vital-scans open quality ledger

www.medicaid.gov: Accessibility — week 2026-W35

Automated Accessibility Conformance Report (OpenACR): Download ACR. Machine-readable; compatible with GSA OpenACR tooling. Automated tools find ~⅓ of real barriers — supplement with manual AT testing.

Training priorities

Top WCAG success criteria by pages affected this week. Use these to focus team training on the highest-impact issues.

SCCriterionPagesRulesNotes
1.4.6 WCAG 1.4.6 3178 1
2.5.5 WCAG 2.5.5 3178 1
4.1.2 Name, Role, Value (ARIA) 2254 5
1.3.1 Info and Relationships (semantic structure) 2247 3
2.5.3 WCAG 2.5.3 1279 1

Next 10 actions

Clusters are fingerprinted by normalized selector path + rule id + snippet shape. Rank score = (severity weight × pages affected) / distinct components for the rule. This supersedes the template threshold heuristic while still surfacing it as a validation signal.

Top 10 clustered component fixes for this week.
ClusterSeverityPagesWho it affectsHow to fixEvidenceDecision
Document should have one main landmark · unattributed component
Fix one place, resolve ~4277 finding(s) on 4277 page(s).
XPath / selector: html
<html class="no-js" lang="en">
 Serious 4277 Requires manual testing. Each page should have exactly one <main> landmark. pages (CSV)
Page should contain a level-one heading · unattributed component
Fix one place, resolve ~4265 finding(s) on 4265 page(s).
XPath / selector: html
<html class="no-js" lang="en">
 Serious 4265 Requires manual testing. See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI pages (CSV)
Certain ARIA roles must contain particular children · unattributed component
Fix one place, resolve ~1325 finding(s) on 1325 page(s).
XPath / selector: .nav
<div class="nav nav-tabs nav-justified" role="tablist">
 Critical 1325 Without vision, Limited vision, Limited cognitive, language, or learning ability Add the child roles this container role requires (e.g. a list needs listitem children). pages (CSV)
First focusable element is link to main content · unattributed component
Fix one place, resolve ~2120 finding(s) on 2120 page(s).
XPath / selector: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
 Moderate 2120 Requires manual testing. See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87 pages (CSV)
Form field label is visible · unattributed component
Fix one place, resolve ~2104 finding(s) on 2104 page(s).
XPath / selector: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
 Moderate 2104 Requires manual testing. See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61 pages (CSV)
All page content should be contained by landmarks · unattributed component
Fix one place, resolve ~4297 finding(s) on 4297 page(s).
XPath / selector: .small
<div class="small p-1">
 Serious 4297 Requires manual testing. Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. pages (CSV)
All page content should be contained by landmarks · unattributed component
Fix one place, resolve ~4295 finding(s) on 4295 page(s).
XPath / selector: .justify-content-between
<div class="d-flex justify-content-between m-2 mb-2">
 Serious 4295 Requires manual testing. Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. pages (CSV)
All page content should be contained by landmarks · unattributed component
Fix one place, resolve ~4292 finding(s) on 4292 page(s).
XPath / selector: .font-weight-bold
<p class="font-weight-bold m-0 mr-1">Version:</p>
 Serious 4292 Requires manual testing. Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. pages (CSV)
Scrolling content can be accessed by keyboard · unattributed component
Fix one place, resolve ~2118 finding(s) on 2118 page(s).
XPath / selector: text: " An official website of the United States government "
 Moderate 2118 Requires manual testing. See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57 pages (CSV)
Scrolling content can be accessed by keyboard · unattributed component
Fix one place, resolve ~2118 finding(s) on 2118 page(s).
XPath / selector: text: "Version:"
 Moderate 2118 Requires manual testing. See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57 pages (CSV)

Bug reports

13 issue type(s) are shown by default out of 31 total. Prioritized by severity, key pages, WCAG level, and prevalence; use the toggle to show everything.

Overall severity mix: 3 critical, 6 serious, 21 moderate, 1 minor. By WCAG category: 9 WCAG 2.0 A, 1 WCAG 2.1 A, 1 WCAG 2.2 AA, 4 WCAG 2.x AAA, 8 Best Practice, 8 Undetermined. Ordered by severity, key-page impact, WCAG level, and prevalence. Following accessibility bug-reporting best practices. Download: Markdown · JSON (full archive) · JSON (AI diagnostic) · CSV (all findings) · Priority pages CSV · Priority pages JSON.

