www.medicaid.gov: Accessibility — week 2026-W36

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.

SC	Criterion	Pages	Rules	Notes
1.4.6	WCAG 1.4.6	3128	1
2.5.5	WCAG 2.5.5	3128	1
1.3.1	Info and Relationships (semantic structure)	1708	2
4.1.2	Name, Role, Value (ARIA)	1611	3	Component inconsistency
1.4.8	WCAG 1.4.8	1139	2

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.
Cluster	Severity	Pages	Who it affects	How to fix	Evidence	Decision
Document should have one main landmark · unattributed component Fix one place, resolve ~3991 finding(s) on 3991 page(s). XPath / selector: `html` `<html class="no-js" lang="en">`	Serious	3991	Requires manual testing.	Each page should have exactly one <main> landmark.	pages (CSV)	Decision Assigned to Notes
Page should contain a level-one heading · unattributed component Fix one place, resolve ~3982 finding(s) on 3982 page(s). XPath / selector: `html` `<html class="no-js" lang="en">`	Serious	3982	Requires manual testing.	See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI	pages (CSV)	Decision Assigned to Notes
Certain ARIA roles must contain particular children · unattributed component Fix one place, resolve ~982 finding(s) on 982 page(s). XPath / selector: `.nav` `<div class="nav nav-tabs nav-justified" role="tablist">`	Critical	982	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)	Decision Assigned to Notes
First focusable element is link to main content · unattributed component Fix one place, resolve ~1991 finding(s) on 1991 page(s). XPath / selector: `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`	Moderate	1991	Requires manual testing.	See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87	pages (CSV)	Decision Assigned to Notes
Form field label is visible · unattributed component Fix one place, resolve ~1978 finding(s) on 1978 page(s). XPath / selector: `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`	Moderate	1978	Requires manual testing.	See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61	pages (CSV)	Decision Assigned to Notes
All page content should be contained by landmarks · unattributed component Fix one place, resolve ~4003 finding(s) on 4003 page(s). XPath / selector: `.justify-content-between` `<div class="d-flex justify-content-between m-2 mb-2">`	Serious	4003	Requires manual testing.	Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.	pages (CSV)	Decision Assigned to Notes
All page content should be contained by landmarks · unattributed component Fix one place, resolve ~4002 finding(s) on 4002 page(s). XPath / selector: `.small` `<div class="small p-1">`	Serious	4002	Requires manual testing.	Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.	pages (CSV)	Decision Assigned to Notes
All page content should be contained by landmarks · unattributed component Fix one place, resolve ~4001 finding(s) on 4001 page(s). XPath / selector: `.font-weight-bold` `<p class="font-weight-bold m-0 mr-1">Version:</p>`	Serious	4001	Requires manual testing.	Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.	pages (CSV)	Decision Assigned to Notes
Text has minimum contrast ratio of 4.5:1 · unattributed component Fix one place, resolve ~1137 finding(s) on 1137 page(s). XPath / selector: `<p class="usa-footer__contact-info margin-bottom-0">`	Moderate	1137	Requires manual testing.	See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73	pages (CSV)	Decision Assigned to Notes
Accessible name of link or button matches visible label · unattributed component Fix one place, resolve ~1085 finding(s) on 1085 page(s). XPath / selector: `<a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">`	Moderate	1085	Without vision, Without speech	See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14	pages (CSV)	Decision Assigned to Notes

Bug reports

10 issue type(s) are shown by default out of 25 total. Prioritized by severity, key pages, WCAG level, and prevalence; use the toggle to show everything.

Overall severity mix: 2 critical, 4 serious, 18 moderate, 1 minor. By WCAG category: 5 WCAG 2.0 A, 1 WCAG 2.1 A, 1 WCAG 2.2 AA, 4 WCAG 2.x AAA, 7 Best Practice, 7 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 10 prioritized issue type(s); 15 more are available if you switch to "Show everything".

2 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) 982/6575 pages · 4781 instances Likely template

Bug ID: VS-5101458c
Pattern ID: VS-1467ea8a
Combined ID: VS-5101458c (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)
Rule: axe-core — Elements must only use supported ARIA attributes [aria-allowed-attr]
Example URL: https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048
XPath / selector: a[href$="#overview"]
History: first seen 2026-W24, last seen 2026-W36 (13 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 982 of 6575 scanned pages (4781 instances).

