# Accessibility bug reports — www.medicaid.gov, week 2026-W39

33 issue type(s) from 6888 pages scanned. Generated 2026-09-30 by [vital-scans](https://github.com/mgifford/vital-core), following [accessibility bug-reporting best practices](https://mgifford.github.io/ACCESSIBILITY.md/examples/ACCESSIBILITY_BUG_REPORTING_BEST_PRACTICES.html).

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

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

**Bug ID:** `VS-b42d1c64`  
**Pattern ID:** `VS-179ad9b3`  
**URL:** http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=  
**XPath / selector:** `<textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">`  
**WCAG SC:** 2.5.8 — Target Size (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r113` ([reference](https://alfa.siteimprove.com/rules/sia-r113))  
**Severity:** Moderate  
**Frequency:** 143 instances; 69 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 69 of 6888 scanned pages (143 instances).

### Steps to reproduce
1. Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=.
2. Locate the element: <textarea class="select2-search__field" type="search" tabindex="0" autocorrect="off">
3. Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum).

### Impact
Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%).
- **Limited manipulation/strength** (13.0% of population)
- **Limited reach** (2.0% of population)
- **Limited vision** (2.4% of population)

### Affected pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=27&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=6&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=831&page=26&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=8&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=866&page=21&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=54&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=991&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=49&q=
- https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=2&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=2&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=35&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=8&q=
- https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=10&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=30&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?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=941&page=4&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1006&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=22&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=731&page=4&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=14&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=19&q=

…and more — 69 pages total ([download CSV](csv/alfa__sia-r113.csv)).

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

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

### Example pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=27&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=6&q=

---

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

**Bug ID:** `VS-dd2d3177`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127  
**XPath / selector:** `<a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">`  
**WCAG SC:** 2.5.3 — Label in Name (Level A)  
**Rule:** Siteimprove Alfa — `sia-r14` ([reference](https://alfa.siteimprove.com/rules/sia-r14))  
**Severity:** Moderate  
**Frequency:** 284 instances; 284 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 284 of 6888 scanned pages (284 instances).

### Steps to reproduce
1. Open https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127.
2. Locate the element: <a alt="View Changelog, select to access the version history" href="#" class="text-primary btn p-0" data-target="#modalChangelogHistory">
3. Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name.

### Impact
Affects Without vision (1.0%), Without speech (0.5%).
- **Without vision** (1.0% of population)
- **Without speech** (0.5% of population)

### Affected pages
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002023
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv004066
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv005074
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003089
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-9220
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/tpl006075
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/tpl-5-008-8
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1871
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-26-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002153
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002074
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-18-001-3
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1577
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt001004
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot002135
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003074
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2043
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-1-018-19
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv004070
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1845
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv007094
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-83-025-25
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg010147

…and more — 284 pages total ([download CSV](csv/alfa__sia-r14.csv)).

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

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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002023
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv004066

---

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

**Bug ID:** `VS-f8796fce`  
**Pattern ID:** `VS-9429bb8d`  
**URL:** https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002018  
**XPath / selector:** `.nav`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `aria-required-children` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 224 instances; 224 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### HTML snippet
```html
<div class="nav nav-tabs nav-justified" role="tablist">
```

### Description
Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 224 of 6888 scanned pages (224 instances).

### Steps to reproduce
1. Open https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002018.
2. Locate the element: .nav
3. Confirm the axe-core finding for rule aria-required-children against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002018
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002023
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv004066
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv005074
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002057
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002058
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002175
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095387
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003089
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/tpl006075
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip003238
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002153
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008304
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002074
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot002085
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip001007
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt001004
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl003047
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot002135
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004107
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003074
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv004070

…and more — 224 pages total ([download CSV](csv/axe-core__aria-required-children.csv)).

