# Accessibility bug reports — www.medicaid.gov, week 2026-W38

25 issue type(s) from 7197 pages scanned. Generated 2026-09-30 by [vital-scans](https://github.com/mgifford/vital-core), following [accessibility bug-reporting best practices](https://mgifford.github.io/ACCESSIBILITY.md/examples/ACCESSIBILITY_BUG_REPORTING_BEST_PRACTICES.html).

> Automated checks find roughly a third of accessibility barriers. Fields marked "requires manual testing" cannot be observed by an automated scan and need a human with assistive technology.

---
## Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)

**Bug ID:** `VS-6af2bfdf`  
**Pattern ID:** `VS-179ad9b3`  
**URL:** https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=  
**XPath / selector:** `<textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">`  
**WCAG SC:** 2.5.8 — Target Size (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r113` ([reference](https://alfa.siteimprove.com/rules/sia-r113))  
**Severity:** Moderate  
**Frequency:** 237 instances; 114 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### 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
- https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=8&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=7&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=22&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=796&page=11&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=911&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=15&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=24&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=7&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=17&q=
- https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=3&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=51&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=21&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=911&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=7&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=3&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=46&q=
- http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=811&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=1001&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=966&page=6&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=836&q=

…and more — 114 pages total ([download CSV](csv/alfa__sia-r113.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

### Example pages
- https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=8&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=7&q=

---

## Accessible name of link or button matches visible label (WCAG 2.5.3)

**Bug ID:** `VS-5440c81b`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964  
**XPath / selector:** `<a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">`  
**WCAG SC:** 2.5.3 — Label in Name (Level A)  
**Rule:** Siteimprove Alfa — `sia-r14` ([reference](https://alfa.siteimprove.com/rules/sia-r14))  
**Severity:** Moderate  
**Frequency:** 355 instances; 355 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### 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
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/prv-2-007-7
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-2-045-45
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-60-008-8
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg013179
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip003243
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/prv-3-003-5
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-10-003-8
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002244
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-16-018-18
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot003288
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg004067
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002024
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-8-030-30
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-58-001-1
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002099
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-826
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-s-001-27
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002121
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003219
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003074
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-11-023-101

…and more — 355 pages total ([download CSV](csv/alfa__sia-r14.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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/prv-2-007-7
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-2-045-45

---

## Certain ARIA roles must contain particular children (WCAG 1.3.1)

**Bug ID:** `VS-bef512a7`  
**Pattern ID:** `VS-9429bb8d`  
**URL:** https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048  
**XPath / selector:** `.nav`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `aria-required-children` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 335 instances; 335 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### HTML snippet
```html
<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
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002174
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx007266
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl001088
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg013179
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/elg001011
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip003243
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002244
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx003181
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot003288
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg004067
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002024
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002099
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002121
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003219
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003074
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003052
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip003260

…and more — 335 pages total ([download CSV](csv/axe-core__aria-required-children.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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041

---

## Presentational children of an element are not focusable (WCAG 1.3.1)

**Bug ID:** `VS-163e87b8`  
**Pattern ID:** `VS-d6097011`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041  
**XPath / selector:** `<div class="nav nav-tabs nav-justified" role="tablist">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r68` ([reference](https://alfa.siteimprove.com/rules/sia-r68))  
**Severity:** Moderate  
**Frequency:** 283 instances; 274 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### 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
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035
- https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl001088
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg013179
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=8&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=7&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=1&q=
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip003243
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=3&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002244
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot003288
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg004067
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=22&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002024
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=796&page=11&q=
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002099
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002121
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003219
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=911&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=15&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=24&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003074

…and more — 274 pages total ([download CSV](csv/alfa__sia-r68.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035

---

## Elements must only use supported ARIA attributes (WCAG 4.1.2)

**Bug ID:** `VS-5101458c`  
**Pattern ID:** `VS-1467ea8a`  
**URL:** https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048  
**XPath / selector:** `a[href$="#overview"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-allowed-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 1633 instances; 335 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### HTML snippet
```html
<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
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002174
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx007266
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl001088
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg013179
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002023
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/elg001011
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip003243
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002244
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx003181
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot003288
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg004067
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002024
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002099
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002121
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003219
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003074
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/mcr003052
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip003260

…and more — 335 pages total ([download CSV](csv/axe-core__aria-allowed-attr.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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041