Automated testing does not establish full WCAG conformance. Findings in the verification lane require manual testing before they are treated as confirmed failures.

Default view shows 13 prioritized issue type(s); 18 more are available if you switch to "Show everything".

1 finding(s) marked "possible duplicate" — Alfa and axe-core both flagged the same WCAG SC on overlapping pages. If they target the same element, the axe-core report is authoritative. Filter the CSV by possible_duplicate_of to see these. Two engines flagging the same barrier reduces the chance of a false positive.

Findings needing review

These findings need manual verification before they can be treated as confirmed failures. Obligation remains visible for each finding.

Critical axe aria-allowed-attr WCAG 2.0 A Elements must only use supported ARIA attributes (WCAG 4.1.2) 1325/6990 pages · 6358 instances Likely template
Bug ID
VS-585091b5
Pattern ID
VS-1467ea8a
Combined ID
VS-585091b5 (pattern VS-1467ea8a) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
a[href$="#overview"]
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

HTML snippet — use this to validate the finding without re-running the tool

<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 1325 of 6990 scanned pages (6358 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg020239.
  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

…and more — all 1325 pages (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

Critical axe aria-required-children WCAG 2.0 A Certain ARIA roles must contain particular children (WCAG 1.3.1) 1325/6990 pages · 1325 instances Likely template
Bug ID
VS-59ddc3c9
Pattern ID
VS-9429bb8d
Combined ID
VS-59ddc3c9 (pattern VS-9429bb8d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.3.1 Info and Relationships (Level A, WCAG 2.0)
XPath / selector
.nav
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

HTML snippet — use this to validate the finding without re-running the tool

<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 1325 of 6990 scanned pages (1325 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg020239.
  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

…and more — all 1325 pages (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

Serious axe aria-input-field-name WCAG 2.0 A ARIA input fields must have an accessible name (WCAG 4.1.2) 626/6990 pages · 1338 instances Likely template
Bug ID
VS-50bd7f4c
Pattern ID
VS-0841abc2
Combined ID
VS-50bd7f4c (pattern VS-0841abc2) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
span[data-select2-id="select2-data-1-nvw5"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

HTML snippet — use this to validate the finding without re-running the tool

<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 626 of 6990 scanned pages (1338 instances).

Steps to reproduce

  1. Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=5&q=.
  2. Locate the element: span[data-select2-id="select2-data-1-nvw5"] > .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

…and more — all 626 pages (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

Critical axe select-name WCAG 2.0 A Select element must have an accessible name (WCAG 4.1.2) 2/6990 pages · 2 instances Likely content
Bug ID
VS-5b8dff37
Pattern ID
VS-fab92378
Combined ID
VS-5b8dff37 (pattern VS-fab92378) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
#items-per-page
History
first seen 2026-W24, last seen 2026-W35 (8 wk)

HTML snippet — use this to validate the finding without re-running the tool

<select id="items-per-page" class="form-select">
                                <option value="10">10</option>
                                <option value="25">25</option>

Description

Select element must have an accessible name. Detected by axe-core rule select-name on 2 of 6990 scanned pages (2 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/technical-instructions.
  2. Locate the element: #items-per-page
  3. Confirm the axe-core finding for rule select-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

Testing environment

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

Suggested fix

How to fix: Give the <select> an accessible name via a <label> or aria-label.

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

Serious axe aria-prohibited-attr WCAG 2.0 A Elements must only use permitted ARIA attributes (WCAG 4.1.2) 2/6990 pages · 2 instances Likely content
Bug ID
VS-dba0fa65
Pattern ID
VS-ebb1c464
Combined ID
VS-dba0fa65 (pattern VS-ebb1c464) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
#map
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

HTML snippet — use this to validate the finding without re-running the tool

<div aria-disabled="true" aria-label="State Map Image. Keyboard navigating users can use dropdown to select state." id="map" style="position: relative; width: 880px; height: 502.857px; overflow: hidde

Description

Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 2 of 6990 scanned pages (2 instances).

Steps to reproduce

  1. Open https://medicaid.gov/state-overviews/state-profiles.
  2. Locate the element: #map
  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

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

Serious axe region Best Practice All page content should be contained by landmarks (WCAG criterion undetermined) 4297/6990 pages · 20106 instances Likely template
Bug ID
VS-e83dc3b6
Pattern ID
VS-f18df681
Combined ID
VS-e83dc3b6 (pattern VS-f18df681) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
.small
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

HTML snippet — use this to validate the finding without re-running the tool

<div class="small p-1">

Description

All page content should be contained by landmarks. Detected by axe-core rule region on 4297 of 6990 scanned pages (20106 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7929.
  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

…and more — all 4297 pages (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.

