{
 "domain": "www.medicaid.gov",
 "week": "2026-W38",
 "generatedAt": "2026-09-30T18:09:15.767Z",
 "reports": [
  {
   "instance_id": "VS-6af2bfdf",
   "pattern_id": "VS-179ad9b3",
   "a11y_pattern_fingerprint": "6289c3141138c0f42775f98b28ae763a8dca8a79a47e2f6515a0d82b87159a69",
   "a11y_pattern_display_id": "A11Y-PAT-6289C3141138",
   "a11y_occurrence_fingerprint": "b0311db53786e090473d50902592f2ac7acf35d93f4632ed8bdc90be42cf8cc8",
   "a11y_occurrence_display_id": "A11Y-OCC-B0311DB53786",
   "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": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
   "html_snippet": null,
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "frequency": {
    "instances": 237,
    "pages_affected": 114,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)",
   "description": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 114 of 7197 scanned pages (237 instances).",
   "examples": [
    {
     "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": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "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": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "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": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=8&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=8&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    }
   ],
   "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="
   ],
   "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="
   ],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=.",
    "Locate the element: <textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "obligation": "required",
   "handling": "review",
   "policy_source": "target",
   "policy_reason": "WCAG 2.5.8 target-size results can require manual verification of spacing, equivalent controls, and essential-size exceptions.",
   "policy_evidence": [
    "https://alfa.siteimprove.com/rules/sia-r113"
   ],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/alfa__sia-r113.csv"
  },
  {
   "instance_id": "VS-5440c81b",
   "pattern_id": "VS-f7dba940",
   "a11y_pattern_fingerprint": "50c8c661b023dbfd5affed8d5af8109b4ad0da533ce32fe85d275900c6fabcaa",
   "a11y_pattern_display_id": "A11Y-PAT-50C8C661B023",
   "a11y_occurrence_fingerprint": "3b6a4ef60667fe17b3cf48f3867cce26ec5e06d3bed6096832d662df90406af4",
   "a11y_occurrence_display_id": "A11Y-OCC-3B6A4EF60667",
   "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964",
   "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
   "html_snippet": null,
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "frequency": {
    "instances": 355,
    "pages_affected": 355,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "description": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 355 of 7197 scanned pages (355 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/prv-2-007-7",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-2-045-45",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mcr-60-008-8",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicaid.gov/tmsis/dataguide/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"
   ],
   "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"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964.",
    "Locate the element: <a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/alfa__sia-r14.csv"
  },
  {
   "instance_id": "VS-bef512a7",
   "pattern_id": "VS-9429bb8d",
   "a11y_pattern_fingerprint": "41421730b8811402e7a4e38fdb39d1db020db07cfff56e0caa653dd8a363684f",
   "a11y_pattern_display_id": "A11Y-PAT-41421730B881",
   "a11y_occurrence_fingerprint": "0ba64ebd10722b8d107833f6b60aa1cd165fc64615d381796421192967b23060",
   "a11y_occurrence_display_id": "A11Y-OCC-0BA64EBD1072",
   "url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
   "xpath": ".nav",
   "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-required-children",
   "rule_label": "Certain ARIA roles must contain particular children",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 335,
    "pages_affected": 335,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Certain ARIA roles must contain particular children (WCAG 1.3.1)",
   "description": "Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 335 of 7197 scanned pages (335 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv003041",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002174",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    }
   ],
   "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"
   ],
   "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"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048.",
    "Locate the element: .nav",
    "Confirm the axe-core finding for rule aria-required-children against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "Add the child roles this container role requires (e.g. a list needs listitem children).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/axe-core__aria-required-children.csv"
  },
  {
   "instance_id": "VS-163e87b8",
   "pattern_id": "VS-d6097011",
   "a11y_pattern_fingerprint": "d58821b5f058fc07b11c10534e52b0cca73054d9199406248e792d5105fd9893",
   "a11y_pattern_display_id": "A11Y-PAT-D58821B5F058",
   "a11y_occurrence_fingerprint": "a00c23505f4a1a7ac50ee1432fe481dfe7721609cc3042134ac7ca003cf45883",
