{
 "schema_version": "0.1",
 "site": "www.medicaid.gov",
 "scan_week": "2026-W36",
 "generated_at": "2026-09-30T18:09:22.422Z",
 "source_files": [
  "docs/reports/www.medicaid.gov/2026-W36/",
  "data/www.medicaid.gov/findings.json",
  "data/www.medicaid.gov/2026-W36/summary.json"
 ],
 "summary": {
  "pages_known": 56276,
  "pages_scanned_this_week": 6575,
  "pages_with_known_issues": 48052,
  "findings": 25,
  "clusters": 22,
  "new_findings": 0,
  "persistent_findings": 24,
  "high_priority_findings": 19
 },
 "top_risks": [
  {
   "finding_id": "VS-f18df681",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "severity": "Serious",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 4003,
   "rationale": "Serious severity; affects 4003 pages; worsening trend",
   "top_url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3"
  },
  {
   "finding_id": "VS-d5d82446",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "severity": "Serious",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 3991,
   "rationale": "Serious severity; affects 3991 pages; worsening trend",
   "top_url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3"
  },
  {
   "finding_id": "VS-fa44f293",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "severity": "Serious",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 3982,
   "rationale": "Serious severity; affects 3982 pages; worsening trend",
   "top_url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3"
  },
  {
   "finding_id": "VS-9429bb8d",
   "rule_id": "aria-required-children",
   "rule_label": "Certain ARIA roles must contain particular children",
   "severity": "Critical",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 982,
   "rationale": "Critical severity; affects 982 pages; worsening trend",
   "top_url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048"
  },
  {
   "finding_id": "VS-1467ea8a",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "severity": "Critical",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 982,
   "rationale": "Critical severity; affects 982 pages; worsening trend",
   "top_url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048"
  },
  {
   "finding_id": "VS-0841abc2",
   "rule_id": "aria-input-field-name",
   "rule_label": "ARIA input fields must have an accessible name",
   "severity": "Serious",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 410,
   "rationale": "Serious severity; affects 410 pages; worsening trend",
   "top_url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=24&q="
  },
  {
   "finding_id": "VS-646b1e0b",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "severity": "Moderate",
   "priority": "p2",
   "trend": "persistent",
   "pages_affected": 3128,
   "rationale": "affects 3128 pages; persistent across weeks",
   "top_url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3"
  },
  {
   "finding_id": "VS-cb53cc4d",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "severity": "Moderate",
   "priority": "p2",
   "trend": "persistent",
   "pages_affected": 3128,
   "rationale": "affects 3128 pages; persistent across weeks",
   "top_url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3"
  },
  {
   "finding_id": "VS-c18be945",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "severity": "Moderate",
   "priority": "p2",
   "trend": "persistent",
   "pages_affected": 3128,
   "rationale": "affects 3128 pages; persistent across weeks",
   "top_url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3"
  },
  {
   "finding_id": "VS-aa242c2d",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "severity": "Moderate",
   "priority": "p2",
   "trend": "worsening",
   "pages_affected": 1991,
   "rationale": "affects 1991 pages; worsening trend",
   "top_url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3"
  }
 ],
 "findings": [
  {
   "finding_id": "VS-f18df681",
   "fingerprint": "09987718",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 4003 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 4003,
    "affected_pages_previous": 1046
   },
   "frequency": {
    "instances": 18114,
    "pages_affected": 4003,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 4003 of 6575 scanned pages (18114 instances).",
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule region.",
   "actual_behavior": "All page content should be contained by landmarks. Detected by axe-core rule region on 4003 of 6575 scanned pages (18114 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7802"
   ],
   "html_fragments": [
    {
     "fingerprint": "b8db5cfb",
     "html": "<div class=\"small p-1\">",
     "selectors": [
      ".small"
     ]
    },
    {
     "fingerprint": "658adb3f",
     "html": "<div class=\"d-flex justify-content-between m-2 mb-2\">",
     "selectors": [
      ".justify-content-between"
     ]
    },
    {
     "fingerprint": "ffcbeb49",
     "html": "<p class=\"font-weight-bold m-0 mr-1\">Version:</p>",
     "selectors": [
      ".font-weight-bold"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v3/data-elements/cip002048",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/rule-7802",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d5d82446",
   "fingerprint": "3627341e",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 3991 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 3991,
    "affected_pages_previous": 1041
   },
   "frequency": {
    "instances": 3991,
    "pages_affected": 3991,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Document should have one main landmark (WCAG criterion undetermined)",
   "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 3991 of 6575 scanned pages (3991 instances).",
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-one-main.",
   "actual_behavior": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 3991 of 6575 scanned pages (3991 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7802"
   ],
   "html_fragments": [
    {
     "fingerprint": "c30e96bb",
     "html": "<html class=\"no-js\" lang=\"en\">",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v3/data-elements/cip002048",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/rule-7802",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-fa44f293",
   "fingerprint": "a01b2a6c",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 3982 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 3982,
    "affected_pages_previous": 1041
   },
   "frequency": {
    "instances": 3982,
    "pages_affected": 3982,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Page should contain a level-one heading (WCAG criterion undetermined)",