Drupal tip: Use Drupal's region system (header, navigation, main, sidebar, footer) and map each to an HTML5 landmark element in your theme's page.html.twig.

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

Serious axe landmark-one-main Best Practice Document should have one main landmark (WCAG criterion undetermined) 4277/6990 pages · 4277 instances Likely template
Bug ID
VS-08723a78
Pattern ID
VS-d5d82446
Combined ID
VS-08723a78 (pattern VS-d5d82446) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
html
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

HTML snippet — use this to validate the finding without re-running the tool

<html class="no-js" lang="en">

Description

Document should have one main landmark. Detected by axe-core rule landmark-one-main on 4277 of 6990 scanned pages (4277 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7929.
  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

…and more — all 4277 pages (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

Serious axe page-has-heading-one Best Practice Page should contain a level-one heading (WCAG criterion undetermined) 4265/6990 pages · 4265 instances Likely template
Bug ID
VS-28013290
Pattern ID
VS-fa44f293
Combined ID
VS-28013290 (pattern VS-fa44f293) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
html
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

HTML snippet — use this to validate the finding without re-running the tool

<html class="no-js" lang="en">

Description

Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 4265 of 6990 scanned pages (4265 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7929.
  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

…and more — all 4265 pages (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

Serious axe label-title-only Best Practice Form elements should have a visible label (WCAG criterion undetermined) 5/6990 pages · 26 instances
Bug ID
VS-b1bc273d
Pattern ID
VS-33841929
Combined ID
VS-b1bc273d (pattern VS-33841929) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
#select-state
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

HTML snippet — use this to validate the finding without re-running the tool

<select id="select-state" name="state" class="usa-select margin-top-0" aria-labelledby="select-state-label" aria-describedby="select-state-instructions">

Description

Form elements should have a visible label. Detected by axe-core rule label-title-only on 5 of 6990 scanned pages (26 instances).

Steps to reproduce

  1. Open https://medicaid.gov/state-overviews/state-profiles.
  2. Locate the element: #select-state
  3. Confirm the axe-core finding for rule label-title-only.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

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

Moderate alfa sia-r14 WCAG 2.1 A Accessible name of link or button matches visible label (WCAG 2.5.3) 1279/6990 pages · 1284 instances Likely template
Bug ID
VS-dbcd53e5
Pattern ID
VS-f7dba940
Combined ID
VS-dbcd53e5 (pattern VS-f7dba940) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.1 A
Obligation
required
Handling
review
WCAG SC
2.5.3 Label in Name (Level A, WCAG 2.1)
XPath / selector
<a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

Description

Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 1279 of 6990 scanned pages (1284 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-23-020-20.
  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

…and more — all 1279 pages (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

Moderate alfa sia-r68 WCAG 2.0 A Presentational children of an element are not focusable (WCAG 1.3.1) 921/6990 pages · 968 instances · possible duplicate Likely template
Bug ID
VS-a984f1f8
Pattern ID
VS-d6097011
Combined ID
VS-a984f1f8 (pattern VS-d6097011) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.3.1 Info and Relationships (Level A, WCAG 2.0)
XPath / selector
<div class="nav nav-tabs nav-justified" role="tablist">
History
first seen 2026-W24, last seen 2026-W35 (12 wk)
Possible duplicate
Same WCAG SC covered by axe report VS-59ddc3c9 (pattern VS-9429bb8d). If axe and this engine flag the same element, the axe report takes precedence — mark this as duplicate in JIRA.

Description

Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 921 of 6990 scanned pages (968 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg007116.
  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

…and more — all 921 pages (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

Moderate alfa sia-r8 WCAG 2.0 A Form field has accessible name (WCAG 4.1.2) 299/6990 pages · 643 instances Likely template
Bug ID
VS-c9aa74a2
Pattern ID
VS-a48e6078
Combined ID
VS-c9aa74a2 (pattern VS-a48e6078) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
<span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

Description

Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 299 of 6990 scanned pages (643 instances).