---

## ARIA input fields must have an accessible name (WCAG 4.1.2)

**Bug ID:** `VS-36bc25e8`  
**Pattern ID:** `VS-0841abc2`  
**URL:** https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=1&q=  
**XPath / selector:** `span[data-select2-id="select2-data-1-8ao1"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-input-field-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 460 instances; 221 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### HTML snippet
```html
<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
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=1&q=
- https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=8&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=7&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=826&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=8&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=22&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=796&page=11&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=911&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=15&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=24&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=841&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=7&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=17&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=2&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=3&q=
- https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=3&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=51&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=0&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=21&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=911&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=7&q=

…and more — 221 pages total ([download CSV](csv/axe-core__aria-input-field-name.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

### Example pages
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=1&q=
- https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=8&q=

---

## Form field has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-04524167`  
**Pattern ID:** `VS-a48e6078`  
**URL:** https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=  
**XPath / selector:** `<span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r8` ([reference](https://alfa.siteimprove.com/rules/sia-r8))  
**Severity:** Moderate  
**Frequency:** 237 instances; 114 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### 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
- https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=8&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=7&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=22&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=796&page=11&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=911&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=15&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=24&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=7&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=17&q=
- https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=3&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=51&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=21&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=911&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=7&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=3&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=46&q=
- http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=811&q=
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=1001&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=966&page=6&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=836&q=

…and more — 114 pages total ([download CSV](csv/alfa__sia-r8.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

### Example pages
- https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=8&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=7&q=

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-5fee3958`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372  
**XPath / selector:** `text: "Here's how you know "`  
**WCAG SC:** 1.4.6 — Contrast (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r66` ([reference](https://alfa.siteimprove.com/rules/sia-r66))  
**Severity:** Moderate  
**Frequency:** 141576 instances; 3463 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### 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
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372
- 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/tmsis/dataguide/v3/validation-rules/rule-1964
- https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-879
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A1011&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1961&f%5B1%5D=sub_topic_faq_library_facet%3A1976&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2091&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=78
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1936&f%5B1%5D=sub_topic_faq_library_facet%3A2001&f%5B2%5D=sub_topic_faq_library_facet%3A2031&f%5B3%5D=sub_topic_faq_library_facet%3A2441&page=0
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3049
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/prv-2-007-7
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A801&f%5B1%5D=topics%3A4056&f%5B2%5D=topics%3A4676&page=2&task=gaussian-processes
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A961&f%5B1%5D=state%3A1006&f%5B2%5D=state%3A7971&f%5B3%5D=topics%3A1011&page=1673
- https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1926&f%5B1%5D=sub_topic_faq_library_facet%3A2006&f%5B2%5D=topic_faq_library_facet%3A2291&page=1
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A791&f%5B2%5D=state%3A846&f%5B3%5D=topics%3A701&page=1671
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A781&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A936&f%5B12%5D=topics%3A2826&f%5B13%5D=topics%3A3001&f%5B14%5D=topics%3A3261&f%5B15%5D=topics%3A5311&f%5B16%5D=topics%3A5811&f%5B17%5D=topics%3A6481&f%5B18%5D=topics%3A7306&f%5B19%5D=topics%3A7321&f%5B2%5D=state%3A841&f%5B20%5D=topics%3A7416&f%5B21%5D=topics%3A8476&f%5B3%5D=state%3A881&f%5B4%5D=state%3A891&f%5B5%5D=state%3A931&f%5B6%5D=state%3A956&f%5B7%5D=state%3A971&f%5B8%5D=state%3A8296&f%5B9%5D=topics%3A741&page=2
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7394
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A826&f%5B1%5D=state%3A891&f%5B2%5D=state%3A991&f%5B3%5D=topics%3A741&f%5B4%5D=topics%3A936&page=0
