{
 "domain": "www.medicaid.gov",
 "week": "2026-W37",
 "generatedAt": "2026-09-13T16:38:08.098Z",
 "reports": [
  {
   "instance_id": "VS-7dcc9ed6",
   "pattern_id": "VS-179ad9b3",
   "a11y_pattern_fingerprint": "6289c3141138c0f42775f98b28ae763a8dca8a79a47e2f6515a0d82b87159a69",
   "a11y_pattern_display_id": "A11Y-PAT-6289C3141138",
   "a11y_occurrence_fingerprint": "18a9878411409734b0d5cff710bf32755080ff6a8c446801ffbaff87e9150130",
   "a11y_occurrence_display_id": "A11Y-OCC-18A987841140",
   "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
   "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
   "html_snippet": null,
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "frequency": {
    "instances": 261,
    "pages_affected": 125,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 125 of 7188 scanned pages (261 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=2&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=2&q="
   ],
   "affected_pages": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=2&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=20&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=8&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=1&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=871&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=6&q=",
    "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=541&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=25&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=851&page=24&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=31&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=30&q=",
    "https://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=2271&limit=10&page=5&q=&sort=field_faq_date%3Adesc",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=27&q=",
    "https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=10&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=77&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=25&q=",
    "http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=866&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=25&q="
   ],
   "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%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&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)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "obligation": "required",
   "handling": "review",
   "policy_source": "target",
   "policy_reason": "WCAG 2.5.8 target-size results can require manual verification of spacing, equivalent controls, and essential-size exceptions.",
   "policy_evidence": [
    "https://alfa.siteimprove.com/rules/sia-r113"
   ],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/alfa__sia-r113.csv"
  },
  {
   "instance_id": "VS-86f59ad2",
   "pattern_id": "VS-f7dba940",
   "a11y_pattern_fingerprint": "50c8c661b023dbfd5affed8d5af8109b4ad0da533ce32fe85d275900c6fabcaa",
   "a11y_pattern_display_id": "A11Y-PAT-50C8C661B023",
   "a11y_occurrence_fingerprint": "2382f7cc03ec14f8b6417ed0405ee5a9c3a592c9e792fa85a7565bd84abbe383",
   "a11y_occurrence_display_id": "A11Y-OCC-2382F7CC03EC",
   "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
   "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
   "html_snippet": null,
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "frequency": {
    "instances": 471,
    "pages_affected": 471,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 471 of 7188 scanned pages (471 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2402",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7224",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179"
   ],
   "affected_pages": [
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2402",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7224",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-s-014-19",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-27-022-22",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-79-031-31",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-341",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377",
    "https://medicaid.gov/",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002119",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003089",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002096",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-25-009-9",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt001001",
    "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-022-13",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002163",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-31-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-9-002-2",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-8798",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002029",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002239",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002099",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot002140"
   ],
   "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%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614.",
    "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."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/alfa__sia-r14.csv"
  },
  {
   "instance_id": "VS-6730a1cb",
   "pattern_id": "VS-9429bb8d",
   "a11y_pattern_fingerprint": "41421730b8811402e7a4e38fdb39d1db020db07cfff56e0caa653dd8a363684f",
   "a11y_pattern_display_id": "A11Y-PAT-41421730B881",
   "a11y_occurrence_fingerprint": "f61c1ab2d73f6abb70d13fbc8ca92be7522bd3d87ea206851efc9a9fd5b5c82e",
   "a11y_occurrence_display_id": "A11Y-OCC-F61C1AB2D73F",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
   "xpath": ".nav",
   "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-required-children",
   "rule_label": "Certain ARIA roles must contain particular children",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 425,
    "pages_affected": 425,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 425 of 7188 scanned pages (425 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003037",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002162",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/cot-claim-other/claim-line-record-ot",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003037"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003037",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002162",
    "https://medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/cot-claim-other/claim-line-record-ot",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005169",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002175",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002119",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003089",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002096",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/elg001011",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt001001",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr001004",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg009144",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002034",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002051",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip001006",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002163",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004122",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002108",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip001007",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002029",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002239",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095357"
   ],
   "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%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042.",
    "Locate the element: .nav",
    "Confirm the axe-core finding for rule aria-required-children against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "Add the child roles this container role requires (e.g. a list needs listitem children).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/axe-core__aria-required-children.csv"
  },
  {
   "instance_id": "VS-d9475295",
   "pattern_id": "VS-d6097011",
   "a11y_pattern_fingerprint": "361d414a77e6bcaec1763d1b212954b1a9410dc61c478f621ee2ac3f74d66289",
   "a11y_pattern_display_id": "A11Y-PAT-361D414A77E6",
   "a11y_occurrence_fingerprint": "16f5b8445e5956f54075a37ea8e7d854ff19ceed2c6ccc887ac8918e4e4a6302",
   "a11y_occurrence_display_id": "A11Y-OCC-16F5B8445E59",
   "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
   "xpath": "<ul class=\"select2-selection__rendered\" id=\"select2-edit-field-topics-container\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "frequency": {
    "instances": 352,
    "pages_affected": 341,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 341 of 7188 scanned pages (352 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
     "xpath": "<ul class=\"select2-selection__rendered\" id=\"select2-edit-field-topics-container\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
     "xpath": "<ul class=\"select2-selection__rendered\" id=\"select2-edit-field-topics-container\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=2&q=",
     "xpath": "<ul class=\"select2-selection__rendered\" id=\"select2-edit-field-topics-container\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179"
   ],
   "affected_pages": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=2&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=20&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=8&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002119",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=1&q=",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003089",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002096",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=871&q=",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt001001",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=6&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002163",
    "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=541&q=",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002108",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002029",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002239",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=25&q=",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002099",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=851&page=24&q="
   ],
   "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%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&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."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "possible_duplicate_of": "VS-6730a1cb",
   "possible_duplicate_pattern": "VS-9429bb8d",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/alfa__sia-r68.csv"
  },
  {
   "instance_id": "VS-2bc88e63",
   "pattern_id": "VS-4408605e",
   "a11y_pattern_fingerprint": "d404ef966702616452b46d12d02be0a54ebec3948e86126c84c383a6d2a74819",
   "a11y_pattern_display_id": "A11Y-PAT-D404EF966702",
   "a11y_occurrence_fingerprint": "973eb9704714aabd5369c20f2eac5387b779cb8b5551c7acf694322451985d41",
   "a11y_occurrence_display_id": "A11Y-OCC-973EB9704714",
   "url": "https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-national-drug-rebate-agreement-ndra",
   "xpath": "<th>",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r46",
   "rule_label": "Element has required aria-owns",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r46",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 7188
   },
   "likely_source": "content",
   "summary": "Element has required aria-owns (WCAG 1.3.1)",
   "description": "Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 1 of 7188 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-national-drug-rebate-agreement-ndra",
     "xpath": "<th>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-national-drug-rebate-agreement-ndra"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-national-drug-rebate-agreement-ndra"
   ],
   "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%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-national-drug-rebate-agreement-ndra.",
    "Locate the element: <th>",
    "Confirm the Siteimprove Alfa finding for rule sia-r46 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r46",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r46.csv"
  },
  {
   "instance_id": "VS-fe2e536a",
   "pattern_id": "VS-3f067795",
   "a11y_pattern_fingerprint": "e1e34c73ced2dbddb7d0df3544469f80176100da4f496eed3209bf8cd4d1ae7d",