   "a11y_occurrence_display_id": "A11Y-OCC-A00C23505F4A",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041",
   "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "frequency": {
    "instances": 283,
    "pages_affected": 274,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 274 of 7197 scanned pages (283 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "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": "<ul class=\"select2-selection__rendered\" id=\"select2-edit-field-authority-container\">",
     "html_snippet": null
    },
    {
     "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": "<ul class=\"select2-selection__rendered\" id=\"select2-edit-field-status-container\">",
     "html_snippet": null
    }
   ],
   "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"
   ],
   "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"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041.",
    "Locate the element: <div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "possible_duplicate_of": "VS-bef512a7",
   "possible_duplicate_pattern": "VS-9429bb8d",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/alfa__sia-r68.csv"
  },
  {
   "instance_id": "VS-5101458c",
   "pattern_id": "VS-1467ea8a",
   "a11y_pattern_fingerprint": "ea22cf589d655040cfcc8c1a46712ee71f0b18dab4eee39e5921a225d826d913",
   "a11y_pattern_display_id": "A11Y-PAT-EA22CF589D65",
   "a11y_occurrence_fingerprint": "06bd36d06fdc8d70054b43d4ee98c8fdeaede74d32dcedfde7e64302cdfbe392",
   "a11y_occurrence_display_id": "A11Y-OCC-06BD36D06FDC",
   "url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
   "xpath": "a[href$=\"#overview\"]",
   "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 1633,
    "pages_affected": 335,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Elements must only use supported ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 335 of 7197 scanned pages (1633 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
     "xpath": "a[href$=\"#overview\"]",
     "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
     "xpath": "a[href$=\"#validvalues\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
     "xpath": "a[href$=\"#relatedrules\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#relatedrules\" role=\"link\" aria-selected=\"false\" aria-controls=\"relatedrules\" data-toggle=\"tab\">Related Rules</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
     "xpath": "a[href$=\"#overview\"]",
     "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003068",
     "xpath": "a[href$=\"#validvalues\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>"
    }
   ],
   "example_pages": [
    "https://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"
   ],
   "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"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048.",
    "Locate the element: a[href$=\"#overview\"]",
    "Confirm the axe-core finding for rule aria-allowed-attr against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Remove ARIA attributes that aren't allowed on this role/element.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/axe-core__aria-allowed-attr.csv"
  },
  {
   "instance_id": "VS-36bc25e8",
   "pattern_id": "VS-0841abc2",
   "a11y_pattern_fingerprint": "6c91a0afe33bb50eecf932b3fec805a7677380d85d901ef699a2dd1fbd2b355c",
   "a11y_pattern_display_id": "A11Y-PAT-6C91A0AFE33B",
   "a11y_occurrence_fingerprint": "c24c995be36dcafc87e1ea3dbf50bf47a1fca4547bf0510051a429cd46de9c59",
   "a11y_occurrence_display_id": "A11Y-OCC-C24C995BE36D",
   "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=1&q=",
   "xpath": "span[data-select2-id=\"select2-data-1-8ao1\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
   "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-input-field-name",
   "rule_label": "ARIA input fields must have an accessible name",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 460,
    "pages_affected": 221,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "ARIA input fields must have an accessible name (WCAG 4.1.2)",
   "description": "ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 221 of 7197 scanned pages (460 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=1&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-8ao1\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=1&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-0i99\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-pmhs\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-0ytp\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=",
     "xpath": "span[data-select2-id=\"select2-data-5-w05n\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    }
   ],
   "example_pages": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=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="
   ],
   "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="
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=1&q=.",
    "Locate the element: span[data-select2-id=\"select2-data-1-8ao1\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
    "Confirm the axe-core finding for rule aria-input-field-name against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/axe-core__aria-input-field-name.csv"
  },
  {
   "instance_id": "VS-04524167",
   "pattern_id": "VS-a48e6078",
   "a11y_pattern_fingerprint": "4e31479a6ded13f767c55899a0ecb11c41498f3083dbfe4c2f13533aecd09225",
   "a11y_pattern_display_id": "A11Y-PAT-4E31479A6DED",