   "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).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule page-has-heading-one.",
   "actual_behavior": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 3982 of 6575 scanned pages (3982 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7802"
   ],
   "html_fragments": [
    {
     "fingerprint": "c30e96bb",
     "html": "<html class=\"no-js\" lang=\"en\">",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v3/data-elements/cip002048",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/rule-7802",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-9429bb8d",
   "fingerprint": "d9ef25ac",
   "rule_id": "aria-required-children",
   "rule_label": "Certain ARIA roles must contain particular children",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Critical severity; affects 982 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 982,
    "affected_pages_previous": 224
   },
   "frequency": {
    "instances": 982,
    "pages_affected": 982,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Certain ARIA roles must contain particular children (WCAG 1.3.1)",
   "description": "Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 982 of 6575 scanned pages (982 instances).",
   "remediation_tip": "Add the child roles this container role requires (e.g. a list needs listitem children).",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-required-children (WCAG 1.3.1).",
   "actual_behavior": "Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 982 of 6575 scanned pages (982 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002161",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/tpl004055"
   ],
   "html_fragments": [
    {
     "fingerprint": "084e4684",
     "html": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "selectors": [
      ".nav"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v3/data-elements/cip002048",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/crx002161",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v3/data-elements/tpl004055",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-1467ea8a",
   "fingerprint": "fc8886ab",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Critical severity; affects 982 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 982,
    "affected_pages_previous": 224
   },
   "frequency": {
    "instances": 4781,
    "pages_affected": 982,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Elements must only use supported ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 982 of 6575 scanned pages (4781 instances).",
   "remediation_tip": "Remove ARIA attributes that aren't allowed on this role/element.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-allowed-attr (WCAG 4.1.2).",
   "actual_behavior": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 982 of 6575 scanned pages (4781 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002161",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/tpl004055"
   ],
   "html_fragments": [
    {
     "fingerprint": "e8b33a04",
     "html": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>",
     "selectors": [
      "a[href$=\"#overview\"]"
     ]
    },
    {
     "fingerprint": "4b1aed0a",
     "html": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>",
     "selectors": [
      "a[href$=\"#validvalues\"]"
     ]
    },
    {
     "fingerprint": "0d0d83f3",
     "html": "<a class=\"nav-item nav-link\" href=\"#relatedrules\" role=\"link\" aria-selected=\"false\" aria-controls=\"relatedrules\" data-toggle=\"tab\">Related Rules</a>",
     "selectors": [
      "a[href$=\"#relatedrules\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v3/data-elements/cip002048",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/crx002161",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v3/data-elements/tpl004055",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-0841abc2",
   "fingerprint": "a3512e8b",
   "rule_id": "aria-input-field-name",
   "rule_label": "ARIA input fields must have an accessible name",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 410 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 410,
    "affected_pages_previous": 145
   },
   "frequency": {
    "instances": 853,
    "pages_affected": 410,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "ARIA input fields must have an accessible name (WCAG 4.1.2)",
   "description": "ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 410 of 6575 scanned pages (853 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-input-field-name (WCAG 4.1.2).",
   "actual_behavior": "ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 410 of 6575 scanned pages (853 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=24&q=",
    "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=1&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=44&q="
   ],
   "html_fragments": [
    {
     "fingerprint": "b83690ed",
     "html": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">",
     "selectors": [
      "span[data-select2-id=\"select2-data-1-n6jz\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
      "span[data-select2-id=\"select2-data-4-q1mt\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
      "span[data-select2-id=\"select2-data-1-e3b3\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 19
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 3
    },
    {
     "pattern": "/chip/state-program-information/chip-spa",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-646b1e0b",
   "fingerprint": "afad441e",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 3128 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 3128,
    "affected_pages_previous": 3426
   },
   "frequency": {
    "instances": 73020,
    "pages_affected": 3128,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 3128 of 6575 scanned pages (73020 instances).",
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r66 (WCAG 1.4.6).",
   "actual_behavior": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 3128 of 6575 scanned pages (73020 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6591",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-3176"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/faq",
     "count": 3
    },
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 3
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-cb53cc4d",
   "fingerprint": "1738fa81",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 3128 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 3128,
    "affected_pages_previous": 3426