   "a11y_pattern_display_id": "A11Y-PAT-E1E34C73CED2",
   "a11y_occurrence_fingerprint": "b6fe99a260a04c61b82eb7fe60a0d09f39431033441988edee09d28ec877e042",
   "a11y_occurrence_display_id": "A11Y-OCC-B6FE99A260A0",
   "url": "https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-national-drug-rebate-agreement-ndra",
   "xpath": "<td>",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r77",
   "rule_label": "Table cell has header",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r77",
   "severity": "Moderate",
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 7188
   },
   "likely_source": "content",
   "summary": "Table cell has header (WCAG 1.3.1)",
   "description": "Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 1 of 7188 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-national-drug-rebate-agreement-ndra",
     "xpath": "<td>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-national-drug-rebate-agreement-ndra",
     "xpath": "<td>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-national-drug-rebate-agreement-ndra"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-national-drug-rebate-agreement-ndra"
   ],
   "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%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-national-drug-rebate-agreement-ndra.",
    "Locate the element: <td>",
    "Confirm the Siteimprove Alfa finding for rule sia-r77 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r77",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 4,
   "affected_pages_csv": "csv/alfa__sia-r77.csv"
  },
  {
   "instance_id": "VS-f8c0b898",
   "pattern_id": "VS-1467ea8a",
   "a11y_pattern_fingerprint": "ea22cf589d655040cfcc8c1a46712ee71f0b18dab4eee39e5921a225d826d913",
   "a11y_pattern_display_id": "A11Y-PAT-EA22CF589D65",
   "a11y_occurrence_fingerprint": "e900a9687058858d1ae8342f323ae9c31b8fac7763c149493c2f8690618c37d0",
   "a11y_occurrence_display_id": "A11Y-OCC-E900A9687058",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
   "xpath": "a[href$=\"#overview\"]",
   "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 2071,
    "pages_affected": 425,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "summary": "Elements must only use supported ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 425 of 7188 scanned pages (2071 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
     "xpath": "a[href$=\"#overview\"]",
     "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
     "xpath": "a[href$=\"#validvalues\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
     "xpath": "a[href$=\"#relatedrules\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#relatedrules\" role=\"link\" aria-selected=\"false\" aria-controls=\"relatedrules\" data-toggle=\"tab\">Related Rules</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
     "xpath": "a[href$=\"#overview\"]",
     "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
     "xpath": "a[href$=\"#validvalues\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003037"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003037",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002162",
    "https://medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/cot-claim-other/claim-line-record-ot",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005169",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002175",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002119",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003089",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002096",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/elg001011",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt001001",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr001004",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg009144",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002034",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002051",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip001006",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002163",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004122",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002108",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip001007",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002029",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002239",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095357"
   ],
   "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%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042.",
    "Locate the element: a[href$=\"#overview\"]",
    "Confirm the axe-core finding for rule aria-allowed-attr against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Remove ARIA attributes that aren't allowed on this role/element.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/axe-core__aria-allowed-attr.csv"
  },
  {
   "instance_id": "VS-ede6cc86",
   "pattern_id": "VS-0841abc2",
   "a11y_pattern_fingerprint": "2f7fdfafa287e246c74ad4fdd76d0335da15e5fb43d67de42e0815b6d536e543",
   "a11y_pattern_display_id": "A11Y-PAT-2F7FDFAFA287",
   "a11y_occurrence_fingerprint": "5b736f822af3976aadbac446ea994f35f8ea1059648312afc89bb66ebe387153",
   "a11y_occurrence_display_id": "A11Y-OCC-5B736F822AF3",
   "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
   "xpath": "span[data-select2-id=\"select2-data-1-em6g\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
   "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-input-field-name",
   "rule_label": "ARIA input fields must have an accessible name",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 476,
    "pages_affected": 229,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 229 of 7188 scanned pages (476 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-em6g\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-dm8w\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-rtj8\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-xst9\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=6&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-iq0h\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    }
   ],
   "example_pages": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=6&q="
   ],
   "affected_pages": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=6&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=2&q=",
    "http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=1&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=20&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=1&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=79&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=3&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=8&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=8&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=1&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=871&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=5&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=6&q=",
    "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=541&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=961&page=49&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=25&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=851&page=24&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=31&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=30&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=22&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=29&q="
   ],
   "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%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=.",
    "Locate the element: span[data-select2-id=\"select2-data-1-em6g\"] > .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."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/axe-core__aria-input-field-name.csv"
  },
  {
   "instance_id": "VS-8ab22672",
   "pattern_id": "VS-ebb1c464",
   "a11y_pattern_fingerprint": "89e7e7854ddaf23b3ed527507ac81502b3fc9b13b9eb21b556cd684d19b83c34",
   "a11y_pattern_display_id": "A11Y-PAT-89E7E7854DDA",
   "a11y_occurrence_fingerprint": "cd606337eb0f3b0510cd8919fcb17386152c734dc5d69b353b7976247fbabf51",
   "a11y_occurrence_display_id": "A11Y-OCC-CD606337EB0F",
   "url": "https://medicaid.gov/",
   "xpath": "time[datetime=\"2026-09-11\"]",
   "html_snippet": "<time class=\"nn-card__date flex-shrink-0 text-center margin-right-2 border\" datetime=\"2026-09-11\" aria-label=\"Sep 11\">",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-prohibited-attr",
   "rule_label": "Elements must only use permitted ARIA attributes",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 7,
    "pages_affected": 2,
    "total_pages_scanned": 7188
   },
   "likely_source": "content",
   "summary": "Elements must only use permitted ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 2 of 7188 scanned pages (7 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/",
     "xpath": "time[datetime=\"2026-09-11\"]",
     "html_snippet": "<time class=\"nn-card__date flex-shrink-0 text-center margin-right-2 border\" datetime=\"2026-09-11\" aria-label=\"Sep 11\">"
    },
    {
     "url": "https://medicaid.gov/",
     "xpath": "time[datetime=\"2026-08-28\"]",
     "html_snippet": "<time class=\"nn-card__date flex-shrink-0 text-center margin-right-2 border\" datetime=\"2026-08-28\" aria-label=\"Aug 28\">"
    },
    {
     "url": "https://medicaid.gov/",
     "xpath": "time[datetime=\"2026-08-11\"]",
     "html_snippet": "<time class=\"nn-card__date flex-shrink-0 text-center margin-right-2 border\" datetime=\"2026-08-11\" aria-label=\"Aug 11\">"
    },
    {
     "url": "https://medicaid.gov/eligibility",
     "xpath": "#map-svg-map-1749492555669",
     "html_snippet": "<div id=\"map-svg-map-1749492555669\" class=\"map-container\" aria-disabled=\"true\" aria-label=\"State Map Image. Keyboard navigating users can use dropdown to select state.\" style=\"position: relative; widt"
    }
   ],
   "example_pages": [
    "https://medicaid.gov/",
    "https://medicaid.gov/eligibility"
   ],
   "affected_pages": [
    "https://medicaid.gov/",
    "https://medicaid.gov/eligibility"
   ],
   "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%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/.",
    "Locate the element: time[datetime=\"2026-09-11\"]",
    "Confirm the axe-core finding for rule aria-prohibited-attr against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 13,
   "affected_pages_csv": "csv/axe-core__aria-prohibited-attr.csv"
  },
  {
   "instance_id": "VS-9df48fd9",
   "pattern_id": "VS-a48e6078",
   "a11y_pattern_fingerprint": "4e31479a6ded13f767c55899a0ecb11c41498f3083dbfe4c2f13533aecd09225",
   "a11y_pattern_display_id": "A11Y-PAT-4E31479A6DED",
   "a11y_occurrence_fingerprint": "f0993ebcb13c47941686d06ac5857ea421f2a2fe241b47f4c5c3a141cc83354b",
   "a11y_occurrence_display_id": "A11Y-OCC-F0993EBCB13C",
   "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
   "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
   "html_snippet": null,
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r8",
   "rule_label": "Form field has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r8",
   "severity": "Moderate",
   "frequency": {
    "instances": 261,
    "pages_affected": 125,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "summary": "Form field has accessible name (WCAG 4.1.2)",
   "description": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 125 of 7188 scanned pages (261 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=2&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=2&q="
   ],
   "affected_pages": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=2&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=20&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=8&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=1&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=871&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=6&q=",
    "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=541&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=25&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=851&page=24&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=31&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=30&q=",
    "https://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=2271&limit=10&page=5&q=&sort=field_faq_date%3Adesc",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=27&q=",
    "https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=10&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=77&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=25&q=",