   "a11y_occurrence_fingerprint": "36d62f63477ddf2b8b898198a7f50ec7eeb70a07e4ecba9d866a6eea33e1a0ff",
   "a11y_occurrence_display_id": "A11Y-OCC-36D62F63477D",
   "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": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
   "html_snippet": null,
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r8",
   "rule_label": "Form field has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r8",
   "severity": "Moderate",
   "frequency": {
    "instances": 237,
    "pages_affected": 114,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Form field has accessible name (WCAG 4.1.2)",
   "description": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 114 of 7197 scanned pages (237 instances).",
   "examples": [
    {
     "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": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "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": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "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": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=8&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=8&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicaid.gov/medicaid/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="
   ],
   "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="
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=.",
    "Locate the element: <span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r8 against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Associate the form field with a label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8",
   "possible_duplicate_of": "VS-36bc25e8",
   "possible_duplicate_pattern": "VS-0841abc2",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/alfa__sia-r8.csv"
  },
  {
   "instance_id": "VS-5fee3958",
   "pattern_id": "VS-646b1e0b",
   "a11y_pattern_fingerprint": "7ace717eaab36635836e8b2d7ccb240221c1cbfacafe3b71cdda08e970d9340f",
   "a11y_pattern_display_id": "A11Y-PAT-7ACE717EAAB3",
   "a11y_occurrence_fingerprint": "395b9ada22eecc43e09b437b8f42e8201a07716f449bba8dd90ea2c19a27959a",
   "a11y_occurrence_display_id": "A11Y-OCC-395B9ADA22EE",
   "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
   "xpath": "text: \"Here's how you know \"",
   "html_snippet": null,
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "frequency": {
    "instances": 141576,
    "pages_affected": 3463,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 3463 of 7197 scanned pages (141576 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
     "xpath": "text: \"Here's how you know \"",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
     "xpath": "text: \"\n                        4.0.37\n                    \"",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
     "xpath": "text: \"Data Guide\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A731&f%5B1%5D=state%3A796&f%5B2%5D=state%3A861&f%5B3%5D=state%3A991&page=0",
     "xpath": "text: \"Here’s how you know\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A731&f%5B1%5D=state%3A796&f%5B2%5D=state%3A861&f%5B3%5D=state%3A991&page=0",
     "xpath": "text: \"FAQs\"",
     "html_snippet": null
    }
   ],
   "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"
   ],
   "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372.",
    "Locate the element: text: \"Here's how you know \"",
    "Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/alfa__sia-r66.csv"
  },
  {
   "instance_id": "VS-95938eb1",
   "pattern_id": "VS-2208081b",
   "a11y_pattern_fingerprint": "e0c097b8956c24f601b45554efc6e35e8d61b38db9473bb9ebd1420dc3da3a9d",
   "a11y_pattern_display_id": "A11Y-PAT-E0C097B8956C",
   "a11y_occurrence_fingerprint": "6c3c0a2a4ed5cc94f102c5e8b26b5cbc95e72690efb45eea5c3058b935070dd7",
   "a11y_occurrence_display_id": "A11Y-OCC-6C3C0A2A4ED5",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A731&f%5B1%5D=state%3A796&f%5B2%5D=state%3A861&f%5B3%5D=state%3A991&page=0",
   "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "frequency": {
    "instances": 2794,
    "pages_affected": 2793,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 2793 of 7197 scanned pages (2794 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A731&f%5B1%5D=state%3A796&f%5B2%5D=state%3A861&f%5B3%5D=state%3A991&page=0",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "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",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%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",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%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",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    }
   ],
   "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"
   ],
   "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/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.",
    "Locate the element: <p class=\"usa-footer__contact-info margin-bottom-0\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/alfa__sia-r73.csv"
  },
  {
   "instance_id": "VS-7220d510",
   "pattern_id": "VS-fbf54eba",
   "a11y_pattern_fingerprint": "4619251abedff6048e4397cd7b2486f9ce25540efa3cd6be6ab0e1143fbc7f68",
   "a11y_pattern_display_id": "A11Y-PAT-4619251ABEDF",
   "a11y_occurrence_fingerprint": "bec16311b0ea17d30466f19c8a107cede5156f291d9c3293de229a3b6c58554f",
