{ "domain": "www.medicaid.gov", "week": "2026-W35", "generated_at": "2026-08-30T16:58:24.958Z", "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": 6990, "priority_pages": [ { "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg007116", "priority_score": 204, "a11y_critical_bugs": 2, "a11y_serious_bugs": 3, "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] Text has enhanced contrast" }, { "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cip002155", "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] Text has enhanced contrast" }, { "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/mcr010119", "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] Text has enhanced contrast" }, { "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg020239", "priority_score": 140, "a11y_critical_bugs": 2, "a11y_serious_bugs": 3, "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 | [Serious] All page content should be contained by landmarks | [Serious] Document should have one main landmark | [Serious] Page should contain a level-one heading" }, { "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot002108", "priority_score": 140, "a11y_critical_bugs": 2, "a11y_serious_bugs": 3, "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 | [Serious] All page content should be contained by landmarks | [Serious] Document should have one main landmark | [Serious] Page should contain a level-one heading" }, { "url": "https://medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/ftx-financial-transaction/individual-health-insurance-premium-payment", "priority_score": 140, "a11y_critical_bugs": 2, "a11y_serious_bugs": 3, "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 | [Serious] All page content should be contained by landmarks | [Serious] Document should have one main landmark | [Serious] Page should contain a level-one heading" }, { "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002018", "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] First focusable element is link to main content" }, { "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv009117", "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] First focusable element is link to main content" }, { "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-23-020-20", "priority_score": 108, "a11y_critical_bugs": 0, "a11y_serious_bugs": 3, "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] Text has enhanced contrast | [Moderate] Target size is at least 44×44 CSS pixels (Enhanced) | [Serious] All page content should be contained by landmarks | [Serious] Document should have one main landmark" }, { "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7446", "priority_score": 108, "a11y_critical_bugs": 0, "a11y_serious_bugs": 3, "a11y_moderate_bugs": 6, 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| [Serious] Document should have one main landmark" }, { "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-2-045-45", "priority_score": 108, "a11y_critical_bugs": 0, "a11y_serious_bugs": 3, "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] Text has enhanced contrast | [Moderate] Target size is at least 44×44 CSS pixels (Enhanced) | [Serious] All page content should be contained by landmarks | [Serious] Document should have one main landmark" }, { "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx007266", "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://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002023", "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://medicaid.gov/tmsis/dataguide/v4/data-elements/elg013179", "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://medicaid.gov/tmsis/dataguide/v4/data-elements/mcr004056", "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://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372", "priority_score": 100, "a11y_critical_bugs": 0, "a11y_serious_bugs": 3, "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] Text has enhanced contrast | [Moderate] Target size is at least 44×44 CSS pixels (Enhanced) | [Serious] All page content should be contained by landmarks | [Serious] Document should have one main landmark | [Serious] Page should contain a level-one heading" }, { "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1859", "priority_score": 100, "a11y_critical_bugs": 0, 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landmark | [Serious] Page should contain a level-one heading" }, { "url": "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7390", "priority_score": 100, "a11y_critical_bugs": 0, "a11y_serious_bugs": 3, "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] Text has enhanced contrast | [Moderate] Target size is at least 44×44 CSS pixels (Enhanced) | [Serious] All page content should be contained by landmarks | [Serious] Document should have one main landmark | [Serious] Page should contain a level-one heading" }, { "url": "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-8-002-2", "priority_score": 100, "a11y_critical_bugs": 0, "a11y_serious_bugs": 3, "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] Text has enhanced contrast | [Moderate] Target size is at least 44×44 CSS pixels (Enhanced) | [Serious] All page content should be contained by landmarks | [Serious] Document should have one main landmark | [Serious] Page should contain a level-one heading" }, { "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002096", "priority_score": 96, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, "a11y_moderate_bugs": 2, "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] aria attribute is permitted for element role" }, { "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt001004", "priority_score": 80, "a11y_critical_bugs": 2, "a11y_serious_bugs": 0, 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ARIA attributes" }, { "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg017222", "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://medicaid.gov/tmsis/dataguide/v4/data-elements/cip003243", "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://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005169", 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"https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=27&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://medicaid.gov/state-overviews/state-profiles", "priority_score": 72, "a11y_critical_bugs": 0, "a11y_serious_bugs": 2, "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": "[Serious] Elements must only use permitted ARIA attributes | [Moderate] Text has minimum contrast ratio of 4.5:1 | [Serious] Form elements should have a visible label | [Moderate] Heading levels should only increase by one | [Moderate] aria attribute is permitted for element role" }, { "url": "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", "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] Target size is at least 24×24 CSS pixels or has spacing (Minimum) | [Serious] ARIA input fields must have an accessible name | [Moderate] Form field has accessible name | [Moderate] Text has enhanced contrast | [Moderate] Text has minimum contrast ratio of 4.5:1" }, { "url": "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%5B0%5D=8856&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=8696&limit=10&page=0&q=&sort=field_faq_date%3Adesc", "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] Target size is at least 24×24 CSS pixels or has spacing (Minimum) | [Serious] ARIA input fields must have an accessible name | [Moderate] Form field has accessible name | [Moderate] Text has enhanced contrast | [Moderate] Text has minimum contrast ratio of 4.5:1" }, { "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7929", "priority_score": 60, "a11y_critical_bugs": 0, "a11y_serious_bugs": 3, "a11y_moderate_bugs": 0, "a11y_minor_bugs": 0, 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