Steps to reproduce

Open https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048.
Locate the element: a[href$="#overview"]
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 982 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

Triage status Notes

Critical axe aria-required-children WCAG 2.0 A Certain ARIA roles must contain particular children (WCAG 1.3.1) 982/6575 pages · 982 instances Likely template

Bug ID: VS-bef512a7
Pattern ID: VS-9429bb8d
Combined ID: VS-bef512a7 (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)
Rule: axe-core — Certain ARIA roles must contain particular children [aria-required-children]
Example URL: https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048
XPath / selector: .nav
History: first seen 2026-W24, last seen 2026-W36 (13 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 982 of 6575 scanned pages (982 instances).

Steps to reproduce

Open https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048.
Locate the element: .nav
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 982 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

Triage status Notes

Serious axe aria-input-field-name WCAG 2.0 A ARIA input fields must have an accessible name (WCAG 4.1.2) 410/6575 pages · 853 instances Likely template

Bug ID: VS-7d2f01ea
Pattern ID: VS-0841abc2
Combined ID: VS-7d2f01ea (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)
Rule: axe-core — ARIA input fields must have an accessible name [aria-input-field-name]
Example URL: https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=24&q=
XPath / selector: span[data-select2-id="select2-data-1-n6jz"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]
History: first seen 2026-W24, last seen 2026-W36 (13 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 410 of 6575 scanned pages (853 instances).

Steps to reproduce

Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=24&q=.
Locate the element: span[data-select2-id="select2-data-1-n6jz"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]
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 410 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

Triage status Notes

Serious axe region Best Practice All page content should be contained by landmarks (WCAG criterion undetermined) 4003/6575 pages · 18114 instances Likely template

Bug ID: VS-e48684cb
Pattern ID: VS-f18df681
Combined ID: VS-e48684cb (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
Rule: axe-core — All page content should be contained by landmarks [region]
Example URL: https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3
XPath / selector: .small
History: first seen 2026-W24, last seen 2026-W36 (13 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 4003 of 6575 scanned pages (18114 instances).

Steps to reproduce

Open https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3.
Locate the element: .small
Confirm the axe-core finding for rule region.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 4003 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

Triage status Notes

Serious axe landmark-one-main Best Practice Document should have one main landmark (WCAG criterion undetermined) 3991/6575 pages · 3991 instances Likely template

Bug ID: VS-9a2288d6
Pattern ID: VS-d5d82446
Combined ID: VS-9a2288d6 (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
Rule: axe-core — Document should have one main landmark [landmark-one-main]
Example URL: https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3
XPath / selector: html
History: first seen 2026-W24, last seen 2026-W36 (13 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 3991 of 6575 scanned pages (3991 instances).

Steps to reproduce

Open https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3.
Locate the element: html
Confirm the axe-core finding for rule landmark-one-main.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 3991 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

Triage status Notes

Serious axe page-has-heading-one Best Practice Page should contain a level-one heading (WCAG criterion undetermined) 3982/6575 pages · 3982 instances Likely template

Bug ID: VS-5b8e2220
Pattern ID: VS-fa44f293
Combined ID: VS-5b8e2220 (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
Rule: axe-core — Page should contain a level-one heading [page-has-heading-one]
Example URL: https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3
XPath / selector: html
History: first seen 2026-W24, last seen 2026-W36 (13 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 3982 of 6575 scanned pages (3982 instances).

Steps to reproduce

Open https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3.
Locate the element: html
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 3982 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

Triage status Notes

Moderate alfa sia-r14 WCAG 2.1 A Accessible name of link or button matches visible label (WCAG 2.5.3) 1085/6575 pages · 1085 instances Likely template

Bug ID: VS-401188f6
Pattern ID: VS-f7dba940
Combined ID: VS-401188f6 (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)
Rule: Siteimprove Alfa — Accessible name of link or button matches visible label [sia-r14]
Example URL: https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3
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-W36 (13 wk)

Description

Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 1085 of 6575 scanned pages (1085 instances).