   "a11y_occurrence_display_id": "A11Y-OCC-BEC16311B0EA",
   "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": "<p class=\"field-content\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "frequency": {
    "instances": 106,
    "pages_affected": 13,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Link is distinguishable without relying on color (WCAG 1.4.8)",
   "description": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 13 of 7197 scanned pages (106 instances).",
   "examples": [
    {
     "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": "<p class=\"field-content\">",
     "html_snippet": null
    },
    {
     "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": "<p class=\"field-content\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=7",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=7",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=7",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    }
   ],
   "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"
   ],
   "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=25.",
    "Locate the element: <p class=\"field-content\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/alfa__sia-r74.csv"
  },
  {
   "instance_id": "VS-fd412742",
   "pattern_id": "VS-cb53cc4d",
   "a11y_pattern_fingerprint": "597e3ffea884bf162b9d8deaf6fb2580e27e411b2eb8d5018af75321ca9e6f87",
   "a11y_pattern_display_id": "A11Y-PAT-597E3FFEA884",
   "a11y_occurrence_fingerprint": "e865a8ba11012622c05885b433f1e0c5876e55e07aec468c2ae624c809616098",
   "a11y_occurrence_display_id": "A11Y-OCC-E865A8BA1101",
   "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
   "xpath": "<button class=\"btn btn-outline-primary dropdown-toggle py-1 px-2\" type=\"button\" id=\"dropdownMenuButton\" data-toggle=\"dropdown\">",
   "html_snippet": null,
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "frequency": {
    "instances": 84990,
    "pages_affected": 3463,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 3463 of 7197 scanned pages (84990 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
     "xpath": "<button class=\"btn btn-outline-primary dropdown-toggle py-1 px-2\" type=\"button\" id=\"dropdownMenuButton\" data-toggle=\"dropdown\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
     "xpath": "<a href=\"/tmsis/dataguide/v4/\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
     "xpath": "<a href=\"/tmsis/dataguide/v4/validation-rules/\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A731&f%5B1%5D=state%3A796&f%5B2%5D=state%3A861&f%5B3%5D=state%3A991&page=0",
     "xpath": "<button class=\"usa-button\" type=\"submit\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A731&f%5B1%5D=state%3A796&f%5B2%5D=state%3A861&f%5B3%5D=state%3A991&page=0",
     "xpath": "<a target=\"_self\" href=\"/faq\" aria-label=\"Go to Frequently Asked Questions (FAQs)\">",
     "html_snippet": null
    }
   ],
   "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"
   ],
   "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372.",
    "Locate the element: <button class=\"btn btn-outline-primary dropdown-toggle py-1 px-2\" type=\"button\" id=\"dropdownMenuButton\" data-toggle=\"dropdown\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/alfa__sia-r111.csv"
  },
  {
   "instance_id": "VS-4f56b347",
   "pattern_id": "VS-33841929",
   "a11y_pattern_fingerprint": "1c340f2b683ff02a1da25e38aa2c095875b696176e3d85f5041b9c8162cd7c0a",
   "a11y_pattern_display_id": "A11Y-PAT-1C340F2B683F",
   "a11y_occurrence_fingerprint": "2a21ad3278a0007c21801f89d4fd8137fce4432b306dbd952c17cf8d978f8d16",
   "a11y_occurrence_display_id": "A11Y-OCC-2A21AD3278A0",
   "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
   "xpath": "select[aria-labelledby=\"filter-th-87386-0\"]",
   "html_snippet": "<select aria-labelledby=\"filter-th-87386-0\" class=\"usa-select height-1\" data-col-index=\"0\" title=\"Filter by Type\">\n          <option value=\"\">All</option>\n        <option value=\"Federal Upper Limit\">F",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "label-title-only",
   "rule_label": "Form elements should have a visible label",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 25,
    "pages_affected": 2,
    "total_pages_scanned": 7197
   },
   "likely_source": "content",
   "summary": "Form elements should have a visible label (WCAG criterion undetermined)",
   "description": "Form elements should have a visible label. Detected by axe-core rule label-title-only on 2 of 7197 scanned pages (25 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "select[aria-labelledby=\"filter-th-87386-0\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87386-0\" class=\"usa-select height-1\" data-col-index=\"0\" title=\"Filter by Type\">\n          <option value=\"\">All</option>\n        <option value=\"Federal Upper Limit\">F"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "select[aria-labelledby=\"filter-th-87386-1\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87386-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by Year\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "select[aria-labelledby=\"filter-th-87386-2\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87386-2\" class=\"usa-select height-1\" data-col-index=\"2\" title=\"Filter by Month\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report",