    "http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=866&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=25&q="
   ],
   "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%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&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."
   ],
   "remediation_tip": "Associate the form field with a label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/alfa__sia-r8.csv"
  },
  {
   "instance_id": "VS-82b63c70",
   "pattern_id": "VS-646b1e0b",
   "a11y_pattern_fingerprint": "c222b671df04a74389e09c0bbe0acf11c4ddc21bcede2a33817524d97a9c05e6",
   "a11y_pattern_display_id": "A11Y-PAT-C222B671DF04",
   "a11y_occurrence_fingerprint": "f9ac146b425ce97d2a5eff73f7f3790a5d3d4660d7403db449715464205b6286",
   "a11y_occurrence_display_id": "A11Y-OCC-F9AC146B425C",
   "url": "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
   "xpath": "text: \"Here’s how you know\"",
   "html_snippet": null,
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "frequency": {
    "instances": 132252,
    "pages_affected": 3430,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 3430 of 7188 scanned pages (132252 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
     "xpath": "text: \"Here’s how you know\"",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
     "xpath": "text: \"FAQs\"",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
     "xpath": "text: \"Home\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A811&f%5B1%5D=state%3A901&f%5B2%5D=state%3A971&f%5B3%5D=state%3A1006&page=0",
     "xpath": "text: \"Here’s how you know\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A811&f%5B1%5D=state%3A901&f%5B2%5D=state%3A971&f%5B3%5D=state%3A1006&page=0",
     "xpath": "text: \"FAQs\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A811&f%5B1%5D=state%3A901&f%5B2%5D=state%3A971&f%5B3%5D=state%3A1006&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2346&f%5B1%5D=sub_topic_faq_library_facet%3A2376&page=84"
   ],
   "affected_pages": [
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A811&f%5B1%5D=state%3A901&f%5B2%5D=state%3A971&f%5B3%5D=state%3A1006&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2346&f%5B1%5D=sub_topic_faq_library_facet%3A2376&page=84",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A731&f%5B1%5D=state%3A796&f%5B2%5D=state%3A861&f%5B3%5D=state%3A991&page=0",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A751&f%5B2%5D=fpg_topics_facet%3A906&f%5B3%5D=fpg_topics_facet%3A2826&f%5B4%5D=fpg_topics_facet%3A6486&f%5B5%5D=fpg_topics_facet%3A8591&page=109",
    "http://medicaid.gov/faq?entry=47167&page=0",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A906&f%5B1%5D=fpg_topics_facet%3A6171&f%5B2%5D=fpg_topics_facet%3A8701&f%5B3%5D=fpg_topics_facet%3A8901&page=108",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1526&f%5B3%5D=fpg_topics_facet%3A8901&page=6",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2026&f%5B1%5D=sub_topic_faq_library_facet%3A2091&f%5B2%5D=topic_faq_library_facet%3A2181&f%5B3%5D=topic_faq_library_facet%3A2236&page=4",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?page=1672&task=content-based-image-retrieval",
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1496&f%5B3%5D=fpg_topics_facet%3A8861&page=4",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A751&f%5B1%5D=fpg_topics_facet%3A1011&f%5B10%5D=fpg_topics_facet%3A3261&f%5B11%5D=fpg_topics_facet%3A6481&f%5B12%5D=fpg_topics_facet%3A6486&f%5B13%5D=fpg_topics_facet%3A8406&f%5B14%5D=fpg_topics_facet%3A8611&f%5B15%5D=fpg_topics_facet%3A8711&f%5B2%5D=fpg_topics_facet%3A1021&f%5B3%5D=fpg_topics_facet%3A1491&f%5B4%5D=fpg_topics_facet%3A1496&f%5B5%5D=fpg_topics_facet%3A1501&f%5B6%5D=fpg_topics_facet%3A1511&f%5B7%5D=fpg_topics_facet%3A1521&f%5B8%5D=fpg_topics_facet%3A1531&f%5B9%5D=fpg_topics_facet%3A2696&page=2",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2402",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1501&f%5B1%5D=fpg_topics_facet%3A2826&page=110",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A861&f%5B1%5D=state%3A876&f%5B2%5D=state%3A891&f%5B3%5D=state%3A986&f%5B4%5D=topics%3A2826&page=2",
    "https://www.medicaid.gov/faq?fcf=41307&page=84&sl=yes",
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A2696&f%5B2%5D=fpg_topics_facet%3A6171&f%5B3%5D=fpg_topics_facet%3A8891&page=111",
    "https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1876&f%5B1%5D=sub_topic_faq_library_facet%3A1891&page=84&sl=yes",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments/approved-state-directed-payment-preprints?page=115",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=2&q="
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107.",
    "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)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/alfa__sia-r66.csv"
  },
  {
   "instance_id": "VS-42fe57fb",
   "pattern_id": "VS-2208081b",
   "a11y_pattern_fingerprint": "e0c097b8956c24f601b45554efc6e35e8d61b38db9473bb9ebd1420dc3da3a9d",
   "a11y_pattern_display_id": "A11Y-PAT-E0C097B8956C",
   "a11y_occurrence_fingerprint": "1bfcded87041b7bb37d345e3a243d55283595bb3b820bc18435e2edee951719b",
   "a11y_occurrence_display_id": "A11Y-OCC-1BFCDED87041",
   "url": "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
   "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "frequency": {
    "instances": 3694,
    "pages_affected": 2552,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 2552 of 7188 scanned pages (3694 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A811&f%5B1%5D=state%3A901&f%5B2%5D=state%3A971&f%5B3%5D=state%3A1006&page=0",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2346&f%5B1%5D=sub_topic_faq_library_facet%3A2376&page=84",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A731&f%5B1%5D=state%3A796&f%5B2%5D=state%3A861&f%5B3%5D=state%3A991&page=0",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A811&f%5B1%5D=state%3A901&f%5B2%5D=state%3A971&f%5B3%5D=state%3A1006&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2346&f%5B1%5D=sub_topic_faq_library_facet%3A2376&page=84"
   ],
   "affected_pages": [
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A811&f%5B1%5D=state%3A901&f%5B2%5D=state%3A971&f%5B3%5D=state%3A1006&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2346&f%5B1%5D=sub_topic_faq_library_facet%3A2376&page=84",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A731&f%5B1%5D=state%3A796&f%5B2%5D=state%3A861&f%5B3%5D=state%3A991&page=0",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A751&f%5B2%5D=fpg_topics_facet%3A906&f%5B3%5D=fpg_topics_facet%3A2826&f%5B4%5D=fpg_topics_facet%3A6486&f%5B5%5D=fpg_topics_facet%3A8591&page=109",
    "http://medicaid.gov/faq?entry=47167&page=0",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A906&f%5B1%5D=fpg_topics_facet%3A6171&f%5B2%5D=fpg_topics_facet%3A8701&f%5B3%5D=fpg_topics_facet%3A8901&page=108",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1526&f%5B3%5D=fpg_topics_facet%3A8901&page=6",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2026&f%5B1%5D=sub_topic_faq_library_facet%3A2091&f%5B2%5D=topic_faq_library_facet%3A2181&f%5B3%5D=topic_faq_library_facet%3A2236&page=4",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?page=1672&task=content-based-image-retrieval",
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1496&f%5B3%5D=fpg_topics_facet%3A8861&page=4",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A751&f%5B1%5D=fpg_topics_facet%3A1011&f%5B10%5D=fpg_topics_facet%3A3261&f%5B11%5D=fpg_topics_facet%3A6481&f%5B12%5D=fpg_topics_facet%3A6486&f%5B13%5D=fpg_topics_facet%3A8406&f%5B14%5D=fpg_topics_facet%3A8611&f%5B15%5D=fpg_topics_facet%3A8711&f%5B2%5D=fpg_topics_facet%3A1021&f%5B3%5D=fpg_topics_facet%3A1491&f%5B4%5D=fpg_topics_facet%3A1496&f%5B5%5D=fpg_topics_facet%3A1501&f%5B6%5D=fpg_topics_facet%3A1511&f%5B7%5D=fpg_topics_facet%3A1521&f%5B8%5D=fpg_topics_facet%3A1531&f%5B9%5D=fpg_topics_facet%3A2696&page=2",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1501&f%5B1%5D=fpg_topics_facet%3A2826&page=110",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A861&f%5B1%5D=state%3A876&f%5B2%5D=state%3A891&f%5B3%5D=state%3A986&f%5B4%5D=topics%3A2826&page=2",
    "https://www.medicaid.gov/faq?fcf=41307&page=84&sl=yes",
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A2696&f%5B2%5D=fpg_topics_facet%3A6171&f%5B3%5D=fpg_topics_facet%3A8891&page=111",
    "https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1876&f%5B1%5D=sub_topic_faq_library_facet%3A1891&page=84&sl=yes",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments/approved-state-directed-payment-preprints?page=115",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=2&q=",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1906&f%5B1%5D=sub_topic_faq_library_facet%3A2356&f%5B2%5D=sub_topic_faq_library_facet%3A2446&f%5B3%5D=sub_topic_faq_library_facet%3A2456&page=5",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A701&f%5B1%5D=topics%3A921&f%5B2%5D=topics%3A3631&f%5B3%5D=topics%3A5446&f%5B4%5D=topics%3A7401&f%5B5%5D=topics%3A8461&f%5B6%5D=topics%3A8516&f%5B7%5D=topics%3A8706&page=6&task=content-based-image-retrieval",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A781&f%5B10%5D=topics%3A936&f%5B11%5D=topics%3A1011&f%5B12%5D=topics%3A2826&f%5B13%5D=topics%3A3046&f%5B14%5D=topics%3A3271&f%5B15%5D=topics%3A6476&f%5B16%5D=topics%3A7296&f%5B17%5D=topics%3A7311&f%5B18%5D=topics%3A8491&f%5B19%5D=topics%3A8496&f%5B2%5D=state%3A841&f%5B3%5D=state%3A881&f%5B4%5D=state%3A891&f%5B5%5D=state%3A931&f%5B6%5D=state%3A941&f%5B7%5D=state%3A1006&f%5B8%5D=state%3A8296&f%5B9%5D=topics%3A701&page=1672",
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A1496&f%5B2%5D=fpg_topics_facet%3A1501&page=110"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107.",
    "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."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/alfa__sia-r73.csv"
  },
  {
   "instance_id": "VS-60854c80",
   "pattern_id": "VS-fbf54eba",
   "a11y_pattern_fingerprint": "e12d92b90bf5916c259a23f4fb663dffbe299b01c9df2c9490984e8c10d5b129",
   "a11y_pattern_display_id": "A11Y-PAT-E12D92B90BF5",
   "a11y_occurrence_fingerprint": "4778da8aa3d1db7ec00fbb0ddbc2a587fe58c47e0b55c53eff1dc2daca42d749",
   "a11y_occurrence_display_id": "A11Y-OCC-4778DA8AA3D1",
   "url": "https://www.medicaid.gov/state-overviews/scorecard/main",
   "xpath": "<p class=\"welcome-text ng-star-inserted\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "frequency": {
    "instances": 75,
    "pages_affected": 11,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 11 of 7188 scanned pages (75 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/state-overviews/scorecard/main",
     "xpath": "<p class=\"welcome-text ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=25",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=25",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard",
     "xpath": "<p class=\"welcome-text core-set ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=20",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/state-overviews/scorecard/main",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=25",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/state-overviews/scorecard/main",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=25",
    "https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard",
    "https://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=20",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=23",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=21",
    "https://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=21",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=4",
    "http://medicaid.gov/state-overviews/scorecard/main",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=1",
    "https://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=18"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/state-overviews/scorecard/main.",
    "Locate the element: <p class=\"welcome-text ng-star-inserted\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/alfa__sia-r74.csv"
  },
  {
   "instance_id": "VS-b83a5dfe",
   "pattern_id": "VS-cb53cc4d",
   "a11y_pattern_fingerprint": "f01c95b5ed8f78ffc8718bbd2753ce49117d9a33be843f9db2918655d93cd2fb",
   "a11y_pattern_display_id": "A11Y-PAT-F01C95B5ED8F",
   "a11y_occurrence_fingerprint": "b2493d8eb4ca4541db37bdd88dbcfe78e2a91ce6bdb485c71e3cecfea1b86bd8",
   "a11y_occurrence_display_id": "A11Y-OCC-B2493D8EB4CA",
   "url": "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
   "xpath": "<button class=\"usa-button\" type=\"submit\">",
   "html_snippet": null,
