vital-scans open quality ledger

www.medicaid.gov: Accessibility — week 2026-W38

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

Training priorities

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

SCCriterionPagesRulesNotes
1.4.6 WCAG 1.4.6 3463 1
2.5.5 WCAG 2.5.5 3463 1
1.4.8 WCAG 1.4.8 2806 2
4.1.2 Name, Role, Value (ARIA) 670 3 Component inconsistency
1.3.1 Info and Relationships (semantic structure) 609 2

Next 10 actions

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

Top 10 clustered component fixes for this week.
ClusterSeverityPagesWho it affectsHow to fixEvidenceDecision
Page should contain a level-one heading · unattributed component
Fix one place, resolve ~1403 finding(s) on 1403 page(s).
XPath / selector: html
<html class="no-js" lang="en">
 Moderate 1403 Requires manual testing. See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI pages (CSV)
Document should have one main landmark · unattributed component
Fix one place, resolve ~1401 finding(s) on 1401 page(s).
XPath / selector: html
<html class="no-js" lang="en">
 Moderate 1401 Requires manual testing. Each page should have exactly one <main> landmark. pages (CSV)
Text has minimum contrast ratio of 4.5:1 · unattributed component
Fix one place, resolve ~2793 finding(s) on 2793 page(s).
XPath / selector: <p class="usa-footer__contact-info margin-bottom-0">
 Moderate 2793 Requires manual testing. See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73 pages (CSV)
Certain ARIA roles must contain particular children · unattributed component
Fix one place, resolve ~335 finding(s) on 335 page(s).
XPath / selector: .nav
<div class="nav nav-tabs nav-justified" role="tablist">
 Critical 335 Without vision, Limited vision, Limited cognitive, language, or learning ability Add the child roles this container role requires (e.g. a list needs listitem children). pages (CSV)
First focusable element is link to main content · unattributed component
Fix one place, resolve ~670 finding(s) on 670 page(s).
XPath / selector: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
 Moderate 670 Requires manual testing. See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87 pages (CSV)
Form field label is visible · unattributed component
Fix one place, resolve ~668 finding(s) on 668 page(s).
XPath / selector: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
 Moderate 668 Requires manual testing. See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61 pages (CSV)
Scrolling content can be accessed by keyboard · unattributed component
Fix one place, resolve ~2793 finding(s) on 2793 page(s).
XPath / selector: text: " Feedback "
 Moderate 2793 Requires manual testing. See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57 pages (CSV)
Text has enhanced contrast · unattributed component
Fix one place, resolve ~2793 finding(s) on 2793 page(s).
XPath / selector: text: "Here’s how you know"
 Moderate 2793 Requires manual testing. Increase text contrast to meet WCAG AAA (7:1). pages (CSV)
Text has enhanced contrast · unattributed component
Fix one place, resolve ~2793 finding(s) on 2793 page(s).
XPath / selector: text: "FAQs"
 Moderate 2793 Requires manual testing. Increase text contrast to meet WCAG AAA (7:1). pages (CSV)
Text has enhanced contrast · unattributed component
Fix one place, resolve ~2793 finding(s) on 2793 page(s).
XPath / selector: text: "Home"
 Moderate 2793 Requires manual testing. Increase text contrast to meet WCAG AAA (7:1). pages (CSV)

Bug reports

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

Overall severity mix: 2 critical, 2 serious, 20 moderate, 1 minor. By WCAG category: 5 WCAG 2.0 A, 1 WCAG 2.1 A, 1 WCAG 2.2 AA, 4 WCAG 2.x AAA, 7 Best Practice, 7 Undetermined. Ordered by severity, key-page impact, WCAG level, and prevalence. Following accessibility bug-reporting best practices. Download: Markdown · JSON (full archive) · JSON (AI diagnostic) · CSV (all findings) · Priority pages CSV · Priority pages JSON.

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

Default view shows 8 prioritized issue type(s); 17 more are available if you switch to "Show everything".