     "xpath": "select[aria-labelledby=\"filter-th-87381-0\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87381-0\" class=\"usa-select height-1\" data-col-index=\"0\" title=\"Filter by Year\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report",
     "xpath": "select[aria-labelledby=\"filter-th-87381-1\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87381-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by State Full Name\">"
    }
   ],
   "example_pages": [
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report"
   ],
   "affected_pages": [
    "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
    "http://medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/drug-utilization-review-annual-report"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing.",
    "Locate the element: select[aria-labelledby=\"filter-th-87386-0\"]",
    "Confirm the axe-core finding for rule label-title-only."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/axe-core__label-title-only.csv"
  },
  {
   "instance_id": "VS-020fead1",
   "pattern_id": "VS-f18df681",
   "a11y_pattern_fingerprint": "fbef4ff3e32c4833d9c61a04ccc7db84d73dd7c229243df34c4072053dfeba79",
   "a11y_pattern_display_id": "A11Y-PAT-FBEF4FF3E32C",
   "a11y_occurrence_fingerprint": "f834a6c54f77f83d8828e7c804aff50627920fb4c7a0853725a1c2075c181c87",
   "a11y_occurrence_display_id": "A11Y-OCC-F834A6C54F77",
   "url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
   "xpath": ".small",
   "html_snippet": "<div class=\"small p-1\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 6338,
    "pages_affected": 1404,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 1404 of 7197 scanned pages (6338 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
     "xpath": ".small",
     "html_snippet": "<div class=\"small p-1\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
     "xpath": ".justify-content-between",
     "html_snippet": "<div class=\"d-flex justify-content-between m-2 mb-2\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
     "xpath": ".font-weight-bold",
     "html_snippet": "<p class=\"font-weight-bold m-0 mr-1\">Version:</p>"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
     "xpath": ".small",
     "html_snippet": "<div class=\"small p-1\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
     "xpath": ".justify-content-between",
     "html_snippet": "<div class=\"d-flex justify-content-between m-2 mb-2\">"
    }
   ],
   "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"
   ],
   "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048.",
    "Locate the element: .small",
    "Confirm the axe-core finding for rule region."
   ],
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Use Drupal's region system (header, navigation, main, sidebar, footer) and map each to an HTML5 landmark element in your theme's page.html.twig.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/axe-core__region.csv"
  },
  {
   "instance_id": "VS-ad674e40",
   "pattern_id": "VS-fa44f293",
   "a11y_pattern_fingerprint": "b9790a0b2b788597b7a0d3e5734ca98ab0938dac6abebd5b0d1acff5de0a5e31",
   "a11y_pattern_display_id": "A11Y-PAT-B9790A0B2B78",
   "a11y_occurrence_fingerprint": "d00d23c204d3e2defa25a33b1aafed91af97fa16095609e1a59be91dfb444923",
   "a11y_occurrence_display_id": "A11Y-OCC-D00D23C204D3",
   "url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
   "xpath": "html",
   "html_snippet": "<html class=\"no-js\" lang=\"en\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1403,
    "pages_affected": 1403,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Page should contain a level-one heading (WCAG criterion undetermined)",
   "description": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 1403 of 7197 scanned pages (1403 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-86-007-7",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-879",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    }
   ],
   "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"
   ],
   "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule page-has-heading-one."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/axe-core__page-has-heading-one.csv"
  },
  {
   "instance_id": "VS-d9376392",
   "pattern_id": "VS-d5d82446",
   "a11y_pattern_fingerprint": "e0548b94661fca016e56f7a6e654dc2c2889714e73bcf48c1394e8cb092b990e",
   "a11y_pattern_display_id": "A11Y-PAT-E0548B94661F",
   "a11y_occurrence_fingerprint": "b0029102eca7e014a3234bee4ae74175e2e9d6cc1ac2191d7afcf74382cad6fa",
   "a11y_occurrence_display_id": "A11Y-OCC-B0029102ECA7",
   "url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
   "xpath": "html",
   "html_snippet": "<html class=\"no-js\" lang=\"en\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1401,
    "pages_affected": 1401,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Document should have one main landmark (WCAG criterion undetermined)",
   "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 1401 of 7197 scanned pages (1401 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-86-007-7",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-879",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    }
   ],
   "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"
   ],
   "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002048.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule landmark-one-main."