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "frequency": {
    "instances": 79347,
    "pages_affected": 3430,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 3430 of 7188 scanned pages (79347 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
     "xpath": "<button class=\"usa-button\" type=\"submit\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
     "xpath": "<a target=\"_self\" href=\"/faq\" aria-label=\"Go to Frequently Asked Questions (FAQs)\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
     "xpath": "<button class=\"usa-button usa-button-round medicaid-tooltip\" type=\"button\" aria-label=\"More information about the search\" aria-controls=\"medicaid-solr-searches-help-modal\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A811&f%5B1%5D=state%3A901&f%5B2%5D=state%3A971&f%5B3%5D=state%3A1006&page=0",
     "xpath": "<button class=\"usa-button\" type=\"submit\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A811&f%5B1%5D=state%3A901&f%5B2%5D=state%3A971&f%5B3%5D=state%3A1006&page=0",
     "xpath": "<a target=\"_self\" href=\"/faq\" aria-label=\"Go to Frequently Asked Questions (FAQs)\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A811&f%5B1%5D=state%3A901&f%5B2%5D=state%3A971&f%5B3%5D=state%3A1006&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2346&f%5B1%5D=sub_topic_faq_library_facet%3A2376&page=84"
   ],
   "affected_pages": [
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A811&f%5B1%5D=state%3A901&f%5B2%5D=state%3A971&f%5B3%5D=state%3A1006&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2346&f%5B1%5D=sub_topic_faq_library_facet%3A2376&page=84",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A731&f%5B1%5D=state%3A796&f%5B2%5D=state%3A861&f%5B3%5D=state%3A991&page=0",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A751&f%5B2%5D=fpg_topics_facet%3A906&f%5B3%5D=fpg_topics_facet%3A2826&f%5B4%5D=fpg_topics_facet%3A6486&f%5B5%5D=fpg_topics_facet%3A8591&page=109",
    "http://medicaid.gov/faq?entry=47167&page=0",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A906&f%5B1%5D=fpg_topics_facet%3A6171&f%5B2%5D=fpg_topics_facet%3A8701&f%5B3%5D=fpg_topics_facet%3A8901&page=108",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1526&f%5B3%5D=fpg_topics_facet%3A8901&page=6",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2026&f%5B1%5D=sub_topic_faq_library_facet%3A2091&f%5B2%5D=topic_faq_library_facet%3A2181&f%5B3%5D=topic_faq_library_facet%3A2236&page=4",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?page=1672&task=content-based-image-retrieval",
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1496&f%5B3%5D=fpg_topics_facet%3A8861&page=4",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A751&f%5B1%5D=fpg_topics_facet%3A1011&f%5B10%5D=fpg_topics_facet%3A3261&f%5B11%5D=fpg_topics_facet%3A6481&f%5B12%5D=fpg_topics_facet%3A6486&f%5B13%5D=fpg_topics_facet%3A8406&f%5B14%5D=fpg_topics_facet%3A8611&f%5B15%5D=fpg_topics_facet%3A8711&f%5B2%5D=fpg_topics_facet%3A1021&f%5B3%5D=fpg_topics_facet%3A1491&f%5B4%5D=fpg_topics_facet%3A1496&f%5B5%5D=fpg_topics_facet%3A1501&f%5B6%5D=fpg_topics_facet%3A1511&f%5B7%5D=fpg_topics_facet%3A1521&f%5B8%5D=fpg_topics_facet%3A1531&f%5B9%5D=fpg_topics_facet%3A2696&page=2",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2402",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1501&f%5B1%5D=fpg_topics_facet%3A2826&page=110",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A861&f%5B1%5D=state%3A876&f%5B2%5D=state%3A891&f%5B3%5D=state%3A986&f%5B4%5D=topics%3A2826&page=2",
    "https://www.medicaid.gov/faq?fcf=41307&page=84&sl=yes",
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A2696&f%5B2%5D=fpg_topics_facet%3A6171&f%5B3%5D=fpg_topics_facet%3A8891&page=111",
    "https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1876&f%5B1%5D=sub_topic_faq_library_facet%3A1891&page=84&sl=yes",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments/approved-state-directed-payment-preprints?page=115",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=2&q="
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107.",
    "Locate the element: <button class=\"usa-button\" type=\"submit\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/alfa__sia-r111.csv"
  },
  {
   "instance_id": "VS-4f56b347",
   "pattern_id": "VS-33841929",
   "a11y_pattern_fingerprint": "1c340f2b683ff02a1da25e38aa2c095875b696176e3d85f5041b9c8162cd7c0a",
   "a11y_pattern_display_id": "A11Y-PAT-1C340F2B683F",
   "a11y_occurrence_fingerprint": "2a21ad3278a0007c21801f89d4fd8137fce4432b306dbd952c17cf8d978f8d16",
   "a11y_occurrence_display_id": "A11Y-OCC-2A21AD3278A0",
   "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
   "xpath": "select[aria-labelledby=\"filter-th-87386-0\"]",
   "html_snippet": "<select aria-labelledby=\"filter-th-87386-0\" class=\"usa-select height-1\" data-col-index=\"0\" title=\"Filter by Type\">\n          <option value=\"\">All</option>\n        <option value=\"Federal Upper Limit\">F",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "label-title-only",
   "rule_label": "Form elements should have a visible label",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 38,
    "pages_affected": 2,
    "total_pages_scanned": 7188
   },
   "likely_source": "content",
   "summary": "Form elements should have a visible label (WCAG criterion undetermined)",
   "description": "Form elements should have a visible label. Detected by axe-core rule label-title-only on 2 of 7188 scanned pages (38 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "select[aria-labelledby=\"filter-th-87386-0\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87386-0\" class=\"usa-select height-1\" data-col-index=\"0\" title=\"Filter by Type\">\n          <option value=\"\">All</option>\n        <option value=\"Federal Upper Limit\">F"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "select[aria-labelledby=\"filter-th-87386-1\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87386-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by Year\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "select[aria-labelledby=\"filter-th-87386-2\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87386-2\" class=\"usa-select height-1\" data-col-index=\"2\" title=\"Filter by Month\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "select[aria-labelledby=\"filter-th-87386-0\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87386-0\" class=\"usa-select height-1\" data-col-index=\"0\" title=\"Filter by Type\">\n          <option value=\"\">All</option>\n        <option value=\"Federal Upper Limit\">F"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "select[aria-labelledby=\"filter-th-87386-1\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87386-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by Year\">"
    }
   ],
   "example_pages": [
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "https://www.medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing"
   ],
   "affected_pages": [
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "https://www.medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing.",
    "Locate the element: select[aria-labelledby=\"filter-th-87386-0\"]",
    "Confirm the axe-core finding for rule label-title-only."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 13,
   "affected_pages_csv": "csv/axe-core__label-title-only.csv"
  },
  {
   "instance_id": "VS-2b779ee1",
   "pattern_id": "VS-d5d82446",
   "a11y_pattern_fingerprint": "e0548b94661fca016e56f7a6e654dc2c2889714e73bcf48c1394e8cb092b990e",
   "a11y_pattern_display_id": "A11Y-PAT-E0548B94661F",
   "a11y_occurrence_fingerprint": "400d09d1627665c8e0b237676624e718a75171512d96c243128a58d8b1480315",
   "a11y_occurrence_display_id": "A11Y-OCC-400D09D16276",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17",
   "xpath": "html",
   "html_snippet": "<html class=\"no-js\" lang=\"en\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1732,
    "pages_affected": 1732,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 1732 of 7188 scanned pages (1732 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1767",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1767"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1767",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003037",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/tpl-2-002-5",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7626",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2402",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7897",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002162",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2635",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9021",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7224",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-s-014-19",
    "https://www.medicaid.gov/tmsis/dataguide/v3/appendices",
    "https://medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/cot-claim-other/claim-line-record-ot",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6875",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6552",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7549",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7529",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6122",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-27-022-22",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1077",
    "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-2-004-4"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule landmark-one-main."
   ],
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/axe-core__landmark-one-main.csv"
  },
  {
   "instance_id": "VS-fd372289",
   "pattern_id": "VS-f18df681",
   "a11y_pattern_fingerprint": "fbef4ff3e32c4833d9c61a04ccc7db84d73dd7c229243df34c4072053dfeba79",
   "a11y_pattern_display_id": "A11Y-PAT-FBEF4FF3E32C",
   "a11y_occurrence_fingerprint": "4e3126a5217ed60265affff613a1dd2cafb7c0beacffa53819814b1b081a0f5f",
   "a11y_occurrence_display_id": "A11Y-OCC-4E3126A5217E",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17",
   "xpath": ".small",
   "html_snippet": "<div class=\"small p-1\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 7825,
    "pages_affected": 1732,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 1732 of 7188 scanned pages (7825 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17",
     "xpath": ".small",
     "html_snippet": "<div class=\"small p-1\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17",
     "xpath": ".justify-content-between",
     "html_snippet": "<div class=\"d-flex justify-content-between m-2 mb-2\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17",
     "xpath": ".font-weight-bold",
     "html_snippet": "<p class=\"font-weight-bold m-0 mr-1\">Version:</p>"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
     "xpath": ".small",
     "html_snippet": "<div class=\"small p-1\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
     "xpath": ".justify-content-between",
     "html_snippet": "<div class=\"d-flex justify-content-between m-2 mb-2\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1767"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1767",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003037",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/tpl-2-002-5",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7626",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2402",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7897",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002162",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2635",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9021",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7224",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-s-014-19",
    "https://www.medicaid.gov/tmsis/dataguide/v3/appendices",
    "https://medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/cot-claim-other/claim-line-record-ot",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6875",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6552",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7549",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7529",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6122",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-27-022-22",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1077",
    "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-2-004-4"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17.",
    "Locate the element: .small",
    "Confirm the axe-core finding for rule region."