   },
   "frequency": {
    "instances": 45716,
    "pages_affected": 3128,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "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).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r111 (WCAG 2.5.5).",
   "actual_behavior": "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).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6591",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-3176"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/faq",
     "count": 3
    },
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 3
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-c18be945",
   "fingerprint": "8634e2fd",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 3128 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 3128,
    "affected_pages_previous": 3425
   },
   "frequency": {
    "instances": 88026,
    "pages_affected": 3128,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3128 of 6575 scanned pages (88026 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r57.",
   "actual_behavior": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3128 of 6575 scanned pages (88026 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6591",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-3176"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/faq",
     "count": 3
    },
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 3
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-aa242c2d",
   "fingerprint": "9bf7674d",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1991 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 1991,
    "affected_pages_previous": 543
   },
   "frequency": {
    "instances": 1991,
    "pages_affected": 1991,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "First focusable element is link to main content (WCAG criterion undetermined)",
   "description": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 1991 of 6575 scanned pages (1991 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r87.",
   "actual_behavior": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 1991 of 6575 scanned pages (1991 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6591",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-3176"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v3/validation-rules/rule-6591",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/rule-3176",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-7118fead",
   "fingerprint": "0d932ac9",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1978 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 1978,
    "affected_pages_previous": 539
   },
   "frequency": {
    "instances": 1978,
    "pages_affected": 1978,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 1978 of 6575 scanned pages (1978 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r61.",
   "actual_behavior": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 1978 of 6575 scanned pages (1978 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6591",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-3176"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v3/validation-rules/rule-6591",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/rule-3176",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-2208081b",
   "fingerprint": "40bbca09",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1137 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 1137,
    "affected_pages_previous": 2885
   },
   "frequency": {
    "instances": 1137,
    "pages_affected": 1137,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "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).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r73 (WCAG 1.4.8).",
   "actual_behavior": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 1137 of 6575 scanned pages (1137 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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",
    "https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1926&f%5B1%5D=sub_topic_faq_library_facet%3A1986&f%5B2%5D=sub_topic_faq_library_facet%3A2081&f%5B3%5D=sub_topic_faq_library_facet%3A2086&f%5B4%5D=sub_topic_faq_library_facet%3A2091&f%5B5%5D=sub_topic_faq_library_facet%3A2371&page=0",
    "https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1941&f%5B1%5D=sub_topic_faq_library_facet%3A1981&f%5B2%5D=sub_topic_faq_library_facet%3A2431&f%5B3%5D=sub_topic_faq_library_facet%3A2531&page=3"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 12
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 6
    },
    {
     "pattern": "/federal-policy-guidance",
     "count": 4
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 2.72,
     "pages_with_both": 108
    },
    {
     "technology": "Chartbeat",
     "lift": 2.68,
     "pages_with_both": 112
    },
    {
     "technology": "jsDelivr",
     "lift": 2.68,
     "pages_with_both": 112
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f7dba940",
   "fingerprint": "477d8088",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1085 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 1085,
    "affected_pages_previous": 284
   },
   "frequency": {
    "instances": 1085,
    "pages_affected": 1085,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "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).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r14 (WCAG 2.5.3).",
   "actual_behavior": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 1085 of 6575 scanned pages (1085 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-3176",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/tpl-7-001-1"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/mcr-19-007-3",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/rule-3176",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-quality-measures/tpl-7-001-1",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   }
  },
  {
   "finding_id": "VS-d6097011",
   "fingerprint": "b46c5395",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 726 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 726,
    "affected_pages_previous": 183
   },
   "frequency": {
    "instances": 748,
    "pages_affected": 726,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 726 of 6575 scanned pages (748 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r68 (WCAG 1.3.1).",
   "actual_behavior": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 726 of 6575 scanned pages (748 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=24&q=",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/elg008128",