Steps to reproduce

Open https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3.
Locate the element: <a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">
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 1085 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

Triage status Notes

Moderate alfa sia-r68 WCAG 2.0 A Presentational children of an element are not focusable (WCAG 1.3.1) 726/6575 pages · 748 instances · possible duplicate Likely template

Bug ID: VS-962854eb
Pattern ID: VS-d6097011
Combined ID: VS-962854eb (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)
Rule: Siteimprove Alfa — Presentational children of an element are not focusable [sia-r68]
Example URL: https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=24&q=
XPath / selector: <ul class="select2-selection__rendered" id="select2-edit-field-topics-container">
History: first seen 2026-W24, last seen 2026-W36 (13 wk)
Possible duplicate: Same WCAG SC covered by axe report VS-bef512a7 (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 726 of 6575 scanned pages (748 instances).

Steps to reproduce

Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=24&q=.
Locate the element: <ul class="select2-selection__rendered" id="select2-edit-field-topics-container">
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 726 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

Triage status Notes

Moderate alfa sia-r8 WCAG 2.0 A Form field has accessible name (WCAG 4.1.2) 219/6575 pages · 460 instances · possible duplicate Likely template

Bug ID: VS-15ee0ea6
Pattern ID: VS-a48e6078
Combined ID: VS-15ee0ea6 (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)
Rule: Siteimprove Alfa — Form field has accessible name [sia-r8]
Example URL: https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=24&q=
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-W36 (13 wk)
Possible duplicate: Same WCAG SC covered by axe report VS-7d2f01ea (pattern VS-0841abc2). If axe and this engine flag the same element, the axe report takes precedence — mark this as duplicate in JIRA.

Description

Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 219 of 6575 scanned pages (460 instances).

Steps to reproduce

Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=24&q=.
Locate the element: <span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">
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 219 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

Triage status Notes

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) 219/6575 pages · 460 instances Likely template

Bug ID: VS-43a2ea5e
Pattern ID: VS-179ad9b3
Combined ID: VS-43a2ea5e (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)
Rule: Siteimprove Alfa — Target size is at least 24×24 CSS pixels or has spacing (Minimum) [sia-r113]
Example URL: https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=24&q=
XPath / selector: <textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">
History: first seen 2026-W24, last seen 2026-W36 (13 wk)

Description

Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 219 of 6575 scanned pages (460 instances).

Steps to reproduce

Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=24&q=.
Locate the element: <textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">
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 219 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

Triage status Notes

Moderate alfa sia-r57 Undetermined Scrolling content can be accessed by keyboard (WCAG criterion undetermined) 3128/6575 pages · 88026 instances Likely template

Bug ID: VS-73594e13
Pattern ID: VS-c18be945
Combined ID: VS-73594e13 (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
Rule: Siteimprove Alfa — Scrolling content can be accessed by keyboard [sia-r57]
Example URL: https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3
XPath / selector: text: " An official website of the United States government "
History: first seen 2026-W24, last seen 2026-W36 (13 wk)

Description

Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3128 of 6575 scanned pages (88026 instances).

Steps to reproduce

Open https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3.
Locate the element: text: " An official website of the United States government "
Confirm the Siteimprove Alfa finding for rule sia-r57.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 3128 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

Triage status Notes

Moderate alfa sia-r66 WCAG 2.x AAA Text has enhanced contrast (WCAG 1.4.6) 3128/6575 pages · 73020 instances Likely template

Bug ID: VS-390bb787
Pattern ID: VS-646b1e0b
Combined ID: VS-390bb787 (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)
Rule: Siteimprove Alfa — Text has enhanced contrast [sia-r66]
Example URL: https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3
XPath / selector: text: "Here's how you know "
History: first seen 2026-W24, last seen 2026-W36 (13 wk)

Description

Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 3128 of 6575 scanned pages (73020 instances).

Steps to reproduce

Open https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3.
Locate the element: text: "Here's how you know "
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 3128 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

Triage status Notes

Moderate alfa sia-r111 WCAG 2.x AAA Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5) 3128/6575 pages · 45716 instances Likely template

Bug ID: VS-f1ff850d
Pattern ID: VS-cb53cc4d
Combined ID: VS-f1ff850d (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)
Rule: Siteimprove Alfa — Target size is at least 44×44 CSS pixels (Enhanced) [sia-r111]
Example URL: https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3
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-W36 (13 wk)

Description

Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 3128 of 6575 scanned pages (45716 instances).