Steps to reproduce

  1. Open https://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8796&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc.
  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

…and more — all 299 pages (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

Moderate alfa sia-r113 WCAG 2.2 AA Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8) 298/6990 pages · 642 instances Likely template
Bug ID
VS-5d86144b
Pattern ID
VS-179ad9b3
Combined ID
VS-5d86144b (pattern VS-179ad9b3) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.2 AA
Obligation
required
Handling
review
WCAG SC
2.5.8 Target Size (Minimum) (Level AA, WCAG 2.2)
XPath / selector
<textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

Description

Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 298 of 6990 scanned pages (642 instances).

Steps to reproduce

  1. Open https://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8796&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc.
  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

…and more — all 298 pages (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

Moderate alfa sia-r66 WCAG 2.x AAA Text has enhanced contrast (WCAG 1.4.6) 3178/6990 pages · 71292 instances Likely template
Bug ID
VS-5fee3958
Pattern ID
VS-646b1e0b
Combined ID
VS-5fee3958 (pattern VS-646b1e0b) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
1.4.6 Contrast (Enhanced) (Level AAA, WCAG 2.0)
XPath / selector
text: "Here's how you know "
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

Description

Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 3178 of 6990 scanned pages (71292 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372.
  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

…and more — all 3178 pages (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

Moderate alfa sia-r111 WCAG 2.x AAA Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5) 3178/6990 pages · 43785 instances Likely template
Bug ID
VS-fd412742
Pattern ID
VS-cb53cc4d
Combined ID
VS-fd412742 (pattern VS-cb53cc4d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
2.5.5 Target Size (Enhanced) (Level AAA, WCAG 2.1)
XPath / selector
<button class="btn btn-outline-primary dropdown-toggle py-1 px-2" type="button" id="dropdownMenuButton" data-toggle="dropdown">
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

Description

Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 3178 of 6990 scanned pages (43785 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372.
  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

…and more — all 3178 pages (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

Moderate alfa sia-r57 Undetermined Scrolling content can be accessed by keyboard (WCAG criterion undetermined) 3177/6990 pages · 100387 instances Likely template
Bug ID
VS-9fd0776a
Pattern ID
VS-c18be945
Combined ID
VS-9fd0776a (pattern VS-c18be945) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
text: " An official website of the United States government "
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

Description

Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3177 of 6990 scanned pages (100387 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372.
  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

…and more — all 3177 pages (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

Moderate alfa sia-r87 Undetermined First focusable element is link to main content (WCAG criterion undetermined) 2120/6990 pages · 2120 instances Likely template
Bug ID
VS-03e11d2c
Pattern ID
VS-aa242c2d
Combined ID
VS-03e11d2c (pattern VS-aa242c2d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

Description

First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 2120 of 6990 scanned pages (2120 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372.
  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

…and more — all 2120 pages (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

Moderate alfa sia-r61 Undetermined Form field label is visible (WCAG criterion undetermined) 2104/6990 pages · 2104 instances Likely template
Bug ID
VS-6204a9df
Pattern ID
VS-7118fead
Combined ID
VS-6204a9df (pattern VS-7118fead) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

Description

Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 2104 of 6990 scanned pages (2104 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372.
  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

…and more — all 2104 pages (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

Moderate alfa sia-r73 WCAG 2.x AAA Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8) 1059/6990 pages · 1553 instances Likely template
Bug ID
VS-5d8a5c6b
Pattern ID
VS-2208081b
Combined ID
VS-5d8a5c6b (pattern VS-2208081b) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
1.4.8 Visual Presentation (Level AAA, WCAG 2.0)
XPath / selector
<p class="usa-footer__contact-info margin-bottom-0">
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

Description

Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 1059 of 6990 scanned pages (1553 instances).

Steps to reproduce

  1. Open https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8354&page=6.
  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

…and more — all 1059 pages (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

Moderate alfa sia-r18 Undetermined aria attribute is permitted for element role (WCAG criterion undetermined) 647/6990 pages · 3125 instances Likely template
Bug ID
VS-5b1d8c51
Pattern ID
VS-e05344b9
Combined ID
VS-5b1d8c51 (pattern VS-e05344b9) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
@aria-selected="true"
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

Description

aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 647 of 6990 scanned pages (3125 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg007116.
  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

…and more — all 647 pages (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

Minor axe aria-allowed-role Best Practice ARIA role should be appropriate for the element (WCAG criterion undetermined) 629/6990 pages · 1341 instances Likely template
Bug ID
VS-8d91b164
Pattern ID
VS-4fac2f41
Combined ID
VS-8d91b164 (pattern VS-4fac2f41) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
span[data-select2-id="select2-data-1-nvw5"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

HTML snippet — use this to validate the finding without re-running the tool

<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 629 of 6990 scanned pages (1341 instances).