    "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=1&q="
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 8
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 2
    },
    {
     "pattern": "/tmsis/dataguide/v3/data-elements/elg008128",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-e05344b9",
   "fingerprint": "9d7a222a",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 508 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 508,
    "affected_pages_previous": 117
   },
   "frequency": {
    "instances": 2465,
    "pages_affected": 508,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)",
   "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 508 of 6575 scanned pages (2465 instances).",
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r18.",
   "actual_behavior": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 508 of 6575 scanned pages (2465 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/elg008128",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/prv001009",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot003155"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v3/data-elements/elg008128",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v3/data-elements/prv001009",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/data-elements/cot003155",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-04a9d28c",
   "fingerprint": "02cfba82",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine": "deprecated-html",
   "tool": "deprecated-html",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": null,
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 269 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 269,
    "affected_pages_previous": 65
   },
   "frequency": {
    "instances": 348,
    "pages_affected": 269,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)",
   "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 269 of 6575 scanned pages (348 instances).",
   "remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "expected_behavior": "Element passes deprecated-html rule presentational-attr.",
   "actual_behavior": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 269 of 6575 scanned pages (348 instances).",
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6591",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/tpl004055",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1272"
   ],
   "html_fragments": [
    {
     "fingerprint": "8febe8a4",
     "html": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>",
     "selectors": [
      "td"
     ]
    },
    {
     "fingerprint": "95a33b85",
     "html": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>",
     "selectors": [
      "td"
     ]
    },
    {
     "fingerprint": "fd2c7be6",
     "html": "<td valign=\"top\" colspan=\"2\" class=\"dataTables_empty\">No data available in table</td>",
     "selectors": [
      "td"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/tmsis/dataguide/v3/validation-rules/rule-6591",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v3/data-elements/tpl004055",
     "count": 1
    },
    {
     "pattern": "/tmsis/dataguide/v4/validation-rules/rule-1272",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-179ad9b3",
   "fingerprint": "0e001fcc",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 219 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 219,
    "affected_pages_previous": 69
   },
   "frequency": {
    "instances": 460,
    "pages_affected": 219,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)",
   "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).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r113 (WCAG 2.5.8).",
   "actual_behavior": "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).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=24&q=",
    "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=1&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=44&q="
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 18
    },
    {
     "pattern": "/chip/state-program-information/chip-spa",
     "count": 4
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 3
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 2.82,
     "pages_with_both": 26
    },
    {
     "technology": "Chartbeat",
     "lift": 2.68,
     "pages_with_both": 26
    },
    {
     "technology": "jsDelivr",
     "lift": 2.68,
     "pages_with_both": 26
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-a48e6078",
   "fingerprint": "2ccef0fa",
   "rule_id": "sia-r8",
   "rule_label": "Form field has accessible name",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r8",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 219 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 219,
    "affected_pages_previous": 69
   },
   "frequency": {
    "instances": 460,
    "pages_affected": 219,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Form field has accessible name (WCAG 4.1.2)",
   "description": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 219 of 6575 scanned pages (460 instances).",
   "remediation_tip": "Associate the form field with a label.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r8 (WCAG 4.1.2).",
   "actual_behavior": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 219 of 6575 scanned pages (460 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=24&q=",
    "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=1&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=44&q="
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 18
    },
    {
     "pattern": "/chip/state-program-information/chip-spa",
     "count": 4
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 3
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 2.82,
     "pages_with_both": 26
    },
    {
     "technology": "Chartbeat",
     "lift": 2.68,
     "pages_with_both": 26
    },
    {
     "technology": "jsDelivr",
     "lift": 2.68,
     "pages_with_both": 26
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-d25f622d",
   "fingerprint": "98ff321a",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 81,
    "affected_pages_previous": 116
   },
   "frequency": {
    "instances": 85,
    "pages_affected": 81,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 81 of 6575 scanned pages (85 instances).",
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule heading-order.",
   "actual_behavior": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 81 of 6575 scanned pages (85 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/chip/chip-eligibility-enrollment/substitution-strategies",