Steps to reproduce

Open https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3.
Locate the element: <button class="btn btn-outline-primary dropdown-toggle py-1 px-2" type="button" id="dropdownMenuButton" data-toggle="dropdown">
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 3128 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

Triage status Notes

Moderate alfa sia-r87 Undetermined First focusable element is link to main content (WCAG criterion undetermined) 1991/6575 pages · 1991 instances Likely template

Bug ID: VS-90fc489f
Pattern ID: VS-aa242c2d
Combined ID: VS-90fc489f (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
Rule: Siteimprove Alfa — First focusable element is link to main content [sia-r87]
Example URL: https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3
XPath / selector: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
History: first seen 2026-W24, last seen 2026-W36 (13 wk)

Description

First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 1991 of 6575 scanned pages (1991 instances).

Steps to reproduce

Open https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3.
Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
Confirm the Siteimprove Alfa finding for rule sia-r87.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 1991 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

Triage status Notes

Moderate alfa sia-r61 Undetermined Form field label is visible (WCAG criterion undetermined) 1978/6575 pages · 1978 instances Likely template

Bug ID: VS-0497743f
Pattern ID: VS-7118fead
Combined ID: VS-0497743f (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
Rule: Siteimprove Alfa — Form field label is visible [sia-r61]
Example URL: https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3
XPath / selector: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
History: first seen 2026-W24, last seen 2026-W36 (13 wk)

Description

Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 1978 of 6575 scanned pages (1978 instances).

Steps to reproduce

Open https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3.
Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
Confirm the Siteimprove Alfa finding for rule sia-r61.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 1978 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

Triage status Notes

Moderate alfa sia-r73 WCAG 2.x AAA Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8) 1137/6575 pages · 1137 instances Likely template

Bug ID: VS-01cb7654
Pattern ID: VS-2208081b
Combined ID: VS-01cb7654 (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)
Rule: Siteimprove Alfa — Text has minimum contrast ratio of 4.5:1 [sia-r73]
Example URL: https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1906&f%5B1%5D=sub_topic_faq_library_facet%3A1911&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2406&page=84
XPath / selector: <p class="usa-footer__contact-info margin-bottom-0">
History: first seen 2026-W24, last seen 2026-W36 (13 wk)

Description

Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 1137 of 6575 scanned pages (1137 instances).

Steps to reproduce

Open https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1906&f%5B1%5D=sub_topic_faq_library_facet%3A1911&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2406&page=84.
Locate the element: <p class="usa-footer__contact-info margin-bottom-0">
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 1137 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

Triage status Notes

Moderate alfa sia-r18 Undetermined aria attribute is permitted for element role (WCAG criterion undetermined) 508/6575 pages · 2465 instances Likely template

Bug ID: VS-cb186810
Pattern ID: VS-e05344b9
Combined ID: VS-cb186810 (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
Rule: Siteimprove Alfa — aria attribute is permitted for element role [sia-r18]
Example URL: https://medicaid.gov/tmsis/dataguide/v3/data-elements/elg008128
XPath / selector: @aria-selected="true"
History: first seen 2026-W24, last seen 2026-W36 (13 wk)

Description

aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 508 of 6575 scanned pages (2465 instances).

Steps to reproduce

Open https://medicaid.gov/tmsis/dataguide/v3/data-elements/elg008128.
Locate the element: @aria-selected="true"
Confirm the Siteimprove Alfa finding for rule sia-r18.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 508 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

Triage status Notes

Minor axe aria-allowed-role Best Practice ARIA role should be appropriate for the element (WCAG criterion undetermined) 410/6575 pages · 853 instances Likely template

Bug ID: VS-440792ad
Pattern ID: VS-4fac2f41
Combined ID: VS-440792ad (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
Rule: axe-core — ARIA role should be appropriate for the element [aria-allowed-role]
Example URL: https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=24&q=
XPath / selector: span[data-select2-id="select2-data-1-n6jz"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea
History: first seen 2026-W24, last seen 2026-W36 (13 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 410 of 6575 scanned pages (853 instances).