Steps to reproduce

  1. Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=5&q=.
  2. Locate the element: span[data-select2-id="select2-data-1-nvw5"] > .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

…and more — all 629 pages (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

Moderate axe heading-order Best Practice Heading levels should only increase by one (WCAG criterion undetermined) 310/6990 pages · 339 instances Likely template
Bug ID
VS-73400c0f
Pattern ID
VS-d25f622d
Combined ID
VS-73400c0f (pattern VS-d25f622d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
.region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

HTML snippet — use this to validate the finding without re-running the tool

<h4 class="usa-footer__primary-link">Related Sites</h4>

Description

Heading levels should only increase by one. Detected by axe-core rule heading-order on 310 of 6990 scanned pages (339 instances).

Steps to reproduce

  1. Open https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia.
  2. Locate the element: .region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4
  3. Confirm the axe-core finding for rule heading-order.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 310 pages (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.

Drupal tip: Drupal Views and blocks can insert headings at arbitrary levels. In the Views UI, set "Title tag" for each display. For block titles, configure the heading level in the block's layout settings.

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

Moderate deprecated-html presentational-attr Undetermined Presentational attribute (use CSS) (WCAG criterion undetermined) 277/6990 pages · 354 instances Likely template
Bug ID
VS-dbf9def1
Pattern ID
VS-04a9d28c
Combined ID
VS-dbf9def1 (pattern VS-04a9d28c) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
Rule
deprecated-html — Presentational attribute (use CSS) [presentational-attr]
XPath / selector
td
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

HTML snippet — use this to validate the finding without re-running the tool

<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 277 of 6990 scanned pages (354 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7194.
  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

…and more — all 277 pages (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.

Moderate alfa sia-r53 Undetermined Headings are structured hierarchically (WCAG criterion undetermined) 149/6990 pages · 161 instances Likely template
Bug ID
VS-11a35008
Pattern ID
VS-f054f4a4
Combined ID
VS-11a35008 (pattern VS-f054f4a4) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<h4 class="usa-footer__primary-link">
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

Description

Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 149 of 6990 scanned pages (161 instances).

Steps to reproduce

  1. Open https://medicaid.gov/resources-for-states/spa-and-1915-waiver-processing/spa-and-1915-waiver-processing-statistics.
  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

…and more — all 149 pages (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

Moderate axe landmark-unique Best Practice Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined) 46/6990 pages · 46 instances Likely template
Bug ID
VS-e8ebdfe2
Pattern ID
VS-8806389c
Combined ID
VS-e8ebdfe2 (pattern VS-8806389c) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
.section
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

HTML snippet — use this to validate the finding without re-running the tool

<aside class="section" 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 46 of 6990 scanned pages (46 instances).

Steps to reproduce

  1. Open https://medicaid.gov/medicaid/home-community-based-services/home-and-community-based-services-hcbs-quality/testing-experience-functional-tools.
  2. Locate the element: .section
  3. Confirm the axe-core finding for rule landmark-unique.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 46 pages (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

Moderate alfa sia-r74 WCAG 2.x AAA Link is distinguishable without relying on color (WCAG 1.4.8) 6/6990 pages · 25 instances
Bug ID
VS-338d0284
Pattern ID
VS-fbf54eba
Combined ID
VS-338d0284 (pattern VS-fbf54eba) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
1.4.8 Visual Presentation (Level AAA, WCAG 2.0)
XPath / selector
<p class="MsoNormal" style="box-sizing:inherit;font-size:18px;line-height:1.5;margin-block:1em 0px;margin-bottom:0px;margin-top:0px;">
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

Description

Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 6 of 6990 scanned pages (25 instances).

Steps to reproduce

  1. Open https://medicaid.gov/about-us/leadership.
  2. Locate the element: <p class="MsoNormal" style="box-sizing:inherit;font-size:18px;line-height:1.5;margin-block:1em 0px;margin-bottom:0px;margin-top:0px;">
  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

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

Moderate axe scope-attr-valid Best Practice scope attribute should be used correctly (WCAG criterion undetermined) 2/6990 pages · 9 instances Likely content
Bug ID
VS-79097597
Pattern ID
VS-0ba8ce9d
Combined ID
VS-79097597 (pattern VS-0ba8ce9d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
tr:nth-child(1) > td[scope="row"]
History
first seen 2026-W24, last seen 2026-W35 (7 wk)

HTML snippet — use this to validate the finding without re-running the tool

<td scope="row">Fact Sheet for Child and Adult Core Sets Reporting</td>

Description

scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 2 of 6990 scanned pages (9 instances).