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

Findings needing review

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

Critical axe aria-allowed-attr WCAG 2.0 A Elements must only use supported ARIA attributes (WCAG 4.1.2) 335/7197 pages · 1633 instances Likely template
Bug ID
VS-5101458c
Pattern ID
VS-1467ea8a
Combined ID
VS-5101458c (pattern VS-1467ea8a) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
a[href$="#overview"]
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

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

<a class="nav-item nav-link active" href="#overview" role="link" aria-selected="true" aria-controls="overview" data-toggle="tab">Overview</a>

Description

Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 335 of 7197 scanned pages (1633 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048.
  2. Locate the element: a[href$="#overview"]
  3. Confirm the axe-core finding for rule aria-allowed-attr against WCAG 4.1.2 Name, Role, Value.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited manipulation/strength — 13.0% of population

Affected pages

…and more — all 335 pages (CSV).

Testing environment

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

Suggested fix

How to fix: Remove ARIA attributes that aren't allowed on this role/element.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI

Critical axe aria-required-children WCAG 2.0 A Certain ARIA roles must contain particular children (WCAG 1.3.1) 335/7197 pages · 335 instances Likely template
Bug ID
VS-bef512a7
Pattern ID
VS-9429bb8d
Combined ID
VS-bef512a7 (pattern VS-9429bb8d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.3.1 Info and Relationships (Level A, WCAG 2.0)
XPath / selector
.nav
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

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

<div class="nav nav-tabs nav-justified" role="tablist">

Description

Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 335 of 7197 scanned pages (335 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048.
  2. Locate the element: .nav
  3. Confirm the axe-core finding for rule aria-required-children against WCAG 1.3.1 Info and Relationships.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited cognitive, language, or learning ability — 11.0% of population

Affected pages

…and more — all 335 pages (CSV).

Testing environment

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

Suggested fix

How to fix: Add the child roles this container role requires (e.g. a list needs listitem children).

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI

Serious axe aria-input-field-name WCAG 2.0 A ARIA input fields must have an accessible name (WCAG 4.1.2) 221/7197 pages · 460 instances Likely template
Bug ID
VS-36bc25e8
Pattern ID
VS-0841abc2
Combined ID
VS-36bc25e8 (pattern VS-0841abc2) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
span[data-select2-id="select2-data-1-8ao1"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

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

<span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="-1" aria-disabled="false">

Description

ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 221 of 7197 scanned pages (460 instances).

Steps to reproduce

  1. Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=1&q=.
  2. Locate the element: span[data-select2-id="select2-data-1-8ao1"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]
  3. Confirm the axe-core finding for rule aria-input-field-name against WCAG 4.1.2 Name, Role, Value.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited manipulation/strength — 13.0% of population

Affected pages

…and more — all 221 pages (CSV).

Testing environment

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

Suggested fix

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

Serious axe label-title-only Best Practice Form elements should have a visible label (WCAG criterion undetermined) 2/7197 pages · 25 instances Likely content
Bug ID
VS-4f56b347
Pattern ID
VS-33841929
Combined ID
VS-4f56b347 (pattern VS-33841929) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
select[aria-labelledby="filter-th-87386-0"]
History
first seen 2026-W24, last seen 2026-W38 (14 wk)

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

<select aria-labelledby="filter-th-87386-0" class="usa-select height-1" data-col-index="0" title="Filter by Type">
          <option value="">All</option>
        <option value="Federal Upper Limit">F

Description

Form elements should have a visible label. Detected by axe-core rule label-title-only on 2 of 7197 scanned pages (25 instances).