   ],
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "tech_name": "Drupal",
   "tech_remediation_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.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/axe-core__region.csv"
  },
  {
   "instance_id": "VS-60f983d5",
   "pattern_id": "VS-fa44f293",
   "a11y_pattern_fingerprint": "b9790a0b2b788597b7a0d3e5734ca98ab0938dac6abebd5b0d1acff5de0a5e31",
   "a11y_pattern_display_id": "A11Y-PAT-B9790A0B2B78",
   "a11y_occurrence_fingerprint": "21a5137c225e0d11a05b857c939961fd88f30f7ffea844389c6725f526a81f69",
   "a11y_occurrence_display_id": "A11Y-OCC-21A5137C225E",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17",
   "xpath": "html",
   "html_snippet": "<html class=\"no-js\" lang=\"en\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1731,
    "pages_affected": 1731,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 1731 of 7188 scanned pages (1731 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1767",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1767"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1767",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003037",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/tpl-2-002-5",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7626",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2402",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7897",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002162",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2635",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-9021",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7224",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-s-014-19",
    "https://medicaid.gov/tmsis/dataguide/v3/file-segment-layouts/cot-claim-other/claim-line-record-ot",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6875",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6552",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7549",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7529",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6122",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-27-022-22",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1077",
    "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-2-004-4",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8128"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-017-17.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule page-has-heading-one."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/axe-core__page-has-heading-one.csv"
  },
  {
   "instance_id": "VS-438614cb",
   "pattern_id": "VS-d25f622d",
   "a11y_pattern_fingerprint": "f8d3324331d027147b9c1d4b6a1e77082df03c0bbd8b2c2b34857517e3b3e913",
   "a11y_pattern_display_id": "A11Y-PAT-F8D3324331D0",
   "a11y_occurrence_fingerprint": "1447f6ab5a3e0cafa0bf661995c1ceff9e30a7920af57d15bfc7f764e2f74540",
   "a11y_occurrence_display_id": "A11Y-OCC-1447F6AB5A3E",
   "url": "https://medicaid.gov/",
   "xpath": "#nn-title-192301",
   "html_snippet": "<h4 id=\"nn-title-192301\" class=\"margin-top-0 margin-bottom-2 nn-card__title\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 175,
    "pages_affected": 170,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 170 of 7188 scanned pages (175 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/",
     "xpath": "#nn-title-192301",
     "html_snippet": "<h4 id=\"nn-title-192301\" class=\"margin-top-0 margin-bottom-2 nn-card__title\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/177991",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/program-integrity/affordable-care-act-program-integrity-provisions",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "https://medicaid.gov/medicaid/benefits/reentry-services-for-incarcerated-individuals/state-planning-grants-promote-continuity-of-care-for-medicaid-chip-beneficiaries-following-incarceration",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    }
   ],
   "example_pages": [
    "https://medicaid.gov/",
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/177991"
   ],
   "affected_pages": [
    "https://medicaid.gov/",
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/177991",
    "https://www.medicaid.gov/medicaid/program-integrity/affordable-care-act-program-integrity-provisions",
    "https://medicaid.gov/medicaid/benefits/reentry-services-for-incarcerated-individuals/state-planning-grants-promote-continuity-of-care-for-medicaid-chip-beneficiaries-following-incarceration",
    "https://medicaid.gov/medicaid/managed-care/profiles-program-features",
    "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54038",
    "http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/medicaid-and-chip-resources/other-resources",
    "https://www.medicaid.gov/state-overviews/puerto-rico.html",
    "https://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification/good-faith-effort-exemption-requests-home-health-care-services",
    "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/50072",
    "http://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/monthly-medicaid-chip-application-eligibility-determination-and-enrollment-reports-data",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/98321",
    "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/53995",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality/resources",
    "https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/97716",
    "https://medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center",
    "https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54052",
    "http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/state-option-to-delay-procedural-disenrollments",
    "https://medicaid.gov/state-overviews/stateprofile.html?state=Florida",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/49452",
    "https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54065",
    "https://medicaid.gov/medicaid/eligibility-policy/spousal-impoverishment",
    "https://medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/methodology-about-medicaid-chip-enrollment-report",
    "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/53858"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/.",
    "Locate the element: #nn-title-192301",
    "Confirm the axe-core finding for rule heading-order."
   ],
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "tech_name": "Drupal",
   "tech_remediation_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.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/axe-core__heading-order.csv"
  },
  {
   "instance_id": "VS-f7da2489",
   "pattern_id": "VS-8806389c",
   "a11y_pattern_fingerprint": "c977e2a903289e87528160e8d610783a68809b8aa4fe6d601c4969977ca42c23",
   "a11y_pattern_display_id": "A11Y-PAT-C977E2A90328",
   "a11y_occurrence_fingerprint": "b1c9c79be47e5801482bf692287fa7930739a493706c8ea692ed6e07a64814ff",
   "a11y_occurrence_display_id": "A11Y-OCC-B1C9C79BE47E",
   "url": "https://medicaid.gov/",
   "xpath": ".landing-page-blue-ribbon > aside",
   "html_snippet": "<aside class=\"grid-container\" role=\"complementary\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 32,
    "pages_affected": 32,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 32 of 7188 scanned pages (32 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/",
     "xpath": ".landing-page-blue-ribbon > aside",
     "html_snippet": "<aside class=\"grid-container\" role=\"complementary\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "#DataTables_Table_0_paginate",
     "html_snippet": "<div class=\"dataTables_paginate paging_simple_numbers usa-pagination ikn-datatables-pagination\" id=\"DataTables_Table_0_paginate\" style=\"\" aria-label=\"Pagination\" role=\"navigation\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/transformed-medicaid-statistical-information-system-t-msis/t-msis-analytic-files",
     "xpath": ".landing-page-blue-ribbon > aside",
     "html_snippet": "<aside class=\"grid-container\" role=\"complementary\">"
    },
    {
     "url": "https://medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "https://www.medicaid.gov/style-guide/foundation/breakpoints",
     "xpath": ".main-content",
     "html_snippet": "<main id=\"content\" class=\"main-content grid-col-12\" role=\"main\">"
    }
   ],
   "example_pages": [
    "https://medicaid.gov/",
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "http://medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/transformed-medicaid-statistical-information-system-t-msis/t-msis-analytic-files"
   ],
   "affected_pages": [
    "https://medicaid.gov/",
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "http://medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/transformed-medicaid-statistical-information-system-t-msis/t-msis-analytic-files",
    "https://medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center",
    "https://www.medicaid.gov/style-guide/foundation/breakpoints",
    "https://medicaid.gov/resources-for-states/innovation-accelerator-program/program-areas/reducing-substance-use-disorders",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=25",
    "https://www.medicaid.gov/about-us/messages/arkansas-fast-tracks-medicaid-enrollment",
    "https://medicaid.gov/medicaid/managed-care/technical-assistance",
    "https://www.medicaid.gov/medicaid/managed-care",
    "https://medicaid.gov/medicaid/financial-management/payment-limit-demonstrations",
    "https://medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas",
    "https://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=20",
    "https://medicaid.gov/medicaid/quality-of-care/quality-of-care-performance-measurement",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=22",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=23",
    "https://www.medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=21",
    "https://medicaid.gov/medicaid/financial-management/state-budget-expenditure-reporting-for-medicaid-and-chip/expenditure-reports-mbes/cbes",
    "https://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=16",
    "https://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities",
    "https://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=21",
    "https://medicaid.gov/medicaid/managed-care/guidance",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=4",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=1"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/.",
    "Locate the element: .landing-page-blue-ribbon > aside",
    "Confirm the axe-core finding for rule landmark-unique."
   ],
   "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.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/axe-core__landmark-unique.csv"
  },
  {
   "instance_id": "VS-dc02d5c2",
   "pattern_id": "VS-ff3ceb19",
   "a11y_pattern_fingerprint": "d4ecafa7c635f4162f2c52f6fc50e1661a342ddbe0094718e54496f73657cb5a",
   "a11y_pattern_display_id": "A11Y-PAT-D4ECAFA7C635",
   "a11y_occurrence_fingerprint": "628b0fdfba8a3bbe9b36a14fc87f2279dafb49850d999ee53a42e57738747b86",
   "a11y_occurrence_display_id": "A11Y-OCC-628B0FDFBA8A",
   "url": "https://www.medicaid.gov/style-guide/foundation/breakpoints",
   "xpath": ".style-guide-page > .grid-gap-sm.grid-row > main",
   "html_snippet": "<main id=\"content\" class=\"grid-col-12 desktop:grid-col-9\" role=\"main\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-main-is-top-level",
   "rule_label": "Main landmark should not be contained in another landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 7188
   },
   "likely_source": "content",
   "summary": "Main landmark should not be contained in another landmark (WCAG criterion undetermined)",
   "description": "Main landmark should not be contained in another landmark. Detected by axe-core rule landmark-main-is-top-level on 1 of 7188 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/style-guide/foundation/breakpoints",
     "xpath": ".style-guide-page > .grid-gap-sm.grid-row > main",
     "html_snippet": "<main id=\"content\" class=\"grid-col-12 desktop:grid-col-9\" role=\"main\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/style-guide/foundation/breakpoints"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/style-guide/foundation/breakpoints"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/style-guide/foundation/breakpoints.",
    "Locate the element: .style-guide-page > .grid-gap-sm.grid-row > main",
    "Confirm the axe-core finding for rule landmark-main-is-top-level."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W28",
   "last_seen": "2026-W37",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__landmark-main-is-top-level.csv"
  },
  {
   "instance_id": "VS-e828b1a0",
   "pattern_id": "VS-cd69be3a",
   "a11y_pattern_fingerprint": "c3b2d2b8513dc39f381c73f80f595b0155be4b66ec133517da89d89b84c3b370",
   "a11y_pattern_display_id": "A11Y-PAT-C3B2D2B8513D",
   "a11y_occurrence_fingerprint": "cd1ba4756b09bdea99fe380168f0c3c99e1a128459334da26deb96d32a93ed62",
   "a11y_occurrence_display_id": "A11Y-OCC-CD1BA4756B09",
   "url": "https://www.medicaid.gov/style-guide/foundation/breakpoints",
   "xpath": ".main-content",
   "html_snippet": "<main id=\"content\" class=\"main-content grid-col-12\" role=\"main\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-no-duplicate-main",
   "rule_label": "Document should not have more than one main landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 7188
   },
   "likely_source": "content",
   "summary": "Document should not have more than one main landmark (WCAG criterion undetermined)",
   "description": "Document should not have more than one main landmark. Detected by axe-core rule landmark-no-duplicate-main on 1 of 7188 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/style-guide/foundation/breakpoints",
     "xpath": ".main-content",
     "html_snippet": "<main id=\"content\" class=\"main-content grid-col-12\" role=\"main\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/style-guide/foundation/breakpoints"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/style-guide/foundation/breakpoints"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/style-guide/foundation/breakpoints.",
    "Locate the element: .main-content",
    "Confirm the axe-core finding for rule landmark-no-duplicate-main."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W28",
   "last_seen": "2026-W37",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__landmark-no-duplicate-main.csv"
  },
  {
   "instance_id": "VS-70cbbd9e",
   "pattern_id": "VS-4fac2f41",
   "a11y_pattern_fingerprint": "a78a11e45697fbe8d3ec5e1f1afd0791a94b2909cadab853a3e566d6a8e29efe",
   "a11y_pattern_display_id": "A11Y-PAT-A78A11E45697",
   "a11y_occurrence_fingerprint": "7eee4dcfb179b4f9574c1eade3399e58839015101de2eca7e4a54fb53c5579b7",
   "a11y_occurrence_display_id": "A11Y-OCC-7EEE4DCFB179",
   "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
   "xpath": "span[data-select2-id=\"select2-data-1-em6g\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
   "html_snippet": "<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",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-role",
   "rule_label": "ARIA role should be appropriate for the element",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 479,
    "pages_affected": 231,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 231 of 7188 scanned pages (479 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-em6g\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<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"
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-dm8w\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<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"
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-rtj8\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<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"
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-xst9\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<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"
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=6&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-iq0h\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<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"
    }
   ],
   "example_pages": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=6&q="
   ],
   "affected_pages": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=6&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=2&q=",
    "http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=1&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=5&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=20&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=1&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=79&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=3&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=8&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=8&q=",
    "https://medicaid.gov/",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=1&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=871&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=5&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=6&q=",
    "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=541&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=961&page=49&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=25&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=851&page=24&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=31&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=696&page=30&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=22&q="
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=.",
    "Locate the element: span[data-select2-id=\"select2-data-1-em6g\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
    "Confirm the axe-core finding for rule aria-allowed-role."