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

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

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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002018
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127

---

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

**Bug ID:** `VS-013f1e06`  
**Pattern ID:** `VS-d6097011`  
**URL:** http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=  
**XPath / selector:** `<ul class="select2-selection__rendered" id="select2-edit-field-topics-container">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r68` ([reference](https://alfa.siteimprove.com/rules/sia-r68))  
**Severity:** Moderate  
**Frequency:** 188 instances; 183 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 183 of 6888 scanned pages (188 instances).

### Steps to reproduce
1. Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=.
2. Locate the element: <ul class="select2-selection__rendered" id="select2-edit-field-topics-container">
3. Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=27&q=
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002023
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=6&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv004066
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv005074
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003089
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/tpl006075
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=831&page=26&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002153
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002074
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=8&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt001004
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl003047
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot002135
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003074
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv004070
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=866&page=21&q=
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv007094
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=54&q=
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg010147
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002051

…and more — 183 pages total ([download CSV](csv/alfa__sia-r68.csv)).

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

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

### Example pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127

---

## Links must have discernible text (WCAG 2.4.4)

**Bug ID:** `VS-6ab3b9f4`  
**Pattern ID:** `VS-e9fe47ac`  
**URL:** http://medicaid.gov/medicaid/quality-of-care/performance-measurement/adult-and-child-health-care-quality-measures/childrens-health-care-quality-measures  
**XPath / selector:** `li:nth-child(2) > a:nth-child(2)`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** axe-core — `link-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1 instances; 1 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (9 weeks)

### HTML snippet
```html
<a href="/medicaid/quality-of-care/core-set-data-dashboard/welcome"> </a>
```

### Description
Links must have discernible text. Detected by axe-core rule link-name on 1 of 6888 scanned pages (1 instances).

### Steps to reproduce
1. Open http://medicaid.gov/medicaid/quality-of-care/performance-measurement/adult-and-child-health-care-quality-measures/childrens-health-care-quality-measures.
2. Locate the element: li:nth-child(2) > a:nth-child(2)
3. Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context).

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- http://medicaid.gov/medicaid/quality-of-care/performance-measurement/adult-and-child-health-care-quality-measures/childrens-health-care-quality-measures

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

### Suggested fix
**How to fix:** Give the link discernible text. Avoid empty links and icon-only links without an aria-label.

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

---

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

**Bug ID:** `VS-30b297a6`  
**Pattern ID:** `VS-1467ea8a`  
**URL:** https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002018  
**XPath / selector:** `a[href$="#overview"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-allowed-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 1108 instances; 224 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

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

### Description
Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 224 of 6888 scanned pages (1108 instances).

### Steps to reproduce
1. Open https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002018.
2. Locate the element: a[href$="#overview"]
3. Confirm the axe-core finding for rule aria-allowed-attr against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002018
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002023
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv004066
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv005074
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002057
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002058
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002175
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095387
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003089
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/tpl006075
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip003238
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002153
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx008304
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002074
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot002085
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip001007
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt001004
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl003047
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot002135
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx004107
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003074
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv004070

…and more — 224 pages total ([download CSV](csv/axe-core__aria-allowed-attr.csv)).

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

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

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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002018
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127

---

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

**Bug ID:** `VS-40071f81`  
**Pattern ID:** `VS-0841abc2`  
**URL:** http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=  
**XPath / selector:** `span[data-select2-id="select2-data-1-vomy"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-input-field-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 304 instances; 145 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

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

### Description
ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 145 of 6888 scanned pages (304 instances).

### Steps to reproduce
1. Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=.
2. Locate the element: span[data-select2-id="select2-data-1-vomy"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"]
3. Confirm the axe-core finding for rule aria-input-field-name against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=976&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=27&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=6&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=831&page=26&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=8&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=36&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=3&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=736&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=866&page=21&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=54&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=12&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=7&q=
- https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=2&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=901&page=5&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=991&q=
- https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=0&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=946&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=19&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=26&q=
- http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=961&page=2&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=46&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=7&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=49&q=
- https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=2&q=

…and more — 145 pages total ([download CSV](csv/axe-core__aria-input-field-name.csv)).