Steps to reproduce

  1. Open http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing.
  2. Locate the element: select[aria-labelledby="filter-th-87386-0"]
  3. Confirm the axe-core finding for rule label-title-only.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI

Moderate alfa sia-r14 WCAG 2.1 A Accessible name of link or button matches visible label (WCAG 2.5.3) 355/7197 pages · 355 instances Likely template
Bug ID
VS-5440c81b
Pattern ID
VS-f7dba940
Combined ID
VS-5440c81b (pattern VS-f7dba940) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.1 A
Obligation
required
Handling
review
WCAG SC
2.5.3 Label in Name (Level A, WCAG 2.1)
XPath / selector
<a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

Description

Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 355 of 7197 scanned pages (355 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964.
  2. Locate the element: <a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">
  3. Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name.

Impact

Affects Without vision (1.0%), Without speech (0.5%).

  • Without vision — 1.0% of population
  • Without speech — 0.5% of population

Affected pages

…and more — all 355 pages (CSV).

Testing environment

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

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14

Moderate alfa sia-r68 WCAG 2.0 A Presentational children of an element are not focusable (WCAG 1.3.1) 274/7197 pages · 283 instances · possible duplicate Likely template
Bug ID
VS-163e87b8
Pattern ID
VS-d6097011
Combined ID
VS-163e87b8 (pattern VS-d6097011) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.3.1 Info and Relationships (Level A, WCAG 2.0)
XPath / selector
<div class="nav nav-tabs nav-justified" role="tablist">
History
first seen 2026-W24, last seen 2026-W38 (15 wk)
Possible duplicate
Same WCAG SC covered by axe report VS-bef512a7 (pattern VS-9429bb8d). If axe and this engine flag the same element, the axe report takes precedence — mark this as duplicate in JIRA.

Description

Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 274 of 7197 scanned pages (283 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041.
  2. Locate the element: <div class="nav nav-tabs nav-justified" role="tablist">
  3. Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited cognitive, language, or learning ability — 11.0% of population

Affected pages

…and more — all 274 pages (CSV).

Testing environment

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

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68

Moderate alfa sia-r8 WCAG 2.0 A Form field has accessible name (WCAG 4.1.2) 114/7197 pages · 237 instances · possible duplicate Likely template
Bug ID
VS-04524167
Pattern ID
VS-a48e6078
Combined ID
VS-04524167 (pattern VS-a48e6078) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
4.1.2 Name, Role, Value (Level A, WCAG 2.0)
XPath / selector
<span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">
History
first seen 2026-W24, last seen 2026-W38 (15 wk)
Possible duplicate
Same WCAG SC covered by axe report VS-36bc25e8 (pattern VS-0841abc2). If axe and this engine flag the same element, the axe report takes precedence — mark this as duplicate in JIRA.

Description

Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 114 of 7197 scanned pages (237 instances).

Steps to reproduce

  1. Open https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=.
  2. Locate the element: <span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">
  3. Confirm the Siteimprove Alfa finding for rule sia-r8 against WCAG 4.1.2 Name, Role, Value.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited manipulation/strength — 13.0% of population

Affected pages

…and more — all 114 pages (CSV).

Testing environment

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

Suggested fix

How to fix: Associate the form field with a label.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8

Moderate alfa sia-r113 WCAG 2.2 AA Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8) 114/7197 pages · 237 instances Likely template
Bug ID
VS-6af2bfdf
Pattern ID
VS-179ad9b3
Combined ID
VS-6af2bfdf (pattern VS-179ad9b3) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.2 AA
Obligation
required
Handling
review
WCAG SC
2.5.8 Target Size (Minimum) (Level AA, WCAG 2.2)
XPath / selector
<textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

Description

Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 114 of 7197 scanned pages (237 instances).

Steps to reproduce

  1. Open https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=.
  2. Locate the element: <textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">
  3. Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum).

Impact

Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%).

  • Limited manipulation/strength — 13.0% of population
  • Limited reach — 2.0% of population
  • Limited vision — 2.4% of population

Affected pages

…and more — all 114 pages (CSV).

