WCAG 4.1.2)", "description": "Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 3 of 6885 scanned pages (3 instances).", "remediation_tip": null, "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI", "expected_behavior": "Element passes axe-core rule aria-prohibited-attr (WCAG 4.1.2).", "actual_behavior": "Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 3 of 6885 scanned pages (3 instances).", "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/resources-for-states/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" ], "html_fragments": [ { "fingerprint": "a596f33f", "html": "
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