   ],
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/axe-core__landmark-one-main.csv"
  },
  {
   "instance_id": "VS-73400c0f",
   "pattern_id": "VS-d25f622d",
   "a11y_pattern_fingerprint": "85a15a981bde8ee58844c5e56067fdeaa245cec856c3777166818f94f523a1f0",
   "a11y_pattern_display_id": "A11Y-PAT-85A15A981BDE",
   "a11y_occurrence_fingerprint": "d748cf063da844d07e92ed88bd1ffa4deaa3939d57404d0fd0a31b0a946ec96a",
   "a11y_occurrence_display_id": "A11Y-OCC-D748CF063DA8",
   "url": "https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia",
   "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
   "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 159,
    "pages_affected": 149,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 149 of 7197 scanned pages (159 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/195131",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=23",
     "xpath": ".views-row:nth-child(1) > .views-field-title.views-field > h4",
     "html_snippet": "<h4 class=\"field-content\"><a href=\"/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/53858\" hreflang=\"en\">Section 1135 Waiver Flexibilities - Puerto Rico 2019 Earthquak"
    },
    {
     "url": "https://medicaid.gov/resources-for-states/eligibility-enrollment-and-renewal-tools-and-resources/renewal-strategies-and-tools",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/99166",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    }
   ],
   "example_pages": [
    "https://medicaid.gov/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"
   ],
   "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia.",
    "Locate the element: .region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
    "Confirm the axe-core finding for rule heading-order."
   ],
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Drupal Views and blocks can insert headings at arbitrary levels. In the Views UI, set \"Title tag\" for each display. For block titles, configure the heading level in the block's layout settings.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/axe-core__heading-order.csv"
  },
  {
   "instance_id": "VS-e745a5bc",
   "pattern_id": "VS-8806389c",
   "a11y_pattern_fingerprint": "94e0218b7fbdaffcb5b21134c4dc8c71ab5a17513897ab7889e76550a460aa19",
   "a11y_pattern_display_id": "A11Y-PAT-94E0218B7FBD",
   "a11y_occurrence_fingerprint": "f346b4ce15b433be9b2716c9048a5fa2c7e166f4c5c6874481016d70b0bfe529",
   "a11y_occurrence_display_id": "A11Y-OCC-F346B4CE15B4",
   "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
   "xpath": ".section",
   "html_snippet": "<aside class=\"section\" role=\"complementary\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 39,
    "pages_affected": 39,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)",
   "description": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 39 of 7197 scanned pages (39 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=23",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing",
     "xpath": "#DataTables_Table_0_paginate",
     "html_snippet": "<div class=\"dataTables_paginate paging_simple_numbers usa-pagination ikn-datatables-pagination\" id=\"DataTables_Table_0_paginate\" style=\"\" aria-label=\"Pagination\" role=\"navigation\">"
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=25",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?eId=ed2c8935-b8d6-404a-97d1-cf9d7eada13d&eType=EmailBlastContent&page=7",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    }
   ],
   "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"
   ],
   "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/long-term-services-supports/money-follows-person.",
    "Locate the element: .section",
    "Confirm the axe-core finding for rule landmark-unique."
   ],
   "remediation_tip": "When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. \"Primary\" and \"Footer\" navigation) so screen-reader users can tell them apart.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/axe-core__landmark-unique.csv"
  },
  {
   "instance_id": "VS-d6ed644f",
   "pattern_id": "VS-4fac2f41",
   "a11y_pattern_fingerprint": "acc520288c4ef10a9ea762011ca9b633db0a0f6496eeca3ba279d3813fea01a4",
   "a11y_pattern_display_id": "A11Y-PAT-ACC520288C4E",
   "a11y_occurrence_fingerprint": "cd5568a60cff632e1017361bf907f8913c87ccb7ac01b4016745129c386e9bf2",
   "a11y_occurrence_display_id": "A11Y-OCC-CD5568A60CFF",
   "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=1&q=",
   "xpath": "span[data-select2-id=\"select2-data-1-8ao1\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
   "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-role",
   "rule_label": "ARIA role should be appropriate for the element",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 460,
    "pages_affected": 221,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "ARIA role should be appropriate for the element (WCAG criterion undetermined)",
   "description": "ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 221 of 7197 scanned pages (460 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=1&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-8ao1\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=1&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-0i99\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-pmhs\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=786&page=0&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-0ytp\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__fiel...\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label="
    },
    {
     "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": "span[data-select2-id=\"select2-data-5-w05n\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    }
   ],
   "example_pages": [
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=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="
   ],
   "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="
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=1&q=.",
    "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",
    "Confirm the axe-core finding for rule aria-allowed-role."
