{ "domain": "www.medicaid.gov", "week": "2026-W34", "generated_at": "2026-08-23T13:16:57.660Z", "description": "Pages ranked by composite accessibility + performance priority score. Critical a11y bugs = 40 pts, Serious = 20, Moderate = 8, Minor = 2. Lighthouse performance penalty up to 30 pts. Higher score = fix first.", "total_pages_scanned": 6585, "priority_pages": [ { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002165", "priority_score": 152, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 9, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Critical] Certain ARIA roles must contain particular children | [Moderate] Presentational children of an element are not focusable | [Critical] Elements must only use supported ARIA attributes | [Moderate] Page should contain a level-one heading" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002024", "priority_score": 144, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 8, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Critical] Certain ARIA roles must contain particular children | [Moderate] Presentational children of an element are not focusable | [Critical] Elements must only use supported ARIA attributes | [Moderate] Page should contain a level-one heading" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip003285", "priority_score": 120, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 5, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Critical] Certain ARIA roles must contain particular children | [Moderate] Presentational children of an element are not focusable | [Critical] Elements must only use supported ARIA attributes | [Moderate] Form field label is visible" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx003142", "priority_score": 112, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 4, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Moderate] Presentational children of an element are not focusable | [Critical] Elements must only use supported ARIA attributes | [Moderate] Form field label is visible | [Moderate] First focusable element is link to main content" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg016210", "priority_score": 104, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 3, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Critical] Certain ARIA roles must contain particular children | [Moderate] Presentational children of an element are not focusable | [Critical] Elements must only use supported ARIA attributes | [Moderate] aria attribute is permitted for element role" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002146", "priority_score": 104, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 3, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Critical] Certain ARIA roles must contain particular children | [Moderate] Presentational children of an element are not focusable | [Critical] Elements must only use supported ARIA attributes | [Moderate] aria attribute is permitted for element role" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip001006", "priority_score": 104, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 3, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Critical] Certain ARIA roles must contain particular children | [Moderate] Presentational children of an element are not focusable | [Critical] Elements must only use supported ARIA attributes | [Moderate] aria attribute is permitted for element role" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002024", "priority_score": 104, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 3, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Critical] Certain ARIA roles must contain particular children | [Moderate] Presentational children of an element are not focusable | [Critical] Elements must only use supported ARIA attributes | [Moderate] aria attribute is permitted for element role" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl003034", "priority_score": 104, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 3, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Critical] Certain ARIA roles must contain particular children | [Moderate] Presentational children of an element are not focusable | [Critical] Elements must only use supported ARIA attributes | [Moderate] aria attribute is permitted for element role" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg001003", "priority_score": 104, "a11y_critical_bugs": 2, 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| [Critical] Elements must only use supported ARIA attributes" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002152", "priority_score": 80, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 0, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Critical] Elements must only use supported ARIA attributes" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002108", "priority_score": 80, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 0, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Critical] Elements must only use supported ARIA attributes" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip003315", "priority_score": 80, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 0, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Critical] Elements must only use supported ARIA attributes" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002054", "priority_score": 80, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 0, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Critical] Elements must only use supported ARIA attributes" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx006205", "priority_score": 80, 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null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Critical] Elements must only use supported ARIA attributes" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004141", "priority_score": 80, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 0, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Critical] Elements must only use supported ARIA attributes" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg016215", "priority_score": 80, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 0, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Critical] Elements must only use supported ARIA attributes" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001010", "priority_score": 80, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 0, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Certain ARIA roles must contain particular children | [Critical] Elements must only use supported ARIA attributes" }, { "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=961&page=42&q=", "priority_score": 78, "a11y_critical_bugs": 0, "a11y_serious_bugs": 1, "a11y_moderate_bugs": 7, "a11y_minor_bugs": 1, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Target size is at least 24×24 CSS pixels or has spacing (Minimum) | [Moderate] Presentational children of an element are not focusable | [Serious] ARIA input fields must have an accessible name | [Moderate] Form field has accessible name | [Moderate] Text has enhanced contrast" }, { "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=20&q=", "priority_score": 78, "a11y_critical_bugs": 0, "a11y_serious_bugs": 1, "a11y_moderate_bugs": 7, "a11y_minor_bugs": 1, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Target size is at least 24×24 CSS pixels or has spacing (Minimum) | [Moderate] Presentational children of an element are not focusable | [Serious] ARIA input fields must have an accessible name | [Moderate] Form field has accessible name | [Moderate] Text has enhanced contrast" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-4-042-42", "priority_score": 72, 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pixels (Enhanced) | [Moderate] Page should contain a level-one heading | [Moderate] All page content should be contained by landmarks" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7224", "priority_score": 72, "a11y_critical_bugs": 0, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 9, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Moderate] Text has enhanced contrast | [Moderate] Target size is at least 44×44 CSS pixels (Enhanced) | [Moderate] Page should contain a level-one heading | [Moderate] All page content should be contained by landmarks" }, { "url": "https://medicaid.gov/", "priority_score": 70, "a11y_critical_bugs": 0, "a11y_serious_bugs": 1, "a11y_moderate_bugs": 6, "a11y_minor_bugs": 1, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Serious] Elements must only use permitted ARIA attributes | [Moderate] Heading levels should only increase by one | [Moderate] Landmarks should have a unique role or role/label/title (i.e. accessible name) c | [Minor] ARIA role should be appropriate for the element" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-86-007-7", "priority_score": 64, "a11y_critical_bugs": 0, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 8, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Text has enhanced contrast | [Moderate] Target size is at least 44×44 CSS pixels (Enhanced) | [Moderate] Page should contain a level-one heading | [Moderate] All page content should be contained by landmarks | [Moderate] Document should have one main landmark" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-33-001-1", "priority_score": 64, "a11y_critical_bugs": 0, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 8, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Text has enhanced contrast | [Moderate] Target size is at least 44×44 CSS pixels (Enhanced) | [Moderate] Page should contain a level-one heading | [Moderate] All page content should be contained by landmarks | [Moderate] Document should have one main landmark" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-638", "priority_score": 64, "a11y_critical_bugs": 0, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 8, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Text has enhanced contrast | [Moderate] Target size is at least 44×44 CSS pixels (Enhanced) | [Moderate] Page should contain a level-one heading | [Moderate] All page content should be contained by landmarks | [Moderate] Document should have one main landmark" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-21-013-13", "priority_score": 64, "a11y_critical_bugs": 0, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 8, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Text has enhanced contrast | [Moderate] Target size is at least 44×44 CSS pixels (Enhanced) | [Moderate] Page should contain a level-one heading | [Moderate] All page content should be contained by landmarks | [Moderate] Document should have one main landmark" }, { "url": "https://medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation", "priority_score": 60, "a11y_critical_bugs": 1, "a11y_serious_bugs": 1, "a11y_moderate_bugs": 0, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Critical] Images must have alternative text | [Serious] Links must have discernible text" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7594", "priority_score": 48, "a11y_critical_bugs": 0, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 6, "a11y_minor_bugs": 0, "lh_performance": null, "lh_accessibility": null, "lh_lcp_ms": null, "lh_tbt_ms": null, "lh_cls": null, "top_a11y_issues": "[Moderate] Accessible name of link or button matches visible label | [Moderate] Page should contain a level-one heading | [Moderate] All page content should be contained by landmarks | [Moderate] Document should have one main landmark | [Moderate] Form field label is visible" }, { "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-22r-009-9", "priority_score": 48, 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