- 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://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1856&f%5B1%5D=sub_topic_faq_library_facet%3A1866&f%5B10%5D=sub_topic_faq_library_facet%3A2511&f%5B11%5D=sub_topic_faq_library_facet%3A2521&f%5B12%5D=sub_topic_faq_library_facet%3A2526&f%5B13%5D=sub_topic_faq_library_facet%3A2531&f%5B2%5D=sub_topic_faq_library_facet%3A2061&f%5B3%5D=sub_topic_faq_library_facet%3A2371&f%5B4%5D=sub_topic_faq_library_facet%3A2391&f%5B5%5D=sub_topic_faq_library_facet%3A2411&f%5B6%5D=sub_topic_faq_library_facet%3A2421&f%5B7%5D=sub_topic_faq_library_facet%3A2466&f%5B8%5D=sub_topic_faq_library_facet%3A2476&f%5B9%5D=sub_topic_faq_library_facet%3A2491&page=4
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A751&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1501&f%5B3%5D=fpg_topics_facet%3A8896&page=105
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/195131
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6490
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A781&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A936&f%5B12%5D=topics%3A1031&f%5B13%5D=topics%3A2726&f%5B14%5D=topics%3A3186&f%5B15%5D=topics%3A7301&f%5B16%5D=topics%3A7316&f%5B17%5D=topics%3A7321&f%5B18%5D=topics%3A7381&f%5B19%5D=topics%3A8456&f%5B2%5D=state%3A841&f%5B20%5D=topics%3A8491&f%5B3%5D=state%3A881&f%5B4%5D=state%3A891&f%5B5%5D=state%3A931&f%5B6%5D=state%3A956&f%5B7%5D=state%3A971&f%5B8%5D=state%3A8296&f%5B9%5D=topics%3A721&page=2
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8142&page=3

…and more — 3463 pages total ([download CSV](csv/alfa__sia-r66.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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372
- 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/tmsis/dataguide/v3/validation-rules/rule-1964

---

## Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)

**Bug ID:** `VS-95938eb1`  
**Pattern ID:** `VS-2208081b`  
**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 / selector:** `<p class="usa-footer__contact-info margin-bottom-0">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r73` ([reference](https://alfa.siteimprove.com/rules/sia-r73))  
**Severity:** Moderate  
**Frequency:** 2794 instances; 2793 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### 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
- 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://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A1011&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1961&f%5B1%5D=sub_topic_faq_library_facet%3A1976&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2091&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=78
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1936&f%5B1%5D=sub_topic_faq_library_facet%3A2001&f%5B2%5D=sub_topic_faq_library_facet%3A2031&f%5B3%5D=sub_topic_faq_library_facet%3A2441&page=0
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A801&f%5B1%5D=topics%3A4056&f%5B2%5D=topics%3A4676&page=2&task=gaussian-processes
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A961&f%5B1%5D=state%3A1006&f%5B2%5D=state%3A7971&f%5B3%5D=topics%3A1011&page=1673
- https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1926&f%5B1%5D=sub_topic_faq_library_facet%3A2006&f%5B2%5D=topic_faq_library_facet%3A2291&page=1
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A791&f%5B2%5D=state%3A846&f%5B3%5D=topics%3A701&page=1671
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A781&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A936&f%5B12%5D=topics%3A2826&f%5B13%5D=topics%3A3001&f%5B14%5D=topics%3A3261&f%5B15%5D=topics%3A5311&f%5B16%5D=topics%3A5811&f%5B17%5D=topics%3A6481&f%5B18%5D=topics%3A7306&f%5B19%5D=topics%3A7321&f%5B2%5D=state%3A841&f%5B20%5D=topics%3A7416&f%5B21%5D=topics%3A8476&f%5B3%5D=state%3A881&f%5B4%5D=state%3A891&f%5B5%5D=state%3A931&f%5B6%5D=state%3A956&f%5B7%5D=state%3A971&f%5B8%5D=state%3A8296&f%5B9%5D=topics%3A741&page=2
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A826&f%5B1%5D=state%3A891&f%5B2%5D=state%3A991&f%5B3%5D=topics%3A741&f%5B4%5D=topics%3A936&page=0
- 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://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1856&f%5B1%5D=sub_topic_faq_library_facet%3A1866&f%5B10%5D=sub_topic_faq_library_facet%3A2511&f%5B11%5D=sub_topic_faq_library_facet%3A2521&f%5B12%5D=sub_topic_faq_library_facet%3A2526&f%5B13%5D=sub_topic_faq_library_facet%3A2531&f%5B2%5D=sub_topic_faq_library_facet%3A2061&f%5B3%5D=sub_topic_faq_library_facet%3A2371&f%5B4%5D=sub_topic_faq_library_facet%3A2391&f%5B5%5D=sub_topic_faq_library_facet%3A2411&f%5B6%5D=sub_topic_faq_library_facet%3A2421&f%5B7%5D=sub_topic_faq_library_facet%3A2466&f%5B8%5D=sub_topic_faq_library_facet%3A2476&f%5B9%5D=sub_topic_faq_library_facet%3A2491&page=4
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A751&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1501&f%5B3%5D=fpg_topics_facet%3A8896&page=105
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/195131
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A781&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A936&f%5B12%5D=topics%3A1031&f%5B13%5D=topics%3A2726&f%5B14%5D=topics%3A3186&f%5B15%5D=topics%3A7301&f%5B16%5D=topics%3A7316&f%5B17%5D=topics%3A7321&f%5B18%5D=topics%3A7381&f%5B19%5D=topics%3A8456&f%5B2%5D=state%3A841&f%5B20%5D=topics%3A8491&f%5B3%5D=state%3A881&f%5B4%5D=state%3A891&f%5B5%5D=state%3A931&f%5B6%5D=state%3A956&f%5B7%5D=state%3A971&f%5B8%5D=state%3A8296&f%5B9%5D=topics%3A721&page=2
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8142&page=3
- https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1911&f%5B1%5D=sub_topic_faq_library_facet%3A1951&f%5B2%5D=sub_topic_faq_library_facet%3A2026&page=0
- https://www.medicaid.gov/faq?fcf=40859&page=3&sl=yes
- http://medicaid.gov/resources-for-states/working-families-tax-cut-legislation
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A806&f%5B1%5D=waiver_state_facet%3A816&f%5B2%5D=waiver_state_facet%3A1041&page=3
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A681&f%5B1%5D=state%3A766&f%5B2%5D=state%3A776&f%5B3%5D=state%3A926&f%5B4%5D=topics%3A1511&page=1672
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2036&f%5B1%5D=sub_topic_faq_library_facet%3A2351&f%5B2%5D=sub_topic_faq_library_facet%3A2391&f%5B3%5D=topic_faq_library_facet%3A2206&page=81
- 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%3A1511&f%5B3%5D=fpg_topics_facet%3A1521&f%5B4%5D=fpg_topics_facet%3A8606&f%5B5%5D=fpg_type_facet%3A1506&f%5B6%5D=fpg_type_facet%3A1536&page=111

…and more — 2793 pages total ([download CSV](csv/alfa__sia-r73.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

### Example pages
- 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://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A1011&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107

---