Testing environment

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

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113

Moderate alfa sia-r66 WCAG 2.x AAA Text has enhanced contrast (WCAG 1.4.6) 3463/7197 pages · 141576 instances Likely template
Bug ID
VS-5fee3958
Pattern ID
VS-646b1e0b
Combined ID
VS-5fee3958 (pattern VS-646b1e0b) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
1.4.6 Contrast (Enhanced) (Level AAA, WCAG 2.0)
XPath / selector
text: "Here's how you know "
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

Description

Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 3463 of 7197 scanned pages (141576 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372.
  2. Locate the element: text: "Here's how you know "
  3. Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced).

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 3463 pages (CSV).

Testing environment

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

Suggested fix

How to fix: Increase text contrast to meet WCAG AAA (7:1).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66

Moderate alfa sia-r111 WCAG 2.x AAA Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5) 3463/7197 pages · 84990 instances Likely template
Bug ID
VS-fd412742
Pattern ID
VS-cb53cc4d
Combined ID
VS-fd412742 (pattern VS-cb53cc4d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
2.5.5 Target Size (Enhanced) (Level AAA, WCAG 2.1)
XPath / selector
<button class="btn btn-outline-primary dropdown-toggle py-1 px-2" type="button" id="dropdownMenuButton" data-toggle="dropdown">
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

Description

Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 3463 of 7197 scanned pages (84990 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372.
  2. Locate the element: <button class="btn btn-outline-primary dropdown-toggle py-1 px-2" type="button" id="dropdownMenuButton" data-toggle="dropdown">
  3. Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced).

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 3463 pages (CSV).

Testing environment

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

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111

Moderate alfa sia-r57 Undetermined Scrolling content can be accessed by keyboard (WCAG criterion undetermined) 3463/7197 pages · 31623 instances Likely template
Bug ID
VS-9fd0776a
Pattern ID
VS-c18be945
Combined ID
VS-9fd0776a (pattern VS-c18be945) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
text: " An official website of the United States government "
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

Description

Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3463 of 7197 scanned pages (31623 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372.
  2. Locate the element: text: " An official website of the United States government "
  3. Confirm the Siteimprove Alfa finding for rule sia-r57.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 3463 pages (CSV).

Testing environment

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

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57

Moderate alfa sia-r73 WCAG 2.x AAA Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8) 2793/7197 pages · 2794 instances Likely template
Bug ID
VS-95938eb1
Pattern ID
VS-2208081b
Combined ID
VS-95938eb1 (pattern VS-2208081b) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
1.4.8 Visual Presentation (Level AAA, WCAG 2.0)
XPath / selector
<p class="usa-footer__contact-info margin-bottom-0">
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

Description

Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 2793 of 7197 scanned pages (2794 instances).

Steps to reproduce

  1. Open 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.
  2. Locate the element: <p class="usa-footer__contact-info margin-bottom-0">
  3. Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 2793 pages (CSV).

Testing environment

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

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73

Moderate axe region Best Practice All page content should be contained by landmarks (WCAG criterion undetermined) 1404/7197 pages · 6338 instances Likely template
Bug ID
VS-020fead1
Pattern ID
VS-f18df681
Combined ID
VS-020fead1 (pattern VS-f18df681) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
.small
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

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

<div class="small p-1">

Description

All page content should be contained by landmarks. Detected by axe-core rule region on 1404 of 7197 scanned pages (6338 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048.
  2. Locate the element: .small
  3. Confirm the axe-core finding for rule region.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 1404 pages (CSV).

Testing environment

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

Suggested fix

How to fix: Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.

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

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

Moderate axe page-has-heading-one Best Practice Page should contain a level-one heading (WCAG criterion undetermined) 1403/7197 pages · 1403 instances Likely template
Bug ID
VS-ad674e40
Pattern ID
VS-fa44f293
Combined ID
VS-ad674e40 (pattern VS-fa44f293) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
html
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

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

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

Description

Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 1403 of 7197 scanned pages (1403 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048.
  2. Locate the element: html
  3. Confirm the axe-core finding for rule page-has-heading-one.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 1403 pages (CSV).