Steps to reproduce

  1. Open https://medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/about.
  2. Locate the element: tr:nth-child(1) > td[scope="row"]
  3. Confirm the axe-core finding for rule scope-attr-valid.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

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/scope-attr-valid?application=axeAPI

Moderate alfa sia-r62 WCAG 2.0 A Link in text block is visually distinguishable without color (WCAG 1.4.1) 2/6990 pages · 4 instances Likely content
Bug ID
VS-78b65cf5
Pattern ID
VS-efd91fdd
Combined ID
VS-78b65cf5 (pattern VS-efd91fdd) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.4.1 Use of Color (Level A, WCAG 2.0)
XPath / selector
<a style="text-decoration:none;" href="#three" title="">
History
first seen 2026-W24, last seen 2026-W35 (7 wk)

Description

Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 2 of 6990 scanned pages (4 instances).

Steps to reproduce

  1. Open https://medicaid.gov/medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity.
  2. Locate the element: <a style="text-decoration:none;" href="#three" title="">
  3. Confirm the Siteimprove Alfa finding for rule sia-r62 against WCAG 1.4.1 Use of Color.

Impact

Affects Without color perception (4.5%), Limited vision (2.4%).

  • Without color perception — 4.5% of population
  • Limited vision — 2.4% of population

Affected pages

Testing environment

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

Suggested fix

How to fix: Make links visually distinguishable from surrounding text (not by color alone).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62

Moderate alfa sia-r78 Undetermined Table header has scope (WCAG criterion undetermined) 2/6990 pages · 3 instances Likely content
Bug ID
VS-3851ccd1
Pattern ID
VS-2cd767ca
Combined ID
VS-3851ccd1 (pattern VS-2cd767ca) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<h3 _ngcontent-ng-c1329502141="" class="view-measures-related-to-header core-set ng-star-inserted">
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

Description

Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 2 of 6990 scanned pages (3 instances).

Steps to reproduce

  1. Open https://medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main.
  2. Locate the element: <h3 _ngcontent-ng-c1329502141="" class="view-measures-related-to-header core-set ng-star-inserted">
  3. Confirm the Siteimprove Alfa finding for rule sia-r78.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

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

Moderate alfa sia-r72 Undetermined Element role is consistent with ARIA landmark (WCAG criterion undetermined) 1/6990 pages · 183 instances Likely content
Bug ID
VS-a2af3c1b
Pattern ID
VS-e5ec42f0
Combined ID
VS-a2af3c1b (pattern VS-e5ec42f0) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<p _ngcontent-ng-c2822395467="" class="title core-set">
History
first seen 2026-W24, last seen 2026-W35 (12 wk)

Description

Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 1 of 6990 scanned pages (183 instances).

Steps to reproduce

  1. Open https://medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main.
  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

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

Moderate alfa sia-r46 WCAG 2.0 A Element has required aria-owns (WCAG 1.3.1) 1/6990 pages · 1 instances Likely content
Bug ID
VS-aa6e529b
Pattern ID
VS-4408605e
Combined ID
VS-aa6e529b (pattern VS-4408605e) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.3.1 Info and Relationships (Level A, WCAG 2.0)
XPath / selector
<th>
History
first seen 2026-W24, last seen 2026-W35 (7 wk)

Description

Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 1 of 6990 scanned pages (1 instances).

Steps to reproduce

  1. Open https://medicaid.gov/medicaid/outreach-tools/helping-connect-enrollees-care.
  2. Locate the element: <th>
  3. Confirm the Siteimprove Alfa finding for rule sia-r46 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

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-r46

Deque axe-core findings

Rule-level axe-core summary (13 rule type(s))

Each failing rule links out to the axe-core documentation. For full element-level detail including HTML snippets and XPaths, see the bug reports above.