## Link is distinguishable without relying on color (WCAG 1.4.8)

**Bug ID:** `VS-7220d510`  
**Pattern ID:** `VS-fbf54eba`  
**URL:** https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=25  
**XPath / selector:** `<p class="field-content">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r74` ([reference](https://alfa.siteimprove.com/rules/sia-r74))  
**Severity:** Moderate  
**Frequency:** 106 instances; 13 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### 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
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=25
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=7
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=25
- http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=3
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=25
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?_sp=d04f9971-bcbe-4d8e-aa63-53a1cfec7161&page=2
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=21
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?_sp=d04f9971-bcbe-4d8e-aa63-53a1cfec7161&page=1
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=8
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?_sp=d04f9971-bcbe-4d8e-aa63-53a1cfec7161&page=23
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?_sp=d04f9971-bcbe-4d8e-aa63-53a1cfec7161&page=0
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?_sp=d04f9971-bcbe-4d8e-aa63-53a1cfec7161&page=22
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?_sp=d04f9971-bcbe-4d8e-aa63-53a1cfec7161&page=20

### 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

### Example pages
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=25
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=7
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=25

---

## Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)

**Bug ID:** `VS-fd412742`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372  
**XPath / selector:** `<button class="btn btn-outline-primary dropdown-toggle py-1 px-2" type="button" id="dropdownMenuButton" data-toggle="dropdown">`  
**WCAG SC:** 2.5.5 — Target Size (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r111` ([reference](https://alfa.siteimprove.com/rules/sia-r111))  
**Severity:** Moderate  
**Frequency:** 84990 instances; 3463 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### 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
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372
- 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/tmsis/dataguide/v3/validation-rules/rule-1964
- https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-879
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A1011&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1961&f%5B1%5D=sub_topic_faq_library_facet%3A1976&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2091&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=78
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1936&f%5B1%5D=sub_topic_faq_library_facet%3A2001&f%5B2%5D=sub_topic_faq_library_facet%3A2031&f%5B3%5D=sub_topic_faq_library_facet%3A2441&page=0
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3049
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/prv-2-007-7
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A801&f%5B1%5D=topics%3A4056&f%5B2%5D=topics%3A4676&page=2&task=gaussian-processes
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A961&f%5B1%5D=state%3A1006&f%5B2%5D=state%3A7971&f%5B3%5D=topics%3A1011&page=1673
- https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1926&f%5B1%5D=sub_topic_faq_library_facet%3A2006&f%5B2%5D=topic_faq_library_facet%3A2291&page=1
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A791&f%5B2%5D=state%3A846&f%5B3%5D=topics%3A701&page=1671
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A781&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A936&f%5B12%5D=topics%3A2826&f%5B13%5D=topics%3A3001&f%5B14%5D=topics%3A3261&f%5B15%5D=topics%3A5311&f%5B16%5D=topics%3A5811&f%5B17%5D=topics%3A6481&f%5B18%5D=topics%3A7306&f%5B19%5D=topics%3A7321&f%5B2%5D=state%3A841&f%5B20%5D=topics%3A7416&f%5B21%5D=topics%3A8476&f%5B3%5D=state%3A881&f%5B4%5D=state%3A891&f%5B5%5D=state%3A931&f%5B6%5D=state%3A956&f%5B7%5D=state%3A971&f%5B8%5D=state%3A8296&f%5B9%5D=topics%3A741&page=2
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7394
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A826&f%5B1%5D=state%3A891&f%5B2%5D=state%3A991&f%5B3%5D=topics%3A741&f%5B4%5D=topics%3A936&page=0
- 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://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1856&f%5B1%5D=sub_topic_faq_library_facet%3A1866&f%5B10%5D=sub_topic_faq_library_facet%3A2511&f%5B11%5D=sub_topic_faq_library_facet%3A2521&f%5B12%5D=sub_topic_faq_library_facet%3A2526&f%5B13%5D=sub_topic_faq_library_facet%3A2531&f%5B2%5D=sub_topic_faq_library_facet%3A2061&f%5B3%5D=sub_topic_faq_library_facet%3A2371&f%5B4%5D=sub_topic_faq_library_facet%3A2391&f%5B5%5D=sub_topic_faq_library_facet%3A2411&f%5B6%5D=sub_topic_faq_library_facet%3A2421&f%5B7%5D=sub_topic_faq_library_facet%3A2466&f%5B8%5D=sub_topic_faq_library_facet%3A2476&f%5B9%5D=sub_topic_faq_library_facet%3A2491&page=4
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A751&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1501&f%5B3%5D=fpg_topics_facet%3A8896&page=105
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/195131
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6490
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A781&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A936&f%5B12%5D=topics%3A1031&f%5B13%5D=topics%3A2726&f%5B14%5D=topics%3A3186&f%5B15%5D=topics%3A7301&f%5B16%5D=topics%3A7316&f%5B17%5D=topics%3A7321&f%5B18%5D=topics%3A7381&f%5B19%5D=topics%3A8456&f%5B2%5D=state%3A841&f%5B20%5D=topics%3A8491&f%5B3%5D=state%3A881&f%5B4%5D=state%3A891&f%5B5%5D=state%3A931&f%5B6%5D=state%3A956&f%5B7%5D=state%3A971&f%5B8%5D=state%3A8296&f%5B9%5D=topics%3A721&page=2
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8142&page=3

…and more — 3463 pages total ([download CSV](csv/alfa__sia-r111.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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372
- 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/tmsis/dataguide/v3/validation-rules/rule-1964

---

## Form elements should have a visible label (WCAG criterion undetermined)

**Bug ID:** `VS-4f56b347`  
**Pattern ID:** `VS-33841929`  
**URL:** http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing  
**XPath / selector:** `select[aria-labelledby="filter-th-87386-0"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `label-title-only` ([reference](https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 25 instances; 2 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (14 weeks)

### HTML snippet
```html
<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
- http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing
- http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report