Testing environment

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

Suggested fix

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

Moderate axe landmark-one-main Best Practice Document should have one main landmark (WCAG criterion undetermined) 1401/7197 pages · 1401 instances Likely template
Bug ID
VS-d9376392
Pattern ID
VS-d5d82446
Combined ID
VS-d9376392 (pattern VS-d5d82446) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
html
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

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

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

Description

Document should have one main landmark. Detected by axe-core rule landmark-one-main on 1401 of 7197 scanned pages (1401 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048.
  2. Locate the element: html
  3. Confirm the axe-core finding for rule landmark-one-main.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 1401 pages (CSV).

Testing environment

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

Suggested fix

How to fix: Each page should have exactly one <main> landmark.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI

Moderate alfa sia-r87 Undetermined First focusable element is link to main content (WCAG criterion undetermined) 670/7197 pages · 670 instances Likely template
Bug ID
VS-03e11d2c
Pattern ID
VS-aa242c2d
Combined ID
VS-03e11d2c (pattern VS-aa242c2d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

Description

First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 670 of 7197 scanned pages (670 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372.
  2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
  3. Confirm the Siteimprove Alfa finding for rule sia-r87.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 670 pages (CSV).

Testing environment

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

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87

Moderate alfa sia-r61 Undetermined Form field label is visible (WCAG criterion undetermined) 668/7197 pages · 668 instances Likely template
Bug ID
VS-6204a9df
Pattern ID
VS-7118fead
Combined ID
VS-6204a9df (pattern VS-7118fead) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

Description

Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 668 of 7197 scanned pages (668 instances).

Steps to reproduce

  1. Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372.
  2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
  3. Confirm the Siteimprove Alfa finding for rule sia-r61.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 668 pages (CSV).

Testing environment

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

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61

Minor axe aria-allowed-role Best Practice ARIA role should be appropriate for the element (WCAG criterion undetermined) 221/7197 pages · 460 instances Likely template
Bug ID
VS-d6ed644f
Pattern ID
VS-4fac2f41
Combined ID
VS-d6ed644f (pattern VS-4fac2f41) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
span[data-select2-id="select2-data-1-8ao1"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

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

<textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off" autocapitalize="none" spellcheck="false" role="searchbox" aria-autocomplete="list" autocomplete="off" aria-label="S

Description

ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 221 of 7197 scanned pages (460 instances).

Steps to reproduce

  1. Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=1&q=.
  2. Locate the element: span[data-select2-id="select2-data-1-8ao1"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea
  3. Confirm the axe-core finding for rule aria-allowed-role.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 221 pages (CSV).

Testing environment

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

Suggested fix

How to fix: Remove or change the ARIA role — it isn't allowed on this element type.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI

Moderate alfa sia-r18 Undetermined aria attribute is permitted for element role (WCAG criterion undetermined) 166/7197 pages · 825 instances Likely template
Bug ID
VS-753763a3
Pattern ID
VS-e05344b9
Combined ID
VS-753763a3 (pattern VS-e05344b9) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
@aria-selected="true"
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

Description

aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 166 of 7197 scanned pages (825 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041.
  2. Locate the element: @aria-selected="true"
  3. Confirm the Siteimprove Alfa finding for rule sia-r18.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 166 pages (CSV).

Testing environment

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

Suggested fix

How to fix: Only use ARIA states/properties that are allowed on this element/role.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18

Moderate axe heading-order Best Practice Heading levels should only increase by one (WCAG criterion undetermined) 149/7197 pages · 159 instances Likely template
Bug ID
VS-73400c0f
Pattern ID
VS-d25f622d
Combined ID
VS-73400c0f (pattern VS-d25f622d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
.region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

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

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

Description

Heading levels should only increase by one. Detected by axe-core rule heading-order on 149 of 7197 scanned pages (159 instances).

Steps to reproduce

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

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 149 pages (CSV).