    "https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/53995",
    "https://medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center/health-homes-guidance"
   ],
   "html_fragments": [
    {
     "fingerprint": "07a7ab9b",
     "html": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>",
     "selectors": [
      ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/{id}",
     "count": 9
    },
    {
     "pattern": "/state-overviews/stateprofile.html",
     "count": 3
    },
    {
     "pattern": "/chip/chip-eligibility-enrollment/substitution-strategies",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-4fac2f41",
   "fingerprint": "550210da",
   "rule_id": "aria-allowed-role",
   "rule_label": "ARIA role should be appropriate for the element",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "severity": "Minor",
   "priority": "p3",
   "confidence": "high",
   "rationale": "affects 410 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 410,
    "affected_pages_previous": 145
   },
   "frequency": {
    "instances": 853,
    "pages_affected": 410,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "ARIA role should be appropriate for the element (WCAG criterion undetermined)",
   "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).",
   "remediation_tip": "Remove or change the ARIA role — it isn't allowed on this element type.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-allowed-role.",
   "actual_behavior": "ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 410 of 6575 scanned pages (853 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=24&q=",
    "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=1&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=44&q="
   ],
   "html_fragments": [
    {
     "fingerprint": "e5333dd9",
     "html": "<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",
     "selectors": [
      "span[data-select2-id=\"select2-data-1-n6jz\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
      "span[data-select2-id=\"select2-data-4-q1mt\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
      "span[data-select2-id=\"select2-data-1-e3b3\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea"
     ]
    },
    {
     "fingerprint": "50afa0dd",
     "html": "<textarea class=\"select2-search__fiel...\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=",
     "selectors": [
      "span[data-select2-id=\"select2-data-4-00gc\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 19
    },
    {
     "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list",
     "count": 3
    },
    {
     "pattern": "/chip/state-program-information/chip-spa",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f054f4a4",
   "fingerprint": "5fa3b5a6",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 42,
    "affected_pages_previous": 58
   },
   "frequency": {
    "instances": 43,
    "pages_affected": 42,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 42 of 6575 scanned pages (43 instances).",
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r53.",
   "actual_behavior": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 42 of 6575 scanned pages (43 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center/health-homes-guidance",
    "https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54032",
    "https://medicaid.gov/resources-for-states/innovation-accelerator-program/program-areas/improving-care-for-medicaid-beneficiaries-complex-care-needs-and-high-costs"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/{id}",
     "count": 10
    },
    {
     "pattern": "/state-overviews/stateprofile.html",
     "count": 3
    },
    {
     "pattern": "/state-resource-center/disaster-response-toolkit/federal-disaster-resources/{id}",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-8806389c",
   "fingerprint": "ffb2ae06",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 4,
    "affected_pages_previous": 11
   },
   "frequency": {
    "instances": 4,
    "pages_affected": 4,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)",
   "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).",
   "remediation_tip": "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.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-unique.",
   "actual_behavior": "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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=22",
    "https://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=23",
    "https://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=25"
   ],
   "html_fragments": [
    {
     "fingerprint": "9f8096be",
     "html": "<aside class=\"section\" role=\"complementary\">",
     "selectors": [
      ".section"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/resources-for-states/disaster-response-toolkit/federal-disaster-resources",
     "count": 3
    },
    {
     "pattern": "/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial/medicaid-budget-and-expenditure-system-mbes/cms-21-annual-chip-expenditures-reports",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-fbf54eba",
   "fingerprint": "773d6316",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 2,
    "affected_pages_previous": 4
   },
   "frequency": {
    "instances": 12,
    "pages_affected": 2,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "Link is distinguishable without relying on color (WCAG 1.4.8)",
   "description": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 2 of 6575 scanned pages (12 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r74 (WCAG 1.4.8).",
   "actual_behavior": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 2 of 6575 scanned pages (12 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/medicaid/eligibility-policy/seniors-medicare-and-medicaid-enrollees",
    "https://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=23"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/eligibility-policy/seniors-medicare-and-medicaid-enrollees",
     "count": 1
    },
    {
     "pattern": "/resources-for-states/disaster-response-toolkit/federal-disaster-resources",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-0ba8ce9d",
   "fingerprint": "1b1ae391",
   "rule_id": "scope-attr-valid",
   "rule_label": "scope attribute should be used correctly",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 8,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 51,
    "pages_affected": 1,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "scope attribute should be used correctly (WCAG criterion undetermined)",