Steps to reproduce

Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=24&q=.
Locate the element: span[data-select2-id="select2-data-1-n6jz"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea
Confirm the axe-core finding for rule aria-allowed-role.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 410 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

Triage status Notes

Moderate deprecated-html presentational-attr Undetermined Presentational attribute (use CSS) (WCAG criterion undetermined) 269/6575 pages · 348 instances Likely template

Bug ID: VS-e4cace34
Pattern ID: VS-04a9d28c
Combined ID: VS-e4cace34 (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]
Example URL: https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6591
XPath / selector: td
History: first seen 2026-W24, last seen 2026-W36 (13 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 269 of 6575 scanned pages (348 instances).

Steps to reproduce

Open https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6591.
Locate the element: td
Confirm the deprecated-html finding for rule presentational-attr.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 269 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.

Triage status Notes

Moderate axe heading-order Best Practice Heading levels should only increase by one (WCAG criterion undetermined) 81/6575 pages · 85 instances Likely template

Bug ID: VS-73fb0bc5
Pattern ID: VS-d25f622d
Combined ID: VS-73fb0bc5 (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
Rule: axe-core — Heading levels should only increase by one [heading-order]
Example URL: https://medicaid.gov/chip/chip-eligibility-enrollment/substitution-strategies
XPath / selector: .region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4
History: first seen 2026-W24, last seen 2026-W36 (13 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 81 of 6575 scanned pages (85 instances).

Steps to reproduce

Open https://medicaid.gov/chip/chip-eligibility-enrollment/substitution-strategies.
Locate the element: .region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4
Confirm the axe-core finding for rule heading-order.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 81 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

Triage status Notes

Moderate alfa sia-r53 Undetermined Headings are structured hierarchically (WCAG criterion undetermined) 42/6575 pages · 43 instances Likely template

Bug ID: VS-e7004ee0
Pattern ID: VS-f054f4a4
Combined ID: VS-e7004ee0 (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
Rule: Siteimprove Alfa — Headings are structured hierarchically [sia-r53]
Example URL: https://medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center/health-homes-guidance
XPath / selector: <h4 class="usa-footer__primary-link">
History: first seen 2026-W24, last seen 2026-W36 (13 wk)

Description

Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 42 of 6575 scanned pages (43 instances).

Steps to reproduce

Open https://medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center/health-homes-guidance.
Locate the element: <h4 class="usa-footer__primary-link">
Confirm the Siteimprove Alfa finding for rule sia-r53.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 42 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

Triage status Notes

Moderate axe landmark-unique Best Practice Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined) 4/6575 pages · 4 instances

Bug ID: VS-7c39545e
Pattern ID: VS-8806389c
Combined ID: VS-7c39545e (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
Rule: axe-core — Landmarks should have a unique role or role/label/title (i.e. accessible name) c [landmark-unique]
Example URL: https://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=22
XPath / selector: .section
History: first seen 2026-W24, last seen 2026-W36 (13 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 4 of 6575 scanned pages (4 instances).

Steps to reproduce

Open https://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=22.
Locate the element: .section
Confirm the axe-core finding for rule landmark-unique.

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

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

Triage status Notes

Moderate alfa sia-r74 WCAG 2.x AAA Link is distinguishable without relying on color (WCAG 1.4.8) 2/6575 pages · 12 instances Likely content

Bug ID: VS-7cb7b057
Pattern ID: VS-fbf54eba
Combined ID: VS-7cb7b057 (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)
Rule: Siteimprove Alfa — Link is distinguishable without relying on color [sia-r74]
Example URL: https://medicaid.gov/medicaid/eligibility-policy/seniors-medicare-and-medicaid-enrollees
XPath / selector: <p>
History: first seen 2026-W24, last seen 2026-W36 (13 wk)

Description

Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 2 of 6575 scanned pages (12 instances).