Testing environment

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

Suggested fix

How to fix: Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.

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

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

Moderate deprecated-html presentational-attr Undetermined Presentational attribute (use CSS) (WCAG criterion undetermined) 99/7197 pages · 128 instances Likely template
Bug ID
VS-fc166218
Pattern ID
VS-04a9d28c
Combined ID
VS-fc166218 (pattern VS-04a9d28c) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
Rule
deprecated-html — Presentational attribute (use CSS) [presentational-attr]
XPath / selector
td
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

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

<td valign="top" colspan="6" class="dataTables_empty">No data available in table</td>

Description

Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 99 of 7197 scanned pages (128 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002174.
  2. Locate the element: td
  3. Confirm the deprecated-html finding for rule presentational-attr.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 99 pages (CSV).

Testing environment

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

Suggested fix

Not captured by automated scan — requires manual testing.

Moderate alfa sia-r53 Undetermined Headings are structured hierarchically (WCAG criterion undetermined) 70/7197 pages · 74 instances Likely template
Bug ID
VS-fc029eb5
Pattern ID
VS-f054f4a4
Combined ID
VS-fc029eb5 (pattern VS-f054f4a4) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<h4 class="usa-footer__primary-link">
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

Description

Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 70 of 7197 scanned pages (74 instances).

Steps to reproduce

  1. Open https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia.
  2. Locate the element: <h4 class="usa-footer__primary-link">
  3. Confirm the Siteimprove Alfa finding for rule sia-r53.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 70 pages (CSV).

Testing environment

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

Suggested fix

How to fix: Use headings in a logical, non-skipping order.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53

Moderate axe landmark-unique Best Practice Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined) 39/7197 pages · 39 instances Likely template
Bug ID
VS-e745a5bc
Pattern ID
VS-8806389c
Combined ID
VS-e745a5bc (pattern VS-8806389c) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
.section
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

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

<aside class="section" role="complementary">

Description

Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 39 of 7197 scanned pages (39 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person.
  2. Locate the element: .section
  3. Confirm the axe-core finding for rule landmark-unique.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

…and more — all 39 pages (CSV).

Testing environment

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

Suggested fix

How to fix: When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. "Primary" and "Footer" navigation) so screen-reader users can tell them apart.

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

Moderate alfa sia-r74 WCAG 2.x AAA Link is distinguishable without relying on color (WCAG 1.4.8) 13/7197 pages · 106 instances Likely template
Bug ID
VS-7220d510
Pattern ID
VS-fbf54eba
Combined ID
VS-7220d510 (pattern VS-fbf54eba) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
1.4.8 Visual Presentation (Level AAA, WCAG 2.0)
XPath / selector
<p class="field-content">
History
first seen 2026-W24, last seen 2026-W38 (15 wk)

Description

Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 13 of 7197 scanned pages (106 instances).

Steps to reproduce

  1. Open https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=25.
  2. Locate the element: <p class="field-content">
  3. Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74

Moderate alfa sia-r78 Undetermined Table header has scope (WCAG criterion undetermined) 1/7197 pages · 2 instances Likely content
Bug ID
VS-68b835df
Pattern ID
VS-2cd767ca
Combined ID
VS-68b835df (pattern VS-2cd767ca) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<h4>
History
first seen 2026-W24, last seen 2026-W38 (14 wk)

Description

Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 1 of 7197 scanned pages (2 instances).