   ],
   "remediation_tip": "Remove or change the ARIA role — it isn't allowed on this element type.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/axe-core__aria-allowed-role.csv"
  },
  {
   "instance_id": "VS-9ef3c4f0",
   "pattern_id": "VS-c18be945",
   "a11y_pattern_fingerprint": "950ad6e472d0a3d13d08b0256e775cf1055f2e07b82bfa3856cbb7008e1635fe",
   "a11y_pattern_display_id": "A11Y-PAT-950AD6E472D0",
   "a11y_occurrence_fingerprint": "3f58b93f5219ebbe4554ef30b386420254c1b56938912c5eedfcedc33a97c857",
   "a11y_occurrence_display_id": "A11Y-OCC-3F58B93F5219",
   "url": "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
   "xpath": "text: \"  Feedback  \"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "frequency": {
    "instances": 40917,
    "pages_affected": 3428,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 3428 of 7188 scanned pages (40917 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
     "xpath": "text: \"  Feedback  \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A811&f%5B1%5D=state%3A901&f%5B2%5D=state%3A971&f%5B3%5D=state%3A1006&page=0",
     "xpath": "text: \"  Feedback  \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2346&f%5B1%5D=sub_topic_faq_library_facet%3A2376&page=84",
     "xpath": "text: \"  Feedback  \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A731&f%5B1%5D=state%3A796&f%5B2%5D=state%3A861&f%5B3%5D=state%3A991&page=0",
     "xpath": "text: \"  Feedback  \"",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
     "xpath": "text: \"  Feedback  \"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A811&f%5B1%5D=state%3A901&f%5B2%5D=state%3A971&f%5B3%5D=state%3A1006&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2346&f%5B1%5D=sub_topic_faq_library_facet%3A2376&page=84"
   ],
   "affected_pages": [
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A811&f%5B1%5D=state%3A901&f%5B2%5D=state%3A971&f%5B3%5D=state%3A1006&page=0",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2346&f%5B1%5D=sub_topic_faq_library_facet%3A2376&page=84",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A731&f%5B1%5D=state%3A796&f%5B2%5D=state%3A861&f%5B3%5D=state%3A991&page=0",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=6&q=",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A751&f%5B2%5D=fpg_topics_facet%3A906&f%5B3%5D=fpg_topics_facet%3A2826&f%5B4%5D=fpg_topics_facet%3A6486&f%5B5%5D=fpg_topics_facet%3A8591&page=109",
    "http://medicaid.gov/faq?entry=47167&page=0",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A906&f%5B1%5D=fpg_topics_facet%3A6171&f%5B2%5D=fpg_topics_facet%3A8701&f%5B3%5D=fpg_topics_facet%3A8901&page=108",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1526&f%5B3%5D=fpg_topics_facet%3A8901&page=6",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2026&f%5B1%5D=sub_topic_faq_library_facet%3A2091&f%5B2%5D=topic_faq_library_facet%3A2181&f%5B3%5D=topic_faq_library_facet%3A2236&page=4",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?page=1672&task=content-based-image-retrieval",
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1496&f%5B3%5D=fpg_topics_facet%3A8861&page=4",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A751&f%5B1%5D=fpg_topics_facet%3A1011&f%5B10%5D=fpg_topics_facet%3A3261&f%5B11%5D=fpg_topics_facet%3A6481&f%5B12%5D=fpg_topics_facet%3A6486&f%5B13%5D=fpg_topics_facet%3A8406&f%5B14%5D=fpg_topics_facet%3A8611&f%5B15%5D=fpg_topics_facet%3A8711&f%5B2%5D=fpg_topics_facet%3A1021&f%5B3%5D=fpg_topics_facet%3A1491&f%5B4%5D=fpg_topics_facet%3A1496&f%5B5%5D=fpg_topics_facet%3A1501&f%5B6%5D=fpg_topics_facet%3A1511&f%5B7%5D=fpg_topics_facet%3A1521&f%5B8%5D=fpg_topics_facet%3A1531&f%5B9%5D=fpg_topics_facet%3A2696&page=2",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2402",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1501&f%5B1%5D=fpg_topics_facet%3A2826&page=110",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=9&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A861&f%5B1%5D=state%3A876&f%5B2%5D=state%3A891&f%5B3%5D=state%3A986&f%5B4%5D=topics%3A2826&page=2",
    "https://www.medicaid.gov/faq?fcf=41307&page=84&sl=yes",
    "https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A2696&f%5B2%5D=fpg_topics_facet%3A6171&f%5B3%5D=fpg_topics_facet%3A8891&page=111",
    "https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1876&f%5B1%5D=sub_topic_faq_library_facet%3A1891&page=84&sl=yes",
    "https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments/approved-state-directed-payment-preprints?page=115",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=2&q="
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A8896&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107.",
    "Locate the element: text: \"  Feedback  \"",
    "Confirm the Siteimprove Alfa finding for rule sia-r57."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/alfa__sia-r57.csv"
  },
  {
   "instance_id": "VS-f9ec9fe9",
   "pattern_id": "VS-aa242c2d",
   "a11y_pattern_fingerprint": "9bbfd94bd90376189a5c933a4d16c8a76c606598a68b0d2e61eecf739964bd9d",
   "a11y_pattern_display_id": "A11Y-PAT-9BBFD94BD903",
   "a11y_occurrence_fingerprint": "316c377cc6187b8448baf5a4b34184c3c2dc6debb8f8befb81df09c00cfabe3c",
   "a11y_occurrence_display_id": "A11Y-OCC-316C377CC618",
   "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "frequency": {
    "instances": 882,
    "pages_affected": 882,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 882 of 7188 scanned pages (882 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2402",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7224",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179"
   ],
   "affected_pages": [
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2402",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7224",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-s-014-19",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6875",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6552",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-27-022-22",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6221",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-79-031-31",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-341",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002119",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003089",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002096",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-25-009-9",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6825",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8404",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt001001",
    "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-022-13",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7442",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2363",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002163",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1466"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r87."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/alfa__sia-r87.csv"
  },
  {
   "instance_id": "VS-7d76ae68",
   "pattern_id": "VS-7118fead",
   "a11y_pattern_fingerprint": "d71a88e83b9226ce1c0d790a0f6c20a91532d96068ebea7e887804b7fc25ae3d",
   "a11y_pattern_display_id": "A11Y-PAT-D71A88E83B92",
   "a11y_occurrence_fingerprint": "c69bffa9a9cce7d2f8099dac44523b7067cb9ed0396a45bdcc71d95ff3b00e22",
   "a11y_occurrence_display_id": "A11Y-OCC-C69BFFA9A9CC",
   "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "frequency": {
    "instances": 878,
    "pages_affected": 878,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 878 of 7188 scanned pages (878 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2402",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7224",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179"
   ],
   "affected_pages": [
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2402",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7224",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-s-014-19",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6875",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6552",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-27-022-22",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6221",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-79-031-31",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-341",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377",
    "https://medicaid.gov/",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002119",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003089",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002096",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-25-009-9",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6825",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8404",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt001001",
    "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-022-13",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7442",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2363",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002163"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-2614.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r61."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/alfa__sia-r61.csv"
  },
  {
   "instance_id": "VS-b0294917",
   "pattern_id": "VS-e05344b9",
   "a11y_pattern_fingerprint": "1f096d7d348a6e73ae969784c8c1abde5919a38d6f373291c1b3cdfd860d9c27",
   "a11y_pattern_display_id": "A11Y-PAT-1F096D7D348A",
   "a11y_occurrence_fingerprint": "8fa2a64f5dc9fc5bc8b10b9e81c62c2ee99facdf8edb4503bd77278041adb807",
   "a11y_occurrence_display_id": "A11Y-OCC-8FA2A64F5DC9",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
   "xpath": "@aria-selected=\"true\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "frequency": {
    "instances": 1073,
    "pages_affected": 219,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "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 219 of 7188 scanned pages (1073 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
     "xpath": "@aria-selected=\"true\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
     "xpath": "@aria-selected=\"true\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx005179",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377",
    "https://medicaid.gov/",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002119",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003089",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002096",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt001001",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002163",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002108",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002029",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002239",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002099",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot002140",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg005099",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot002135",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002109",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003225",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg022263",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cot003188",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002303",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg016209",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002155",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002031",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008281"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003042.",
    "Locate the element: @aria-selected=\"true\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r18."