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

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

### Example pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=976&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=27&q=

---

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

**Bug ID:** `VS-8e3fb774`  
**Pattern ID:** `VS-ebb1c464`  
**URL:** https://www.medicaid.gov/medicaid/quality-of-care/investing-health-outcomes  
**XPath / selector:** `#map-svg-map-default-1790117194`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-prohibited-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 4 instances; 4 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (14 weeks)

### HTML snippet
```html
<div id="map-svg-map-default-1790117194" class="map-container" aria-disabled="true" aria-label="State Map Image. Keyboard navigating users can use dropdown to select state." style="position: relative;
```

### Description
Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 4 of 6888 scanned pages (4 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/medicaid/quality-of-care/investing-health-outcomes.
2. Locate the element: #map-svg-map-default-1790117194
3. Confirm the axe-core finding for rule aria-prohibited-attr against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://www.medicaid.gov/medicaid/quality-of-care/investing-health-outcomes
- https://medicaid.gov/medicaid/quality-of-care/investing-health-outcomes
- http://medicaid.gov/medicaid/quality-of-care/investing-health-outcomes
- http://medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/state-plan-amendments-spa

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

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI

### Example pages
- https://www.medicaid.gov/medicaid/quality-of-care/investing-health-outcomes
- https://medicaid.gov/medicaid/quality-of-care/investing-health-outcomes
- http://medicaid.gov/medicaid/quality-of-care/investing-health-outcomes

---

## Form field has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-b343610e`  
**Pattern ID:** `VS-a48e6078`  
**URL:** http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=  
**XPath / selector:** `<span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r8` ([reference](https://alfa.siteimprove.com/rules/sia-r8))  
**Severity:** Moderate  
**Frequency:** 143 instances; 69 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 69 of 6888 scanned pages (143 instances).

### Steps to reproduce
1. Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=.
2. Locate the element: <span class="select2-selection select2-selection--multiple" role="combobox" aria-haspopup="true" aria-expanded="false">
3. Confirm the Siteimprove Alfa finding for rule sia-r8 against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=27&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=6&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=831&page=26&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=8&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=866&page=21&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=54&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=991&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=49&q=
- https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=2&q=
- https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=2&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=991&page=0&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=916&page=35&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=8&q=
- https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=10&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=931&page=30&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?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=941&page=4&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1006&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=22&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=756&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=731&page=4&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=896&page=14&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=19&q=

…and more — 69 pages total ([download CSV](csv/alfa__sia-r8.csv)).

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

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

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

### Example pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=27&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=6&q=

---

## Text has sufficient color contrast (Enhanced) (WCAG 1.4.3)

**Bug ID:** `VS-5e22143f`  
**Pattern ID:** `VS-f7e99f4b`  
**URL:** https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D  
**XPath / selector:** `text: "All"`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r69` ([reference](https://alfa.siteimprove.com/rules/sia-r69))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 6888 pages affected
  
**History:** first seen 2026-W39, last seen 2026-W39 (1 week)

### Description
Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 1 of 6888 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D.
2. Locate the element: text: "All"
3. Confirm the Siteimprove Alfa finding for rule sia-r69 against WCAG 1.4.3 Contrast (Minimum).

### Impact
Affects Limited vision (2.4%), Without color perception (4.5%).
- **Limited vision** (2.4% of population)
- **Without color perception** (4.5% of population)

### Affected pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D

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

### Suggested fix
**How to fix:** Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-a338f232`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A871&f%5B1%5D=topics%3A8871&page=0  
**XPath / selector:** `text: "Here’s how you know"`  
**WCAG SC:** 1.4.6 — Contrast (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r66` ([reference](https://alfa.siteimprove.com/rules/sia-r66))  
**Severity:** Moderate  
**Frequency:** 145314 instances; 3426 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 3426 of 6888 scanned pages (145314 instances).