Steps to reproduce

Open https://medicaid.gov/medicaid/eligibility-policy/seniors-medicare-and-medicaid-enrollees.
Locate the element: <p>
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

Triage status Notes

Moderate axe scope-attr-valid Best Practice scope attribute should be used correctly (WCAG criterion undetermined) 1/6575 pages · 51 instances Likely content

Bug ID: VS-4cb1456d
Pattern ID: VS-0ba8ce9d
Combined ID: VS-4cb1456d (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
Rule: axe-core — scope attribute should be used correctly [scope-attr-valid]
Example URL: https://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels
XPath / selector: tr:nth-child(1) > td[scope="row"]
History: first seen 2026-W24, last seen 2026-W36 (8 wk)

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

<td scope="row">Alabama</td>

Description

scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 1 of 6575 scanned pages (51 instances).

Steps to reproduce

Open https://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels.
Locate the element: tr:nth-child(1) > td[scope="row"]
Confirm the axe-core finding for rule scope-attr-valid.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels

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

Triage status Notes

Moderate alfa sia-r70 Undetermined No obsolete or deprecated elements are used (WCAG criterion undetermined) 1/6575 pages · 1 instances Likely content

Bug ID: VS-87df96e7
Pattern ID: VS-3d033717
Combined ID: VS-87df96e7 (pattern VS-3d033717) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category: Undetermined
Obligation: advisory
Handling: review
WCAG SC: undetermined
Rule: Siteimprove Alfa — No obsolete or deprecated elements are used [sia-r70]
Example URL: https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=6&q=
XPath / selector: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
History: first seen 2026-W36, last seen 2026-W36 (1 wk)

Description

No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 1 of 6575 scanned pages (1 instances).

Steps to reproduce

Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=6&q=.
Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
Confirm the Siteimprove Alfa finding for rule sia-r70.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

/medicaid/medicaid-state-plan-amendments

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-r70

Triage status Notes

Deque axe-core findings

Rule-level axe-core summary (10 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-W36, by pages affected
Rule	Impact	Pages affected	Instances	Example pages	All affected
All page content should be contained by landmarks [region]	moderate	4003	18114	/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3 /tmsis/dataguide/v3/data-elements/cip002048 /tmsis/dataguide/v4/data-quality-measures/rule-7802	all 4003 pages (CSV)
Document should have one main landmark [landmark-one-main]	moderate	3991	3991	/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3 /tmsis/dataguide/v3/data-elements/cip002048 /tmsis/dataguide/v4/data-quality-measures/rule-7802	all 3991 pages (CSV)
Page should contain a level-one heading [page-has-heading-one]	moderate	3982	3982	/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3 /tmsis/dataguide/v3/data-elements/cip002048 /tmsis/dataguide/v4/data-quality-measures/rule-7802	all 3982 pages (CSV)
Elements must only use supported ARIA attributes [aria-allowed-attr]	critical	982	4781	/tmsis/dataguide/v3/data-elements/cip002048 /tmsis/dataguide/v4/data-elements/crx002161 /tmsis/dataguide/v3/data-elements/tpl004055	all 982 pages (CSV)
Certain ARIA roles must contain particular children [aria-required-children]	critical	982	982	/tmsis/dataguide/v3/data-elements/cip002048 /tmsis/dataguide/v4/data-elements/crx002161 /tmsis/dataguide/v3/data-elements/tpl004055	all 982 pages (CSV)
ARIA role should be appropriate for the element [aria-allowed-role]	minor	410	853	/medicaid/medicaid-state-plan-amendments /medicaid/section-1115-demo/demonstration-and-waiver-list /medicaid/medicaid-state-plan-amendments	all 410 pages (CSV)
ARIA input fields must have an accessible name [aria-input-field-name]	serious	410	853	/medicaid/medicaid-state-plan-amendments /medicaid/section-1115-demo/demonstration-and-waiver-list /medicaid/medicaid-state-plan-amendments	all 410 pages (CSV)
Heading levels should only increase by one [heading-order]	moderate	81	85	/chip/chip-eligibility-enrollment/substitution-strategies /state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/53995 /resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center/health-homes-guidance	all 81 pages (CSV)
Landmarks should have a unique role or role/label/title (i.e. accessible name) combination [landmark-unique]	moderate	4	4	/resources-for-states/disaster-response-toolkit/federal-disaster-resources /resources-for-states/disaster-response-toolkit/federal-disaster-resources /resources-for-states/disaster-response-toolkit/federal-disaster-resources	all 4 pages (CSV)
scope attribute should be used correctly [scope-attr-valid]	moderate	1	51	/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels	all 1 pages (CSV)