   "description": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 1 of 6575 scanned pages (51 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule scope-attr-valid.",
   "actual_behavior": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 1 of 6575 scanned pages (51 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels"
   ],
   "html_fragments": [
    {
     "fingerprint": "688edf98",
     "html": "<td scope=\"row\">Alabama</td>",
     "selectors": [
      "tr:nth-child(1) > td[scope=\"row\"]"
     ]
    },
    {
     "fingerprint": "240ebd54",
     "html": "<td scope=\"row\">Alaska<a style=\"text-decoration:none;\" href=\"#footnote5\" title=\"\"><sup>5</sup></a></td>",
     "selectors": [
      "tr:nth-child(2) > td[scope=\"row\"]"
     ]
    },
    {
     "fingerprint": "2f6cbd53",
     "html": "<td scope=\"row\">Arizona</td>",
     "selectors": [
      "tr:nth-child(3) > td[scope=\"row\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-3d033717",
   "fingerprint": "1718042b",
   "rule_id": "sia-r70",
   "rule_label": "No obsolete or deprecated elements are used",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r70",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W36",
    "last_observed": "2026-W36",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 6575
   },
   "on_key_page": false,
   "summary": "No obsolete or deprecated elements are used (WCAG criterion undetermined)",
   "description": "No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 1 of 6575 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r70",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r70.",
   "actual_behavior": "No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 1 of 6575 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=6&q="
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicaid/medicaid-state-plan-amendments",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  }
 ],
 "clusters": {
  "by_wcag_criterion": [
   {
    "cluster_id": "0649d9b9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f18df681"
    ],
    "total_pages_affected": 4003,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "91fd3b4c",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d5d82446"
    ],
    "total_pages_affected": 3991,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "b8f97020",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-fa44f293"
    ],
    "total_pages_affected": 3982,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "71f257a8",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.6",
    "wcag_name": "Contrast (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-646b1e0b"
    ],
    "total_pages_affected": 3128,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b393058c",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.5",
    "wcag_name": "Target Size (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-cb53cc4d"
    ],
    "total_pages_affected": 3128,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "36ac08de",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-c18be945"
    ],
    "total_pages_affected": 3128,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "0ba1e7fd",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-aa242c2d"
    ],
    "total_pages_affected": 1991,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "75cf28e4",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-7118fead"
    ],
    "total_pages_affected": 1978,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "423bd52e",
    "type": "wcag_criterion",
    "wcag_sc": "1.3.1",
    "wcag_name": "Info and Relationships",
    "wcag_level": "A",
    "findings": [
     "VS-9429bb8d",
     "VS-d6097011"
    ],
    "total_pages_affected": 1708,
    "max_severity": "Critical"
   },
   {
    "cluster_id": "a849192e",
    "type": "wcag_criterion",
    "wcag_sc": "4.1.2",
    "wcag_name": "Name, Role, Value",
    "wcag_level": "A",
    "findings": [
     "VS-1467ea8a",
     "VS-0841abc2",
     "VS-a48e6078"
    ],
    "total_pages_affected": 1611,
    "max_severity": "Critical"
   },
   {
    "cluster_id": "140fec0b",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.8",
    "wcag_name": "Visual Presentation",
    "wcag_level": "AAA",
    "findings": [
     "VS-2208081b",
     "VS-fbf54eba"
    ],
    "total_pages_affected": 1139,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "fd9ed1c5",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.3",
    "wcag_name": "Label in Name",
    "wcag_level": "A",
    "findings": [
     "VS-f7dba940"
    ],
    "total_pages_affected": 1085,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "0c75ddb8",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-e05344b9"
    ],
    "total_pages_affected": 508,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "97a17643",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-4fac2f41"
    ],
    "total_pages_affected": 410,
    "max_severity": "Minor"
   },
   {
    "cluster_id": "66669a92",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-04a9d28c"
    ],
    "total_pages_affected": 269,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "24c4a455",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.8",
    "wcag_name": "Target Size (Minimum)",
    "wcag_level": "AA",
    "findings": [
     "VS-179ad9b3"
    ],
    "total_pages_affected": 219,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "e08c8d69",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d25f622d"
    ],
    "total_pages_affected": 81,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b05da4e9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f054f4a4"
    ],
    "total_pages_affected": 42,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "c7d2a838",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-8806389c"
    ],
    "total_pages_affected": 4,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "aa39dafc",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-0ba8ce9d"
    ],
    "total_pages_affected": 1,
    "max_severity": "Moderate"
   }
  ],
  "by_url_pattern": [
   {
    "cluster_id": "e8945b61",
    "type": "url_pattern",
    "pattern": "/resources-for-states/disaster-response-toolkit/federal-disaster-resources",
    "findings": [
     "VS-8806389c",
     "VS-fbf54eba"
    ],
    "total_pages": 4
   }
  ]
 },
 "technology_findings": [
  {
   "technology": "jQuery UI",
   "finding": "axe:aria-allowed-role",
   "lift": 2.82,
   "pages_with_both": 45,
   "technology_pages": 213,
   "interpretation": "Pages using jQuery UI are 2.82× more likely to have finding axe:aria-allowed-role."