   ],
   "remediation_tip": "Remove or change the ARIA role — it isn't allowed on this element type.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/axe-core__aria-allowed-role.csv"
  },
  {
   "instance_id": "VS-9fd0776a",
   "pattern_id": "VS-c18be945",
   "a11y_pattern_fingerprint": "f5412e506524e443ddb67919d504e6fa514b4772001e74c7077479bfe7b09784",
   "a11y_pattern_display_id": "A11Y-PAT-F5412E506524",
   "a11y_occurrence_fingerprint": "d33b8a065ec4e529072b9799d43bf36ee94a21922b496e124fdb93233acd5566",
   "a11y_occurrence_display_id": "A11Y-OCC-D33B8A065EC4",
   "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
   "xpath": "text: \"\n                An official website of the United States government\n                \"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "frequency": {
    "instances": 31623,
    "pages_affected": 3463,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3463 of 7197 scanned pages (31623 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
     "xpath": "text: \"\n                An official website of the United States government\n                \"",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
     "xpath": "text: \"Version:\"",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
     "xpath": "text: \"\n                        4.0.37\n                    \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A731&f%5B1%5D=state%3A796&f%5B2%5D=state%3A861&f%5B3%5D=state%3A991&page=0",
     "xpath": "text: \"  Feedback  \"",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964",
     "xpath": "text: \"\n                An official website of the United States government\n                \"",
     "html_snippet": null
    }
   ],
   "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"
   ],
   "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372.",
    "Locate the element: text: \"\n                An official website of the United States government\n                \"",
    "Confirm the Siteimprove Alfa finding for rule sia-r57."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/alfa__sia-r57.csv"
  },
  {
   "instance_id": "VS-03e11d2c",
   "pattern_id": "VS-aa242c2d",
   "a11y_pattern_fingerprint": "9bbfd94bd90376189a5c933a4d16c8a76c606598a68b0d2e61eecf739964bd9d",
   "a11y_pattern_display_id": "A11Y-PAT-9BBFD94BD903",
   "a11y_occurrence_fingerprint": "ab8c49e70e41f0d1d8195465a2398606914d7df9ba729a42a37abf2dd0f4f757",
   "a11y_occurrence_display_id": "A11Y-OCC-AB8C49E70E41",
   "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "frequency": {
    "instances": 670,
    "pages_affected": 670,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "First focusable element is link to main content (WCAG criterion undetermined)",
   "description": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 670 of 7197 scanned pages (670 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-879",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3049",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/prv-2-007-7",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "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"
   ],
   "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r87."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/alfa__sia-r87.csv"
  },
  {
   "instance_id": "VS-6204a9df",
   "pattern_id": "VS-7118fead",
   "a11y_pattern_fingerprint": "d71a88e83b9226ce1c0d790a0f6c20a91532d96068ebea7e887804b7fc25ae3d",
   "a11y_pattern_display_id": "A11Y-PAT-D71A88E83B92",
   "a11y_occurrence_fingerprint": "b39e4e588be9ef0b3c5f6aabd06aeda33160f703893be445b3e56758867bd360",
   "a11y_occurrence_display_id": "A11Y-OCC-B39E4E588BE9",
   "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "frequency": {
    "instances": 668,
    "pages_affected": 668,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 668 of 7197 scanned pages (668 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1964",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-879",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3049",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/prv-2-007-7",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "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"
   ],
   "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6372.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r61."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/alfa__sia-r61.csv"
  },
  {
   "instance_id": "VS-753763a3",
   "pattern_id": "VS-e05344b9",
   "a11y_pattern_fingerprint": "1f096d7d348a6e73ae969784c8c1abde5919a38d6f373291c1b3cdfd860d9c27",
   "a11y_pattern_display_id": "A11Y-PAT-1F096D7D348A",
   "a11y_occurrence_fingerprint": "740c9e75cb7cc4fbdb03e27434e53edc206668273710c1563ae6f57625fc11a4",
   "a11y_occurrence_display_id": "A11Y-OCC-740C9E75CB7C",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041",
   "xpath": "@aria-selected=\"true\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "frequency": {
    "instances": 825,
    "pages_affected": 166,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)",
   "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 166 of 7197 scanned pages (825 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041",
     "xpath": "@aria-selected=\"true\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
     "xpath": "@aria-selected=\"true\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004124",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    }
   ],
   "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"
   ],
   "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/crx002041.",
    "Locate the element: @aria-selected=\"true\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r18."