   ],
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/alfa__sia-r18.csv"
  },
  {
   "instance_id": "VS-c865324e",
   "pattern_id": "VS-04a9d28c",
   "a11y_pattern_fingerprint": "56a6becbcfff85f715f09e97b699bae8f9e5cd3dd97d00e80e5669888e67d9c0",
   "a11y_pattern_display_id": "A11Y-PAT-56A6BECBCFFF",
   "a11y_occurrence_fingerprint": "df199bf6deaed4b14e350c085b88a1568eff53d71ac943df2f602f9de343cb03",
   "a11y_occurrence_display_id": "A11Y-OCC-DF199BF6DEAE",
   "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2766",
   "xpath": "td",
   "html_snippet": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine_key": "deprecated-html",
   "tool": "deprecated-html",
   "rule_url": null,
   "severity": "Moderate",
   "frequency": {
    "instances": 134,
    "pages_affected": 114,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)",
   "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 114 of 7188 scanned pages (134 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2766",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2646",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003225",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003225",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"2\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002155",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>"
    }
   ],
   "example_pages": [
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2766",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2646",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003225"
   ],
   "affected_pages": [
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2766",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2646",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003225",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002155",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8326",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-925",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7042",
    "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-44-001-1",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8270",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8421",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-545",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7084",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg022266",
    "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/ffs-9-024-1",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6488",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2043",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8446",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt001004",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1374",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2995",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6712",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-12-083-126",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6500",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6658",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7081"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2766.",
    "Locate the element: td",
    "Confirm the deprecated-html finding for rule presentational-attr."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/deprecated-html__presentational-attr.csv"
  },
  {
   "instance_id": "VS-c9c0311b",
   "pattern_id": "VS-f054f4a4",
   "a11y_pattern_fingerprint": "1fa2af6611004030e280b3e362ca034f125e11a5a894a099cc3eddd6bccee0e8",
   "a11y_pattern_display_id": "A11Y-PAT-1FA2AF661100",
   "a11y_occurrence_fingerprint": "c949e13ea0b8cddf5461bc394c3f3b2fbbee5effe200b8d6de9bd392b8e67efd",
   "a11y_occurrence_display_id": "A11Y-OCC-C949E13EA0B8",
   "url": "https://medicaid.gov/",
   "xpath": "<h4 id=\"nn-title-192301\" class=\"margin-top-0 margin-bottom-2 nn-card__title\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "frequency": {
    "instances": 88,
    "pages_affected": 85,
    "total_pages_scanned": 7188
   },
   "likely_source": "template",
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 85 of 7188 scanned pages (88 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/",
     "xpath": "<h4 id=\"nn-title-192301\" class=\"margin-top-0 margin-bottom-2 nn-card__title\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/program-integrity/affordable-care-act-program-integrity-provisions",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/managed-care/profiles-program-features",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54038",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/98321",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicaid.gov/",
    "https://www.medicaid.gov/medicaid/program-integrity/affordable-care-act-program-integrity-provisions",
    "https://medicaid.gov/medicaid/managed-care/profiles-program-features"
   ],
   "affected_pages": [
    "https://medicaid.gov/",
    "https://www.medicaid.gov/medicaid/program-integrity/affordable-care-act-program-integrity-provisions",
    "https://medicaid.gov/medicaid/managed-care/profiles-program-features",
    "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54038",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/98321",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement/maternal-infant-health-care-quality/resources",
    "https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/97716",
    "https://medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center",
    "https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54052",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/49452",
    "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/53858",
    "https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation/1115-demonstration-federal-evaluation-meta-analysis",
    "https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54073",
    "https://www.medicaid.gov/style-guide/foundation/breakpoints",
    "https://medicaid.gov/resources-for-states/innovation-accelerator-program/program-areas/reducing-substance-use-disorders",
    "https://medicaid.gov/resources-for-states/disaster-response-toolkit/section-1135-waiver-flexibilities",
    "https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/antipsychotic-medication-use-children",
    "https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54091",
    "https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/98236",
    "https://medicaid.gov/medicaid/quality-of-care/medicaid-and-chip-managed-care-quality/medicaid-and-chip-quality-rating-system/website-design-resources",
    "http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=25",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/98341",
    "https://medicaid.gov/about-us/organization/john-giles",
    "https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/98246",
    "http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/archived-unwinding-and-returning-regular-operations-after-covid-19/data-reporting"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/.",
    "Locate the element: <h4 id=\"nn-title-192301\" class=\"margin-top-0 margin-bottom-2 nn-card__title\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r53."
   ],
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/alfa__sia-r53.csv"
  },
  {
   "instance_id": "VS-0d7eae0e",
   "pattern_id": "VS-2cd767ca",
   "a11y_pattern_fingerprint": "11af3820b2069f8112f7c55a918d3be991912ffb39c561121f690f3b341df017",
   "a11y_pattern_display_id": "A11Y-PAT-11AF3820B206",
   "a11y_occurrence_fingerprint": "c0431c2b3876f8d87181f8cf0d2cc6bd091afae2c1ff9179530b0520eb32ecea",
   "a11y_occurrence_display_id": "A11Y-OCC-C0431C2B3876",
   "url": "https://www.medicaid.gov/state-overviews/scorecard/main",
   "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header ng-star-inserted\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "frequency": {
    "instances": 4,
    "pages_affected": 4,
    "total_pages_scanned": 7188
   },
   "likely_source": "unknown",
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 4 of 7188 scanned pages (4 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/state-overviews/scorecard/main",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/state-overviews/scorecard/measure/State-Plan-Amendment-and-1915-Waiver-Processing?chart=line&chartEntities=%5B%22SPA+%28non-disaster+related%29%22%2C%22SPA+%28disaster+related%29%22%2C%221915%28b%29+Waiver+Requests%2C+Amendments%2C+and+Renewals%22%2C%221915%28c%29+Waiver+Amendments+%28non-disaster+related%29%22%2C%221915%28c%29+Waiver+Amendments+%28disaster+related%29%22%2C%221915%28c%29+Waiver+New%2FRenewals%22%5D&chartGroups=%5B%22Percentage+Approved+Within+the+First+90-Day+Review+Period%22%2C%22Median+Number+of+Days+Between+Submission+and+Approval%22%2C%22Median+Number+of+Days+Pending+State+Response+to+a+Request+for+Additional+Information+%28RAI%29%22%2C%22Median+Number+of+Days+Under+CMS+Review%22%5D&chartGroupsCategory=Metric&dataView=acrossTime&keywords=%5B%224%22%5D&measure=FS.1&measureView=national&timePeriods=%5B%222016%22%2C%222023%22%5D",
     "xpath": "<h2 data-cy=\"measure-card-name\" class=\"name\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/state-overviews/scorecard/main",
     "xpath": "<h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header ng-star-inserted\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/state-overviews/scorecard/measure/State-Plan-Amendment-and-1915-Waiver-Processing?chart=line&chartEntities=%5B%22SPA+%28non-disaster+related%29%22%2C%22SPA+%28disaster+related%29%22%2C%221915%28b%29+Waiver+Requests%2C+Amendments%2C+and+Renewals%22%2C%221915%28c%29+Waiver+Amendments+%28non-disaster+related%29%22%2C%221915%28c%29+Waiver+Amendments+%28disaster+related%29%22%2C%221915%28c%29+Waiver+New%2FRenewals%22%5D&chartGroups=%5B%22Percentage+Approved+Within+the+First+90-Day+Review+Period%22%2C%22Median+Number+of+Days+Between+Submission+and+Approval%22%2C%22Median+Number+of+Days+Pending+State+Response+to+a+Request+for+Additional+Information+%28RAI%29%22%2C%22Median+Number+of+Days+Under+CMS+Review%22%5D&chartGroupsCategory=Metric&dataView=acrossTime&keywords=%5B%224%22%5D&measure=FS.1&measureView=national&timePeriods=%5B%222016%22%2C%222023%22%5D",