Siteimprove Alfa findings

Rule-level Alfa summary (14 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-W36, by pages affected
Rule	Impact	Pages affected	Instances	Example pages	All affected
Scrolling content can be accessed by keyboard [sia-r57]	n/a	3128	88026	/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3 /tmsis/dataguide/v3/validation-rules/rule-6591 /tmsis/dataguide/v4/data-quality-measures/rule-3176	all 3128 pages (CSV)
Text has enhanced contrast [sia-r66]	n/a	3128	73020	/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3 /tmsis/dataguide/v3/validation-rules/rule-6591 /tmsis/dataguide/v4/data-quality-measures/rule-3176	all 3128 pages (CSV)
Target size is at least 44×44 CSS pixels (Enhanced) [sia-r111]	n/a	3128	45716	/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3 /tmsis/dataguide/v3/validation-rules/rule-6591 /tmsis/dataguide/v4/data-quality-measures/rule-3176	all 3128 pages (CSV)
First focusable element is link to main content [sia-r87]	n/a	1991	1991	/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3 /tmsis/dataguide/v3/validation-rules/rule-6591 /tmsis/dataguide/v4/data-quality-measures/rule-3176	all 1991 pages (CSV)
Form field label is visible [sia-r61]	n/a	1978	1978	/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3 /tmsis/dataguide/v3/validation-rules/rule-6591 /tmsis/dataguide/v4/data-quality-measures/rule-3176	all 1978 pages (CSV)
Text has minimum contrast ratio of 4.5:1 [sia-r73]	n/a	1137	1137	/faq /faq /faq	all 1137 pages (CSV)
Accessible name of link or button matches visible label [sia-r14]	n/a	1085	1085	/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3 /tmsis/dataguide/v4/data-quality-measures/rule-3176 /tmsis/dataguide/v4/data-quality-measures/tpl-7-001-1	all 1085 pages (CSV)
Presentational children of an element are not focusable [sia-r68]	n/a	726	748	/medicaid/medicaid-state-plan-amendments /tmsis/dataguide/v3/data-elements/elg008128 /medicaid/section-1115-demo/demonstration-and-waiver-list	all 726 pages (CSV)
aria attribute is permitted for element role [sia-r18]	n/a	508	2465	/tmsis/dataguide/v3/data-elements/elg008128 /tmsis/dataguide/v3/data-elements/prv001009 /tmsis/dataguide/v4/data-elements/cot003155	all 508 pages (CSV)
Form field has accessible name [sia-r8]	n/a	219	460	/medicaid/medicaid-state-plan-amendments /medicaid/section-1115-demo/demonstration-and-waiver-list /medicaid/medicaid-state-plan-amendments	all 219 pages (CSV)
Target size is at least 24×24 CSS pixels or has spacing (Minimum) [sia-r113]	n/a	219	460	/medicaid/medicaid-state-plan-amendments /medicaid/section-1115-demo/demonstration-and-waiver-list /medicaid/medicaid-state-plan-amendments	all 219 pages (CSV)
Headings are structured hierarchically [sia-r53]	n/a	42	43	/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center/health-homes-guidance /state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54032 /resources-for-states/innovation-accelerator-program/program-areas/improving-care-for-medicaid-beneficiaries-complex-care-needs-and-high-costs	all 42 pages (CSV)
Link is distinguishable without relying on color [sia-r74]	n/a	2	12	/medicaid/eligibility-policy/seniors-medicare-and-medicaid-enrollees /resources-for-states/disaster-response-toolkit/federal-disaster-resources	all 2 pages (CSV)
No obsolete or deprecated elements are used [sia-r70]	n/a	1	1	/medicaid/medicaid-state-plan-amendments	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 (32138 raw engine findings → 31411 unique).

Unique issues (rule × page): 31411
Caught by both engines: 727 highest confidence
axe only: 14119
Alfa only: 16565

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-W36, by pages affected.
Issue	Pages	Rule references
Elements must only use supported ARIA attributes	982	axe aria-allowed-attr · Alfa sia-r18 · ACT 5c01ea
ARIA input fields must have an accessible name	410	axe aria-input-field-name · Alfa sia-r8 · ACT e086e5