axe-core rules failing in 2026-W35, by pages affected
RuleImpactPages affectedInstancesExample pagesAll affected
All page content should be contained by landmarks [region] moderate 4297 20106 /tmsis/dataguide/v4/validation-rules/rule-7929
/tmsis/dataguide/v4/validation-rules/rule-6372
/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18		 all 4297 pages (CSV)
Document should have one main landmark [landmark-one-main] moderate 4277 4277 /tmsis/dataguide/v4/validation-rules/rule-7929
/tmsis/dataguide/v4/validation-rules/rule-6372
/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18		 all 4277 pages (CSV)
Page should contain a level-one heading [page-has-heading-one] moderate 4265 4265 /tmsis/dataguide/v4/validation-rules/rule-7929
/tmsis/dataguide/v4/validation-rules/rule-6372
/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18		 all 4265 pages (CSV)
Elements must only use supported ARIA attributes [aria-allowed-attr] critical 1325 6358 /tmsis/dataguide/v4/data-elements/elg020239
/tmsis/dataguide/v4/data-elements/elg007116
/tmsis/dataguide/v4/data-elements/cot002108		 all 1325 pages (CSV)
Certain ARIA roles must contain particular children [aria-required-children] critical 1325 1325 /tmsis/dataguide/v4/data-elements/elg020239
/tmsis/dataguide/v4/data-elements/elg007116
/tmsis/dataguide/v4/data-elements/cot002108		 all 1325 pages (CSV)
ARIA role should be appropriate for the element [aria-allowed-role] minor 629 1341 /medicaid/medicaid-state-plan-amendments
/medicaid/medicaid-state-plan-amendments
/faq		 all 629 pages (CSV)
ARIA input fields must have an accessible name [aria-input-field-name] serious 626 1338 /medicaid/medicaid-state-plan-amendments
/medicaid/medicaid-state-plan-amendments
/faq		 all 626 pages (CSV)
Heading levels should only increase by one [heading-order] moderate 310 339 /state-overviews/stateprofile.html
/resources-for-states/spa-and-1915-waiver-processing/spa-and-1915-waiver-processing-statistics
/medicaid/home-community-based-services/home-and-community-based-services-hcbs-quality/testing-experience-functional-tools		 all 310 pages (CSV)
Landmarks should have a unique role or role/label/title (i.e. accessible name) combination [landmark-unique] moderate 46 46 /medicaid/home-community-based-services/home-and-community-based-services-hcbs-quality/testing-experience-functional-tools
/medicaid/indian-health-medicaid/tribal-affairs-guidance-resources
/about-us/organization/jennifer-kostesich		 all 46 pages (CSV)
Form elements should have a visible label [label-title-only] serious 5 26 /state-overviews/state-profiles
/medicaid/prescription-drugs/pharmacy-pricing
/resources-for-states/disaster-response-toolkit/home-community-based-services-during-public-health-emergencies/emergency-preparedness-and-response-for-home-and-community-based-hcbs-1915c-waivers		 all 5 pages (CSV)
scope attribute should be used correctly [scope-attr-valid] moderate 2 9 /medicaid/quality-of-care/core-set-data-dashboard/about
/state-overviews/scorecard/about		 all 2 pages (CSV)
Elements must only use permitted ARIA attributes [aria-prohibited-attr] serious 2 2 /state-overviews/state-profiles
/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa		 all 2 pages (CSV)
Select element must have an accessible name [select-name] critical 2 2 /tmsis/dataguide/v4/technical-instructions
/tmsis/dataguide/v3/t-msis-coding-blog		 all 2 pages (CSV)

Siteimprove Alfa findings

Rule-level Alfa summary (17 rule type(s))

Rule-level summary from Siteimprove Alfa (W3C ACT-based). Findings that overlap with axe-core on the same WCAG success criterion are noted as possible duplicates in the bug reports above.