  },
  {
   "technology": "jQuery UI",
   "finding": "axe:aria-input-field-name",
   "lift": 2.82,
   "pages_with_both": 45,
   "technology_pages": 213,
   "interpretation": "Pages using jQuery UI are 2.82× more likely to have finding axe:aria-input-field-name."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r8",
   "lift": 2.82,
   "pages_with_both": 26,
   "technology_pages": 213,
   "interpretation": "Pages using jQuery UI are 2.82× more likely to have finding alfa:sia-r8."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r113",
   "lift": 2.82,
   "pages_with_both": 26,
   "technology_pages": 213,
   "interpretation": "Pages using jQuery UI are 2.82× more likely to have finding alfa:sia-r113."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r73",
   "lift": 2.72,
   "pages_with_both": 108,
   "technology_pages": 213,
   "interpretation": "Pages using jQuery UI are 2.72× more likely to have finding alfa:sia-r73."
  },
  {
   "technology": "Chartbeat",
   "finding": "alfa:sia-r73",
   "lift": 2.68,
   "pages_with_both": 112,
   "technology_pages": 224,
   "interpretation": "Pages using Chartbeat are 2.68× more likely to have finding alfa:sia-r73."
  },
  {
   "technology": "jsDelivr",
   "finding": "alfa:sia-r73",
   "lift": 2.68,
   "pages_with_both": 112,
   "technology_pages": 224,
   "interpretation": "Pages using jsDelivr are 2.68× more likely to have finding alfa:sia-r73."
  },
  {
   "technology": "Drupal",
   "finding": "alfa:sia-r73",
   "lift": 2.68,
   "pages_with_both": 112,
   "technology_pages": 224,
   "interpretation": "Pages using Drupal are 2.68× more likely to have finding alfa:sia-r73."
  },
  {
   "technology": "Select2",
   "finding": "alfa:sia-r73",
   "lift": 2.68,
   "pages_with_both": 112,
   "technology_pages": 224,
   "interpretation": "Pages using Select2 are 2.68× more likely to have finding alfa:sia-r73."
  },
  {
   "technology": "Acquia Cloud Platform",
   "finding": "alfa:sia-r73",
   "lift": 2.68,
   "pages_with_both": 112,
   "technology_pages": 224,
   "interpretation": "Pages using Acquia Cloud Platform are 2.68× more likely to have finding alfa:sia-r73."
  },
  {
   "technology": "Amazon Web Services",
   "finding": "alfa:sia-r73",
   "lift": 2.68,
   "pages_with_both": 112,
   "technology_pages": 224,
   "interpretation": "Pages using Amazon Web Services are 2.68× more likely to have finding alfa:sia-r73."
  },
  {
   "technology": "PHP",
   "finding": "alfa:sia-r73",
   "lift": 2.68,
   "pages_with_both": 112,
   "technology_pages": 224,
   "interpretation": "Pages using PHP are 2.68× more likely to have finding alfa:sia-r73."
  },
  {
   "technology": "Qualtrics",
   "finding": "alfa:sia-r73",
   "lift": 2.68,
   "pages_with_both": 112,
   "technology_pages": 224,
   "interpretation": "Pages using Qualtrics are 2.68× more likely to have finding alfa:sia-r73."
  },
  {
   "technology": "Tealium",
   "finding": "alfa:sia-r73",
   "lift": 2.68,
   "pages_with_both": 112,
   "technology_pages": 224,
   "interpretation": "Pages using Tealium are 2.68× more likely to have finding alfa:sia-r73."
  },
  {
   "technology": "USWDS",
   "finding": "alfa:sia-r73",
   "lift": 2.68,
   "pages_with_both": 112,
   "technology_pages": 224,
   "interpretation": "Pages using USWDS are 2.68× more likely to have finding alfa:sia-r73."