### 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

### Example pages
- http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing
- http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report

---

## All page content should be contained by landmarks (WCAG criterion undetermined)

**Bug ID:** `VS-020fead1`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048  
**XPath / selector:** `.small`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `region` ([reference](https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 6338 instances; 1404 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### HTML snippet
```html
<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
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-86-007-7
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-879
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3049
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/prv-2-007-7
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7394
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7202
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6490
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002174
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-2-045-45
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-016-16
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2635
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-54-001_1-5
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-60-008-8
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-2-034-34
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-25-005-5
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7045
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035

…and more — 1404 pages total ([download CSV](csv/axe-core__region.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.

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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-86-007-7

---

## Page should contain a level-one heading (WCAG criterion undetermined)

**Bug ID:** `VS-ad674e40`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `page-has-heading-one` ([reference](https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1403 instances; 1403 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### HTML snippet
```html
<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
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-86-007-7
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-879
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3049
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/prv-2-007-7
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7394
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7202
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6490
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002174
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-2-045-45
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-016-16
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2635
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-54-001_1-5
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-60-008-8
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-2-034-34
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-25-005-5
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7045
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035

…and more — 1403 pages total ([download CSV](csv/axe-core__page-has-heading-one.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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-86-007-7

---

## Document should have one main landmark (WCAG criterion undetermined)

**Bug ID:** `VS-d9376392`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-one-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1401 instances; 1401 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### HTML snippet
```html
<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
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-86-007-7
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-879
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3049
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/prv-2-007-7
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7394
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7202
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6490
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002174
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-2-045-45
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-83-016-16
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2635
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-54-001_1-5
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-60-008-8
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-2-034-34
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-25-005-5
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7045
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035

…and more — 1401 pages total ([download CSV](csv/axe-core__landmark-one-main.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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-86-007-7

---

## Heading levels should only increase by one (WCAG criterion undetermined)

**Bug ID:** `VS-73400c0f`  
**Pattern ID:** `VS-d25f622d`  
**URL:** https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia  
**XPath / selector:** `.region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 159 instances; 149 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### HTML snippet
```html
<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
- https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/195131
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=23
- https://medicaid.gov/resources-for-states/eligibility-enrollment-and-renewal-tools-and-resources/renewal-strategies-and-tools
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/99166
- http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing
- https://medicaid.gov/resources-for-states/spa-and-1915-waiver-processing/chip-spa-processing-tools-for-states
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22ID%22%5D
- http://medicaid.gov/resources-for-states/managed-care-review-mc-review/managed-care-review-faqs
- https://medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/file-formats-and-data-definitions/file-format/data-definition-archive
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=25
- https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/program-areas/reducing-substance-use-disorders/collaborative-learning
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106621
- http://medicaid.gov/medicaid/prescription-drugs/retail-price-survey
- https://www.medicaid.gov/medicaid/home-community-based-services/statewide-transition-plans
- http://medicaid.gov/about-us/organization/jeremy-silanskis
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=7
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?_sp=d04f9971-bcbe-4d8e-aa63-53a1cfec7161&page=24
- https://medicaid.gov/medicaid/long-term-services-supports/institutional-long-term-care
- https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/107766
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=3
- https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/192756
- 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://www.medicaid.gov/medicaid/benefits/telehealth/telehealth-terms
- https://medicaid.gov/resources-for-states/medicaid-state-technical-assistance/technical-assistance-develop-evidence-based-continuum-of-crisis-care/cms-guidance-continuum-of-crisis-services

…and more — 149 pages total ([download CSV](csv/axe-core__heading-order.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.

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

### Example pages
- https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/195131
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=23

---

## Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)