Alfa rules failing in 2026-W35, by pages affected
RuleImpactPages affectedInstancesExample pagesAll affected
Text has enhanced contrast [sia-r66] n/a 3178 71292 /tmsis/dataguide/v4/validation-rules/rule-6372
/medicaid/section-1115-demo/demonstration-and-waiver-list
/faq		 all 3178 pages (CSV)
Target size is at least 44×44 CSS pixels (Enhanced) [sia-r111] n/a 3178 43785 /tmsis/dataguide/v4/validation-rules/rule-6372
/medicaid/section-1115-demo/demonstration-and-waiver-list
/faq		 all 3178 pages (CSV)
Scrolling content can be accessed by keyboard [sia-r57] n/a 3177 100387 /tmsis/dataguide/v4/validation-rules/rule-6372
/medicaid/section-1115-demo/demonstration-and-waiver-list
/faq		 all 3177 pages (CSV)
First focusable element is link to main content [sia-r87] n/a 2120 2120 /tmsis/dataguide/v4/validation-rules/rule-6372
/tmsis/dataguide/v4/validation-rules/rule-1859
/tmsis/dataguide/v4/data-quality-measures/mis-23-020-20		 all 2120 pages (CSV)
Form field label is visible [sia-r61] n/a 2104 2104 /tmsis/dataguide/v4/validation-rules/rule-6372
/tmsis/dataguide/v4/validation-rules/rule-1859
/tmsis/dataguide/v4/data-quality-measures/mis-23-020-20		 all 2104 pages (CSV)
Accessible name of link or button matches visible label [sia-r14] n/a 1279 1284 /tmsis/dataguide/v4/data-quality-measures/mis-23-020-20
/tmsis/dataguide/v4/data-quality-measures/rule-7446
/tmsis/dataguide/v4/data-quality-measures/mcr-18-015-16		 all 1279 pages (CSV)
Text has minimum contrast ratio of 4.5:1 [sia-r73] n/a 1059 1553 /medicaid/section-1115-demo/demonstration-and-waiver-list
/faq
/resources-for-states/spa-and-1915-waiver-processing/spa-and-1915-waiver-processing-statistics		 all 1059 pages (CSV)
Presentational children of an element are not focusable [sia-r68] n/a 921 968 /tmsis/dataguide/v4/data-elements/elg007116
/chip/state-program-information/chip-spa
/tmsis/dataguide/v4/data-elements/cip002155		 all 921 pages (CSV)
aria attribute is permitted for element role [sia-r18] n/a 647 3125 /tmsis/dataguide/v4/data-elements/elg007116
/tmsis/dataguide/v4/data-elements/cip002155
/tmsis/dataguide/v4/data-elements/mcr010119		 all 647 pages (CSV)
Form field has accessible name [sia-r8] n/a 299 643 /faq
/chip/state-program-information/chip-spa
/faq		 all 299 pages (CSV)
Target size is at least 24×24 CSS pixels or has spacing (Minimum) [sia-r113] n/a 298 642 /faq
/chip/state-program-information/chip-spa
/faq		 all 298 pages (CSV)
Headings are structured hierarchically [sia-r53] n/a 149 161 /resources-for-states/spa-and-1915-waiver-processing/spa-and-1915-waiver-processing-statistics
/state-overviews/state-profiles
/about-us/organization/todd-jones		 all 149 pages (CSV)
Link is distinguishable without relying on color [sia-r74] n/a 6 25 /about-us/leadership
/resources-for-states/disaster-response-toolkit/federal-disaster-resources
/medicaid/prescription-drugs/pharmacy-pricing		 all 6 pages (CSV)
Link in text block is visually distinguishable without color [sia-r62] n/a 2 4 /medicaid/quality-of-care/quality-improvement/addressing-childhood-obesity
/medicaid/quality-of-care/quality-improvement/oral-health-quality-improvement-resources/advancing-oral-health-prevention-in-primary-care		 all 2 pages (CSV)
Table header has scope [sia-r78] n/a 2 3 /medicaid/quality-of-care/core-set-data-dashboard/main
/medicaid/long-term-services-supports/program-of-all-inclusive-care-for-elderly/programs-of-all-inclusive-care-for-elderly-for-states		 all 2 pages (CSV)
Element role is consistent with ARIA landmark [sia-r72] n/a 1 183 /medicaid/quality-of-care/core-set-data-dashboard/main all 1 pages (CSV)
Element has required aria-owns [sia-r46] n/a 1 1 /medicaid/outreach-tools/helping-connect-enrollees-care all 1 pages (CSV)

Unique accessibility issues (axe + Alfa consolidated)

axe and Alfa both implement W3C ACT rules, so the same issue is often caught by both. These are deduplicated by ACT rule and page, so a shared finding counts once (35532 raw engine findings → 34587 unique).

Unique issues (rule × page)
34587
Caught by both engines
945 highest confidence
axe only
16166
Alfa only
17476
2 rule type(s) caught by both engines — highest confidence

Two independent ACT-rule implementations (Deque axe-core and Siteimprove Alfa) flagged the same issue on the same pages. Agreement between separate engines is strong evidence the barrier is real, not a single-tool false positive — the best place to start.

Rules flagged by both axe-core and Alfa in 2026-W35, by pages affected.
IssuePagesRule references
Elements must only use supported ARIA attributes1328axe aria-allowed-attr · Alfa sia-r18 · ACT 5c01ea
ARIA input fields must have an accessible name628axe aria-input-field-name · Alfa sia-r8 · ACT e086e5