Steps to reproduce

  1. Open https://medicaid.gov/resources-for-states/medicaid-and-chip-program-portal.
  2. Locate the element: <h4>
  3. Confirm the Siteimprove Alfa finding for rule sia-r78.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

Testing environment

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

Suggested fix

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78

Deque axe-core findings

Rule-level axe-core summary (10 rule type(s))

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

axe-core rules failing in 2026-W38, by pages affected
RuleImpactPages affectedInstancesExample pagesAll affected
All page content should be contained by landmarks [region] moderate 1404 6338 /tmsis/dataguide/v3/data-elements/cip002048
/tmsis/dataguide/v4/validation-rules/rule-6372
/tmsis/dataguide/v3/data-quality-measures/mis-86-007-7		 all 1404 pages (CSV)
Page should contain a level-one heading [page-has-heading-one] moderate 1403 1403 /tmsis/dataguide/v3/data-elements/cip002048
/tmsis/dataguide/v4/validation-rules/rule-6372
/tmsis/dataguide/v3/data-quality-measures/mis-86-007-7		 all 1403 pages (CSV)
Document should have one main landmark [landmark-one-main] moderate 1401 1401 /tmsis/dataguide/v3/data-elements/cip002048
/tmsis/dataguide/v4/validation-rules/rule-6372
/tmsis/dataguide/v3/data-quality-measures/mis-86-007-7		 all 1401 pages (CSV)
Elements must only use supported ARIA attributes [aria-allowed-attr] critical 335 1633 /tmsis/dataguide/v3/data-elements/cip002048
/tmsis/dataguide/v4/data-elements/ftx003068
/tmsis/dataguide/v3/data-elements/prv003041		 all 335 pages (CSV)
Certain ARIA roles must contain particular children [aria-required-children] critical 335 335 /tmsis/dataguide/v3/data-elements/cip002048
/tmsis/dataguide/v4/data-elements/ftx003068
/tmsis/dataguide/v3/data-elements/prv003041		 all 335 pages (CSV)
ARIA role should be appropriate for the element [aria-allowed-role] minor 221 460 /medicaid/medicaid-state-plan-amendments
/medicaid/section-1115-demo/demonstration-and-waiver-list
/medicaid/medicaid-state-plan-amendments		 all 221 pages (CSV)
ARIA input fields must have an accessible name [aria-input-field-name] serious 221 460 /medicaid/medicaid-state-plan-amendments
/medicaid/section-1115-demo/demonstration-and-waiver-list
/medicaid/medicaid-state-plan-amendments		 all 221 pages (CSV)
Heading levels should only increase by one [heading-order] moderate 149 159 /state-overviews/stateprofile.html
/state-resource-center/disaster-response-toolkit/federal-disaster-resources/195131
/resources-for-states/disaster-response-toolkit/federal-disaster-resources		 all 149 pages (CSV)
Landmarks should have a unique role or role/label/title (i.e. accessible name) combination [landmark-unique] moderate 39 39 /medicaid/long-term-services-supports/money-follows-person
/resources-for-states/disaster-response-toolkit/federal-disaster-resources
/medicaid/prescription-drugs/pharmacy-pricing		 all 39 pages (CSV)
Form elements should have a visible label [label-title-only] serious 2 25 /medicaid/prescription-drugs/pharmacy-pricing
/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report		 all 2 pages (CSV)

Siteimprove Alfa findings

Rule-level Alfa summary (14 rule type(s))