**Bug ID:** `VS-e745a5bc`  
**Pattern ID:** `VS-8806389c`  
**URL:** https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person  
**XPath / selector:** `.section`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 39 instances; 39 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### HTML snippet
```html
<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
- https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=23
- http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=25
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=7
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?_sp=d04f9971-bcbe-4d8e-aa63-53a1cfec7161&page=24
- https://medicaid.gov/medicaid/long-term-services-supports/institutional-long-term-care
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=3
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=5
- http://medicaid.gov/resources-for-states/medicaid-state-technical-assistance
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=25
- http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=3
- https://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=22
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=6
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=25
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?_sp=d04f9971-bcbe-4d8e-aa63-53a1cfec7161&page=2
- https://medicaid.gov/medicaid/financial-management/state-budget-expenditure-reporting-for-medicaid-and-chip/expenditure-reports-mbes/cbes
- http://medicaid.gov/resources-for-states/medicaid-and-chip-program-portal/macpro-training-help
- https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-drug-rebate-program-mdrp-file-formats-data-definitions-and-medicaid-drug-programs-mdp-email-communications
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?_sp=d04f9971-bcbe-4d8e-aa63-53a1cfec7161&page=19
- http://medicaid.gov/medicaid/data-systems/health-information-exchange
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=21
- http://medicaid.gov/medicaid/data-systems/health-information-technology
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?_sp=d04f9971-bcbe-4d8e-aa63-53a1cfec7161&page=4
- https://www.medicaid.gov/medicaid/eligibility-policy

…and more — 39 pages total ([download CSV](csv/axe-core__landmark-unique.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

### Example pages
- https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=23
- http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing

---

## ARIA role should be appropriate for the element (WCAG criterion undetermined)

**Bug ID:** `VS-d6ed644f`  
**Pattern ID:** `VS-4fac2f41`  
**URL:** https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=1&q=  
**XPath / selector:** `span[data-select2-id="select2-data-1-8ao1"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `aria-allowed-role` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 460 instances; 221 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

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

### 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
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=1&q=
- https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=8&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=981&page=7&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=826&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=8&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=3&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=22&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=796&page=11&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=911&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=15&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=24&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=841&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=7&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=17&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=2&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=541&page=3&q=
- https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=3&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=51&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=0&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=736&page=21&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=911&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=7&q=

…and more — 221 pages total ([download CSV](csv/axe-core__aria-allowed-role.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

### Example pages
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=1&q=
- https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=8&q=

---

## Scrolling content can be accessed by keyboard (WCAG criterion undetermined)

**Bug ID:** `VS-9fd0776a`  
**Pattern ID:** `VS-c18be945`  
**URL:** https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372  
**XPath / selector:** `text: "
                An official website of the United States government
                "`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 31623 instances; 3463 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### 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
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372
- 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/tmsis/dataguide/v3/validation-rules/rule-1964
- https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-879
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A1011&f%5B2%5D=fpg_topics_facet%3A8901&f%5B3%5D=fpg_type_facet%3A1481&page=107
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1961&f%5B1%5D=sub_topic_faq_library_facet%3A1976&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2091&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=78
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1936&f%5B1%5D=sub_topic_faq_library_facet%3A2001&f%5B2%5D=sub_topic_faq_library_facet%3A2031&f%5B3%5D=sub_topic_faq_library_facet%3A2441&page=0
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3049
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/prv-2-007-7
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A801&f%5B1%5D=topics%3A4056&f%5B2%5D=topics%3A4676&page=2&task=gaussian-processes
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A961&f%5B1%5D=state%3A1006&f%5B2%5D=state%3A7971&f%5B3%5D=topics%3A1011&page=1673
- https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1926&f%5B1%5D=sub_topic_faq_library_facet%3A2006&f%5B2%5D=topic_faq_library_facet%3A2291&page=1
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A791&f%5B2%5D=state%3A846&f%5B3%5D=topics%3A701&page=1671
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A781&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A936&f%5B12%5D=topics%3A2826&f%5B13%5D=topics%3A3001&f%5B14%5D=topics%3A3261&f%5B15%5D=topics%3A5311&f%5B16%5D=topics%3A5811&f%5B17%5D=topics%3A6481&f%5B18%5D=topics%3A7306&f%5B19%5D=topics%3A7321&f%5B2%5D=state%3A841&f%5B20%5D=topics%3A7416&f%5B21%5D=topics%3A8476&f%5B3%5D=state%3A881&f%5B4%5D=state%3A891&f%5B5%5D=state%3A931&f%5B6%5D=state%3A956&f%5B7%5D=state%3A971&f%5B8%5D=state%3A8296&f%5B9%5D=topics%3A741&page=2
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7394
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A826&f%5B1%5D=state%3A891&f%5B2%5D=state%3A991&f%5B3%5D=topics%3A741&f%5B4%5D=topics%3A936&page=0
- 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://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1856&f%5B1%5D=sub_topic_faq_library_facet%3A1866&f%5B10%5D=sub_topic_faq_library_facet%3A2511&f%5B11%5D=sub_topic_faq_library_facet%3A2521&f%5B12%5D=sub_topic_faq_library_facet%3A2526&f%5B13%5D=sub_topic_faq_library_facet%3A2531&f%5B2%5D=sub_topic_faq_library_facet%3A2061&f%5B3%5D=sub_topic_faq_library_facet%3A2371&f%5B4%5D=sub_topic_faq_library_facet%3A2391&f%5B5%5D=sub_topic_faq_library_facet%3A2411&f%5B6%5D=sub_topic_faq_library_facet%3A2421&f%5B7%5D=sub_topic_faq_library_facet%3A2466&f%5B8%5D=sub_topic_faq_library_facet%3A2476&f%5B9%5D=sub_topic_faq_library_facet%3A2491&page=4
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A751&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1501&f%5B3%5D=fpg_topics_facet%3A8896&page=105
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/195131
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6490