  }
 ],
 "third_party_findings": [
  {
   "origin": "googletagmanager.com",
   "pages_served": 1553,
   "pages_with_findings": 1334,
   "finding_co_occurrence_rate": 0.86,
   "median_bytes": 172162,
   "example_pages": [
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-3176",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A786&f%5B1%5D=topics%3A751&page=0",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-335"
   ]
  },
  {
   "origin": "akamaihd.net",
   "pages_served": 88,
   "pages_with_findings": 72,
   "finding_co_occurrence_rate": 0.82,
   "median_bytes": 4826,
   "example_pages": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A786&f%5B1%5D=topics%3A751&page=0",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A786&f%5B1%5D=state%3A841&f%5B2%5D=state%3A896&f%5B3%5D=topics%3A3356&f%5B4%5D=topics%3A5866&page=3",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=29&q="
   ]
  },
  {
   "origin": "qualtrics.com",
   "pages_served": 556,
   "pages_with_findings": 337,
   "finding_co_occurrence_rate": 0.61,
   "median_bytes": 854230,
   "example_pages": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A786&f%5B1%5D=topics%3A751&page=0",
    "https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1961&f%5B1%5D=sub_topic_faq_library_facet%3A2371&f%5B2%5D=sub_topic_faq_library_facet%3A2456&f%5B3%5D=sub_topic_faq_library_facet%3A2491&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=84",
    "https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1926&f%5B1%5D=sub_topic_faq_library_facet%3A1986&f%5B2%5D=sub_topic_faq_library_facet%3A2081&f%5B3%5D=sub_topic_faq_library_facet%3A2086&f%5B4%5D=sub_topic_faq_library_facet%3A2091&f%5B5%5D=sub_topic_faq_library_facet%3A2371&page=0"
   ]
  },
  {
   "origin": "jsdelivr.net",
   "pages_served": 556,
   "pages_with_findings": 337,
   "finding_co_occurrence_rate": 0.61,
   "median_bytes": 53126,
   "example_pages": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A786&f%5B1%5D=topics%3A751&page=0",
    "https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1961&f%5B1%5D=sub_topic_faq_library_facet%3A2371&f%5B2%5D=sub_topic_faq_library_facet%3A2456&f%5B3%5D=sub_topic_faq_library_facet%3A2491&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=84",
    "https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1926&f%5B1%5D=sub_topic_faq_library_facet%3A1986&f%5B2%5D=sub_topic_faq_library_facet%3A2081&f%5B3%5D=sub_topic_faq_library_facet%3A2086&f%5B4%5D=sub_topic_faq_library_facet%3A2091&f%5B5%5D=sub_topic_faq_library_facet%3A2371&page=0"
   ]
  },
  {
   "origin": "chartbeat.com",
   "pages_served": 556,
   "pages_with_findings": 337,
   "finding_co_occurrence_rate": 0.61,
   "median_bytes": 41744,
   "example_pages": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A786&f%5B1%5D=topics%3A751&page=0",
    "https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1961&f%5B1%5D=sub_topic_faq_library_facet%3A2371&f%5B2%5D=sub_topic_faq_library_facet%3A2456&f%5B3%5D=sub_topic_faq_library_facet%3A2491&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=84",
    "https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1926&f%5B1%5D=sub_topic_faq_library_facet%3A1986&f%5B2%5D=sub_topic_faq_library_facet%3A2081&f%5B3%5D=sub_topic_faq_library_facet%3A2086&f%5B4%5D=sub_topic_faq_library_facet%3A2091&f%5B5%5D=sub_topic_faq_library_facet%3A2371&page=0"
   ]
  }
 ],
 "metadata": {
  "generator": "vital-core",
  "schema_version": "0.1",
  "total_pages_scanned": 6575,
  "notes": [
   "Healthy pages (no known issues) are intentionally excluded.",
   "Representative examples are used instead of complete occurrence lists.",
   "Fingerprints are stable hashes for tracking recurring patterns over time.",
   "Fragment fingerprints normalize volatile attributes (id, style, data-*) before hashing.",
   "Technology lift values indicate association, not causation.",
   "Confidence reflects sample size: high=10+ affected pages, medium=3-9, low=1-2."
  ]
 }
}