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

Alfa rules failing in 2026-W38, by pages affected
RuleImpactPages affectedInstancesExample pagesAll affected
Text has enhanced contrast [sia-r66] n/a 3463 141576 /tmsis/dataguide/v4/validation-rules/rule-6372
/medicaid/medicaid-state-plan-amendments
/tmsis/dataguide/v3/validation-rules/rule-1964		 all 3463 pages (CSV)
Target size is at least 44×44 CSS pixels (Enhanced) [sia-r111] n/a 3463 84990 /tmsis/dataguide/v4/validation-rules/rule-6372
/medicaid/medicaid-state-plan-amendments
/tmsis/dataguide/v3/validation-rules/rule-1964		 all 3463 pages (CSV)
Scrolling content can be accessed by keyboard [sia-r57] n/a 3463 31623 /tmsis/dataguide/v4/validation-rules/rule-6372
/medicaid/medicaid-state-plan-amendments
/tmsis/dataguide/v3/validation-rules/rule-1964		 all 3463 pages (CSV)
Text has minimum contrast ratio of 4.5:1 [sia-r73] n/a 2793 2794 /medicaid/medicaid-state-plan-amendments
/medicaid/long-term-services-supports/money-follows-person
/federal-policy-guidance		 all 2793 pages (CSV)
First focusable element is link to main content [sia-r87] n/a 670 670 /tmsis/dataguide/v4/validation-rules/rule-6372
/tmsis/dataguide/v3/validation-rules/rule-1964
/tmsis/dataguide/v3/validation-rules/rule-879		 all 670 pages (CSV)
Form field label is visible [sia-r61] n/a 668 668 /tmsis/dataguide/v4/validation-rules/rule-6372
/tmsis/dataguide/v3/validation-rules/rule-1964
/tmsis/dataguide/v3/validation-rules/rule-879		 all 668 pages (CSV)
Accessible name of link or button matches visible label [sia-r14] n/a 355 355 /tmsis/dataguide/v3/validation-rules/rule-1964
/tmsis/dataguide/v4/data-quality-measures/prv-2-007-7
/tmsis/dataguide/v4/data-quality-measures/mis-2-045-45		 all 355 pages (CSV)
Presentational children of an element are not focusable [sia-r68] n/a 274 283 /tmsis/dataguide/v4/data-elements/crx002041
/tmsis/dataguide/v4/data-elements/ftx004124
/tmsis/dataguide/v4/data-elements/ftx002035		 all 274 pages (CSV)
aria attribute is permitted for element role [sia-r18] n/a 166 825 /tmsis/dataguide/v4/data-elements/crx002041
/tmsis/dataguide/v4/data-elements/ftx004124
/tmsis/dataguide/v4/data-elements/ftx002035		 all 166 pages (CSV)
Form field has accessible name [sia-r8] n/a 114 237 /medicaid/section-1115-demo/demonstration-and-waiver-list
/medicaid/medicaid-state-plan-amendments
/medicaid/medicaid-state-plan-amendments		 all 114 pages (CSV)
Target size is at least 24×24 CSS pixels or has spacing (Minimum) [sia-r113] n/a 114 237 /medicaid/section-1115-demo/demonstration-and-waiver-list
/medicaid/medicaid-state-plan-amendments
/medicaid/medicaid-state-plan-amendments		 all 114 pages (CSV)
Headings are structured hierarchically [sia-r53] n/a 70 74 /state-overviews/stateprofile.html
/state-resource-center/disaster-response-toolkit/federal-disaster-resources/195131
/medicaid/prescription-drugs/medicaid-drug-rebate-program/file-formats-and-data-definitions/file-format/data-definition-archive		 all 70 pages (CSV)
Link is distinguishable without relying on color [sia-r74] n/a 13 106 /resources-for-states/disaster-response-toolkit/federal-disaster-resources
/resources-for-states/disaster-response-toolkit/federal-disaster-resources
/resources-for-states/disaster-response-toolkit/federal-disaster-resources		 all 13 pages (CSV)
Table header has scope [sia-r78] n/a 1 2 /resources-for-states/medicaid-and-chip-program-portal all 1 pages (CSV)

Unique accessibility issues (axe + Alfa consolidated)

axe and Alfa both implement W3C ACT rules, so the same issue is often caught by both. These are deduplicated by ACT rule and page, so a shared finding counts once (21137 raw engine findings → 20858 unique).

Unique issues (rule × page)
20858
Caught by both engines
279 highest confidence
axe only
5231
Alfa only
15348
2 rule type(s) caught by both engines — highest confidence

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

Rules flagged by both axe-core and Alfa in 2026-W38, by pages affected.
IssuePagesRule references
Elements must only use supported ARIA attributes336axe aria-allowed-attr · Alfa sia-r18 · ACT 5c01ea
ARIA input fields must have an accessible name221axe aria-input-field-name · Alfa sia-r8 · ACT e086e5