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A781&f%5B10%5D=topics%3A801&f%5B11%5D=topics%3A936&f%5B12%5D=topics%3A1031&f%5B13%5D=topics%3A2726&f%5B14%5D=topics%3A3186&f%5B15%5D=topics%3A7301&f%5B16%5D=topics%3A7316&f%5B17%5D=topics%3A7321&f%5B18%5D=topics%3A7381&f%5B19%5D=topics%3A8456&f%5B2%5D=state%3A841&f%5B20%5D=topics%3A8491&f%5B3%5D=state%3A881&f%5B4%5D=state%3A891&f%5B5%5D=state%3A931&f%5B6%5D=state%3A956&f%5B7%5D=state%3A971&f%5B8%5D=state%3A8296&f%5B9%5D=topics%3A721&page=2
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8142&page=3

…and more — 3463 pages total ([download CSV](csv/alfa__sia-r57.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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372
- 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/tmsis/dataguide/v3/validation-rules/rule-1964

---

## First focusable element is link to main content (WCAG criterion undetermined)

**Bug ID:** `VS-03e11d2c`  
**Pattern ID:** `VS-aa242c2d`  
**URL:** https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r87` ([reference](https://alfa.siteimprove.com/rules/sia-r87))  
**Severity:** Moderate  
**Frequency:** 670 instances; 670 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### 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
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-879
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3049
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/prv-2-007-7
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7394
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6490
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-2-045-45
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2635
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-60-008-8
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8128
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl001088
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-43-001-1
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg013179
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip003243
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7192
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/prv-3-003-5
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3148
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-10-003-8
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7231
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002244
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/all-16-018-18

…and more — 670 pages total ([download CSV](csv/alfa__sia-r87.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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-879

---

## Form field label is visible (WCAG criterion undetermined)

**Bug ID:** `VS-6204a9df`  
**Pattern ID:** `VS-7118fead`  
**URL:** https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r61` ([reference](https://alfa.siteimprove.com/rules/sia-r61))  
**Severity:** Moderate  
**Frequency:** 668 instances; 668 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### 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
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-879
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3049
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/prv-2-007-7
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7394
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6490
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-2-045-45
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2635
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-60-008-8
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8128
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl001088
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-43-001-1
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg013179
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/Waiver-Descript-Factsheet/WY
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip003243
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7192
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/prv-3-003-5
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3148
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-10-003-8
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7231
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002244

…and more — 668 pages total ([download CSV](csv/alfa__sia-r61.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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-879

---

## aria attribute is permitted for element role (WCAG criterion undetermined)

**Bug ID:** `VS-753763a3`  
**Pattern ID:** `VS-e05344b9`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041  
**XPath / selector:** `@aria-selected="true"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18))  
**Severity:** Moderate  
**Frequency:** 825 instances; 166 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### 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
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl001088
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg013179
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip003243
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002244
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot003288
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg004067
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002024
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002099
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002121
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt003219
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003074
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip001013
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt003184
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip001003
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot002230
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004113
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002034
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg005087
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/crx002020
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl006083
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003043
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/tpl001005

…and more — 166 pages total ([download CSV](csv/alfa__sia-r18.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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035

---

## Presentational attribute (use CSS) (WCAG criterion undetermined)

**Bug ID:** `VS-fc166218`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002174  
**XPath / selector:** `td`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 128 instances; 99 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### HTML snippet
```html
<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
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002174
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx007266
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1703
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002024
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7053
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt003184
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-796
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-3-012-6
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-2-011-11
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6971
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7625
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6458
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx006192
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8350
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6555
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-27-013-13
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002061
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002111
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2515
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002078
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-7392
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg002022
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7421
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8209