   ],
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/alfa__sia-r18.csv"
  },
  {
   "instance_id": "VS-fc166218",
   "pattern_id": "VS-04a9d28c",
   "a11y_pattern_fingerprint": "56a6becbcfff85f715f09e97b699bae8f9e5cd3dd97d00e80e5669888e67d9c0",
   "a11y_pattern_display_id": "A11Y-PAT-56A6BECBCFFF",
   "a11y_occurrence_fingerprint": "967816c31d09a52f117baf5bf4def4be2362857ca7c72866413ba91dde09cedd",
   "a11y_occurrence_display_id": "A11Y-OCC-967816C31D09",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002174",
   "xpath": "td",
   "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine_key": "deprecated-html",
   "tool": "deprecated-html",
   "rule_url": null,
   "severity": "Moderate",
   "frequency": {
    "instances": 128,
    "pages_affected": 99,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)",
   "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 99 of 7197 scanned pages (128 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002174",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002174",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"2\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002174",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx002035",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"2\" class=\"dataTables_empty\">No data available in table</td>"
    }
   ],
   "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"
   ],
   "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002174.",
    "Locate the element: td",
    "Confirm the deprecated-html finding for rule presentational-attr."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/deprecated-html__presentational-attr.csv"
  },
  {
   "instance_id": "VS-fc029eb5",
   "pattern_id": "VS-f054f4a4",
   "a11y_pattern_fingerprint": "82f0115236489cbf7e7f113fdfd27b524072c7c43e37572941e91819b5f10cbb",
   "a11y_pattern_display_id": "A11Y-PAT-82F011523648",
   "a11y_occurrence_fingerprint": "48fb363129804d8c2aee6312e7bcbd340b679803f5ee122fc38c7453cd535cee",
   "a11y_occurrence_display_id": "A11Y-OCC-48FB36312980",
   "url": "https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia",
   "xpath": "<h4 class=\"usa-footer__primary-link\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "frequency": {
    "instances": 74,
    "pages_affected": 70,
    "total_pages_scanned": 7197
   },
   "likely_source": "template",
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 70 of 7197 scanned pages (74 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/195131",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/file-formats-and-data-definitions/file-format/data-definition-archive",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "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": "<h4 class=\"field-content\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/program-areas/reducing-substance-use-disorders/collaborative-learning",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    }
   ],
   "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"
   ],
   "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"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/state-overviews/stateprofile.html?state=Georgia.",
    "Locate the element: <h4 class=\"usa-footer__primary-link\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r53."
   ],
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/alfa__sia-r53.csv"
  },
  {
   "instance_id": "VS-68b835df",
   "pattern_id": "VS-2cd767ca",
   "a11y_pattern_fingerprint": "ed52f845f843f13f4bf70154ab9c19cffe567a466297524dafcad5719950facc",
   "a11y_pattern_display_id": "A11Y-PAT-ED52F845F843",
   "a11y_occurrence_fingerprint": "69e4f58740bd2d9d9ec8a60e67ee4f42b6e1cdfcebd7749d59a9be98b1b1b6f3",
   "a11y_occurrence_display_id": "A11Y-OCC-69E4F58740BD",
   "url": "https://medicaid.gov/resources-for-states/medicaid-and-chip-program-portal",
   "xpath": "<h4>",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 7197
   },
   "likely_source": "content",
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 1 of 7197 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://medicaid.gov/resources-for-states/medicaid-and-chip-program-portal",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/resources-for-states/medicaid-and-chip-program-portal",
     "xpath": "<h4>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicaid.gov/resources-for-states/medicaid-and-chip-program-portal"
   ],
   "affected_pages": [
    "https://medicaid.gov/resources-for-states/medicaid-and-chip-program-portal"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/resources-for-states/medicaid-and-chip-program-portal.",
    "Locate the element: <h4>",
    "Confirm the Siteimprove Alfa finding for rule sia-r78."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W38",
   "weeks_seen": 14,
   "affected_pages_csv": "csv/alfa__sia-r78.csv"
  }
 ],
 "policy": {
  "suppression": {
   "patterns": 0,
   "pages": 0,
   "occurrences": 0,
   "entries": []
  }
 }
}