     "xpath": "<h2 data-cy=\"measure-card-name\" class=\"name\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/state-overviews/scorecard/main",
    "http://medicaid.gov/state-overviews/scorecard/measure/State-Plan-Amendment-and-1915-Waiver-Processing?chart=line&chartEntities=%5B%22SPA+%28non-disaster+related%29%22%2C%22SPA+%28disaster+related%29%22%2C%221915%28b%29+Waiver+Requests%2C+Amendments%2C+and+Renewals%22%2C%221915%28c%29+Waiver+Amendments+%28non-disaster+related%29%22%2C%221915%28c%29+Waiver+Amendments+%28disaster+related%29%22%2C%221915%28c%29+Waiver+New%2FRenewals%22%5D&chartGroups=%5B%22Percentage+Approved+Within+the+First+90-Day+Review+Period%22%2C%22Median+Number+of+Days+Between+Submission+and+Approval%22%2C%22Median+Number+of+Days+Pending+State+Response+to+a+Request+for+Additional+Information+%28RAI%29%22%2C%22Median+Number+of+Days+Under+CMS+Review%22%5D&chartGroupsCategory=Metric&dataView=acrossTime&keywords=%5B%224%22%5D&measure=FS.1&measureView=national&timePeriods=%5B%222016%22%2C%222023%22%5D",
    "http://medicaid.gov/state-overviews/scorecard/main"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/state-overviews/scorecard/main",
    "http://medicaid.gov/state-overviews/scorecard/measure/State-Plan-Amendment-and-1915-Waiver-Processing?chart=line&chartEntities=%5B%22SPA+%28non-disaster+related%29%22%2C%22SPA+%28disaster+related%29%22%2C%221915%28b%29+Waiver+Requests%2C+Amendments%2C+and+Renewals%22%2C%221915%28c%29+Waiver+Amendments+%28non-disaster+related%29%22%2C%221915%28c%29+Waiver+Amendments+%28disaster+related%29%22%2C%221915%28c%29+Waiver+New%2FRenewals%22%5D&chartGroups=%5B%22Percentage+Approved+Within+the+First+90-Day+Review+Period%22%2C%22Median+Number+of+Days+Between+Submission+and+Approval%22%2C%22Median+Number+of+Days+Pending+State+Response+to+a+Request+for+Additional+Information+%28RAI%29%22%2C%22Median+Number+of+Days+Under+CMS+Review%22%5D&chartGroupsCategory=Metric&dataView=acrossTime&keywords=%5B%224%22%5D&measure=FS.1&measureView=national&timePeriods=%5B%222016%22%2C%222023%22%5D",
    "http://medicaid.gov/state-overviews/scorecard/main",
    "https://medicaid.gov/state-overviews/scorecard/measure/State-Plan-Amendment-and-1915-Waiver-Processing?chart=line&chartEntities=%5B%22SPA+%28non-disaster+related%29%22%2C%22SPA+%28disaster+related%29%22%2C%221915%28b%29+Waiver+Requests%2C+Amendments%2C+and+Renewals%22%2C%221915%28c%29+Waiver+Amendments+%28non-disaster+related%29%22%2C%221915%28c%29+Waiver+Amendments+%28disaster+related%29%22%2C%221915%28c%29+Waiver+New%2FRenewals%22%5D&chartGroups=%5B%22Percentage+Approved+Within+the+First+90-Day+Review+Period%22%2C%22Median+Number+of+Days+Between+Submission+and+Approval%22%2C%22Median+Number+of+Days+Pending+State+Response+to+a+Request+for+Additional+Information+%28RAI%29%22%2C%22Median+Number+of+Days+Under+CMS+Review%22%5D&chartGroupsCategory=Metric&dataView=acrossTime&keywords=%5B%224%22%5D&measure=FS.1&measureView=national&timePeriods=%5B%222016%22%2C%222023%22%5D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/state-overviews/scorecard/main.",
    "Locate the element: <h3 _ngcontent-ng-c1329502141=\"\" class=\"view-measures-related-to-header ng-star-inserted\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r78."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 13,
   "affected_pages_csv": "csv/alfa__sia-r78.csv"
  },
  {
   "instance_id": "VS-6536cc0b",
   "pattern_id": "VS-e5ec42f0",
   "a11y_pattern_fingerprint": "58fa551c7f366d27965b16d6146f1155c82613ed754a1eab8c48571ded877468",
   "a11y_pattern_display_id": "A11Y-PAT-58FA551C7F36",
   "a11y_occurrence_fingerprint": "1c5a431781650703460005418eacbbc07ed21737c42059ed3111a9cc42071306",
   "a11y_occurrence_display_id": "A11Y-OCC-1C5A43178165",
   "url": "https://www.medicaid.gov/state-overviews/scorecard/main",
   "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title scorecard\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r72",
   "rule_label": "Element role is consistent with ARIA landmark",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r72",
   "severity": "Moderate",
   "frequency": {
    "instances": 382,
    "pages_affected": 4,
    "total_pages_scanned": 7188
   },
   "likely_source": "unknown",
   "summary": "Element role is consistent with ARIA landmark (WCAG criterion undetermined)",
   "description": "Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 4 of 7188 scanned pages (382 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/state-overviews/scorecard/main",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title scorecard\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/state-overviews/scorecard/main",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title scorecard\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/state-overviews/scorecard/main",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title scorecard\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/state-overviews/scorecard/measure/State-Plan-Amendment-and-1915-Waiver-Processing?chart=line&chartEntities=%5B%22SPA+%28non-disaster+related%29%22%2C%22SPA+%28disaster+related%29%22%2C%221915%28b%29+Waiver+Requests%2C+Amendments%2C+and+Renewals%22%2C%221915%28c%29+Waiver+Amendments+%28non-disaster+related%29%22%2C%221915%28c%29+Waiver+Amendments+%28disaster+related%29%22%2C%221915%28c%29+Waiver+New%2FRenewals%22%5D&chartGroups=%5B%22Percentage+Approved+Within+the+First+90-Day+Review+Period%22%2C%22Median+Number+of+Days+Between+Submission+and+Approval%22%2C%22Median+Number+of+Days+Pending+State+Response+to+a+Request+for+Additional+Information+%28RAI%29%22%2C%22Median+Number+of+Days+Under+CMS+Review%22%5D&chartGroupsCategory=Metric&dataView=acrossTime&keywords=%5B%224%22%5D&measure=FS.1&measureView=national&timePeriods=%5B%222016%22%2C%222023%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title scorecard\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/state-overviews/scorecard/measure/State-Plan-Amendment-and-1915-Waiver-Processing?chart=line&chartEntities=%5B%22SPA+%28non-disaster+related%29%22%2C%22SPA+%28disaster+related%29%22%2C%221915%28b%29+Waiver+Requests%2C+Amendments%2C+and+Renewals%22%2C%221915%28c%29+Waiver+Amendments+%28non-disaster+related%29%22%2C%221915%28c%29+Waiver+Amendments+%28disaster+related%29%22%2C%221915%28c%29+Waiver+New%2FRenewals%22%5D&chartGroups=%5B%22Percentage+Approved+Within+the+First+90-Day+Review+Period%22%2C%22Median+Number+of+Days+Between+Submission+and+Approval%22%2C%22Median+Number+of+Days+Pending+State+Response+to+a+Request+for+Additional+Information+%28RAI%29%22%2C%22Median+Number+of+Days+Under+CMS+Review%22%5D&chartGroupsCategory=Metric&dataView=acrossTime&keywords=%5B%224%22%5D&measure=FS.1&measureView=national&timePeriods=%5B%222016%22%2C%222023%22%5D",
     "xpath": "<p _ngcontent-ng-c2822395467=\"\" class=\"title scorecard\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/state-overviews/scorecard/main",
    "http://medicaid.gov/state-overviews/scorecard/measure/State-Plan-Amendment-and-1915-Waiver-Processing?chart=line&chartEntities=%5B%22SPA+%28non-disaster+related%29%22%2C%22SPA+%28disaster+related%29%22%2C%221915%28b%29+Waiver+Requests%2C+Amendments%2C+and+Renewals%22%2C%221915%28c%29+Waiver+Amendments+%28non-disaster+related%29%22%2C%221915%28c%29+Waiver+Amendments+%28disaster+related%29%22%2C%221915%28c%29+Waiver+New%2FRenewals%22%5D&chartGroups=%5B%22Percentage+Approved+Within+the+First+90-Day+Review+Period%22%2C%22Median+Number+of+Days+Between+Submission+and+Approval%22%2C%22Median+Number+of+Days+Pending+State+Response+to+a+Request+for+Additional+Information+%28RAI%29%22%2C%22Median+Number+of+Days+Under+CMS+Review%22%5D&chartGroupsCategory=Metric&dataView=acrossTime&keywords=%5B%224%22%5D&measure=FS.1&measureView=national&timePeriods=%5B%222016%22%2C%222023%22%5D",
    "http://medicaid.gov/state-overviews/scorecard/main"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/state-overviews/scorecard/main",
    "http://medicaid.gov/state-overviews/scorecard/measure/State-Plan-Amendment-and-1915-Waiver-Processing?chart=line&chartEntities=%5B%22SPA+%28non-disaster+related%29%22%2C%22SPA+%28disaster+related%29%22%2C%221915%28b%29+Waiver+Requests%2C+Amendments%2C+and+Renewals%22%2C%221915%28c%29+Waiver+Amendments+%28non-disaster+related%29%22%2C%221915%28c%29+Waiver+Amendments+%28disaster+related%29%22%2C%221915%28c%29+Waiver+New%2FRenewals%22%5D&chartGroups=%5B%22Percentage+Approved+Within+the+First+90-Day+Review+Period%22%2C%22Median+Number+of+Days+Between+Submission+and+Approval%22%2C%22Median+Number+of+Days+Pending+State+Response+to+a+Request+for+Additional+Information+%28RAI%29%22%2C%22Median+Number+of+Days+Under+CMS+Review%22%5D&chartGroupsCategory=Metric&dataView=acrossTime&keywords=%5B%224%22%5D&measure=FS.1&measureView=national&timePeriods=%5B%222016%22%2C%222023%22%5D",
    "http://medicaid.gov/state-overviews/scorecard/main",
    "https://medicaid.gov/state-overviews/scorecard/measure/State-Plan-Amendment-and-1915-Waiver-Processing?chart=line&chartEntities=%5B%22SPA+%28non-disaster+related%29%22%2C%22SPA+%28disaster+related%29%22%2C%221915%28b%29+Waiver+Requests%2C+Amendments%2C+and+Renewals%22%2C%221915%28c%29+Waiver+Amendments+%28non-disaster+related%29%22%2C%221915%28c%29+Waiver+Amendments+%28disaster+related%29%22%2C%221915%28c%29+Waiver+New%2FRenewals%22%5D&chartGroups=%5B%22Percentage+Approved+Within+the+First+90-Day+Review+Period%22%2C%22Median+Number+of+Days+Between+Submission+and+Approval%22%2C%22Median+Number+of+Days+Pending+State+Response+to+a+Request+for+Additional+Information+%28RAI%29%22%2C%22Median+Number+of+Days+Under+CMS+Review%22%5D&chartGroupsCategory=Metric&dataView=acrossTime&keywords=%5B%224%22%5D&measure=FS.1&measureView=national&timePeriods=%5B%222016%22%2C%222023%22%5D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/state-overviews/scorecard/main.",
    "Locate the element: <p _ngcontent-ng-c2822395467=\"\" class=\"title scorecard\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r72."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r72",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W37",
   "weeks_seen": 13,
   "affected_pages_csv": "csv/alfa__sia-r72.csv"
  }
 ],
 "policy": {
  "suppression": {
   "patterns": 0,
   "pages": 0,
   "occurrences": 0,
   "entries": []
  }
 }
}