…and more — 99 pages total ([download CSV](csv/deprecated-html__presentational-attr.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.

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002174
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx007266

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-fc029eb5`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia  
**XPath / selector:** `<h4 class="usa-footer__primary-link">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 74 instances; 70 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### 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
- https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/195131
- https://medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/file-formats-and-data-definitions/file-format/data-definition-archive
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=25
- https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/program-areas/reducing-substance-use-disorders/collaborative-learning
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106621
- http://medicaid.gov/medicaid/prescription-drugs/retail-price-survey
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=7
- https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/192756
- https://medicaid.gov/resources-for-states/medicaid-state-technical-assistance/technical-assistance-develop-evidence-based-continuum-of-crisis-care/cms-guidance-continuum-of-crisis-services
- https://www.medicaid.gov/medicaid/data-systems/health-information-exchange/section-1115-demonstration-hie-policy
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/101026
- https://medicaid.gov/medicaid/access-care/medicaid-advisory-committees-and-beneficiary-advisory-councils
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54037
- https://medicaid.gov/medicaid/data-systems/health-information-exchange/managed-care-organization-hie-policy
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=25
- https://medicaid.gov/state-overviews/stateprofile.html?state=Ohio
- http://medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=3
- https://medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial/medicaid-budget-and-expenditure-system-mbes/cms-37-medicaid-program-budget-report
- https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/behavioral-health-learning-collaborative
- https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/medicaid-and-school-based-services/medicaid-school-based-services-frequently-asked-questions-faqs
- https://www.medicaid.gov/medicaid/benefits/prevention/webinar-archive
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/195106
- https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person/money-follows-person-success-stories
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=25

…and more — 70 pages total ([download CSV](csv/alfa__sia-r53.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

### Example pages
- https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia
- http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/195131
- https://medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/file-formats-and-data-definitions/file-format/data-definition-archive

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-68b835df`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** https://medicaid.gov/resources-for-states/medicaid-and-chip-program-portal  
**XPath / selector:** `<h4>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 2 instances; 1 of 7197 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (14 weeks)

### 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
- https://medicaid.gov/resources-for-states/medicaid-and-chip-program-portal

### 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