### Steps to reproduce
1. Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A871&f%5B1%5D=topics%3A8871&page=0.
2. Locate the element: text: "Here’s how you know"
3. Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced).

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A871&f%5B1%5D=topics%3A8871&page=0
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A846&f%5B1%5D=waiver_state_facet%3A991&objectId=1890019&page=0
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1516&f%5B1%5D=fpg_topics_facet%3A8601&f%5B2%5D=fpg_topics_facet%3A8716&f%5B3%5D=fpg_topics_facet%3A8861&page=4
- 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=sub_topic_faq_library_facet%3A2386&f%5B3%5D=sub_topic_faq_library_facet%3A2421&page=9
- https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1856&f%5B1%5D=sub_topic_faq_library_facet%3A2456&f%5B2%5D=sub_topic_faq_library_facet%3A2491&f%5B3%5D=sub_topic_faq_library_facet%3A2531&page=3
- https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A751&f%5B1%5D=fpg_topics_facet%3A1016&f%5B2%5D=fpg_topics_facet%3A1491&f%5B3%5D=fpg_topics_facet%3A1531&f%5B4%5D=fpg_topics_facet%3A8591&f%5B5%5D=fpg_topics_facet%3A8606&f%5B6%5D=fpg_topics_facet%3A8891&page=107
- https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1896&f%5B1%5D=sub_topic_faq_library_facet%3A2001&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2011&f%5B4%5D=sub_topic_faq_library_facet%3A2091&page=84
- https://medicaid.gov/faq?f%5B0%5D=topic_faq_library_facet%3A2216&fcf=41269&page=80&sl=yes
- https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=state_waiver_status_facet%3A1601&f%5B1%5D=waiver_state_facet%3A891&page=69&sl=yes&usid=NM
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A906&f%5B1%5D=fpg_topics_facet%3A6171&f%5B2%5D=fpg_topics_facet%3A8411&f%5B3%5D=fpg_topics_facet%3A8606&page=1
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A771&f%5B2%5D=fpg_topics_facet%3A1521&f%5B3%5D=fpg_topics_facet%3A1526&f%5B4%5D=fpg_topics_facet%3A3261&f%5B5%5D=fpg_topics_facet%3A8381&f%5B6%5D=fpg_topics_facet%3A8601&f%5B7%5D=fpg_topics_facet%3A8616&f%5B8%5D=fpg_topics_facet%3A8716&f%5B9%5D=fpg_topics_facet%3A8861&page=111
- https://medicaid.gov/faq?f%5B0%5D=topic_faq_library_facet%3A2186&f%5B1%5D=topic_faq_library_facet%3A2276&f%5B2%5D=topic_faq_library_facet%3A2541&page=81
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2081&f%5B1%5D=sub_topic_faq_library_facet%3A2336&f%5B2%5D=sub_topic_faq_library_facet%3A2351&f%5B3%5D=sub_topic_faq_library_facet%3A2381&f%5B4%5D=sub_topic_faq_library_facet%3A2436&f%5B5%5D=sub_topic_faq_library_facet%3A2471&f%5B6%5D=sub_topic_faq_library_facet%3A2511&f%5B7%5D=sub_topic_faq_library_facet%3A2521&f%5B8%5D=topic_faq_library_facet%3A2271&page=10
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A936&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1511&f%5B3%5D=fpg_topics_facet%3A1526&f%5B4%5D=fpg_topics_facet%3A3261&f%5B5%5D=fpg_topics_facet%3A8381&f%5B6%5D=fpg_topics_facet%3A8891&f%5B7%5D=fpg_type_facet%3A1481&page=0
- http://medicaid.gov/faq?fcf=&fd=09%2F30%2F2013&page=83&sl=yes&td=09%2F30%2F2013&tid=2
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1851&f%5B1%5D=sub_topic_faq_library_facet%3A1921&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2106&page=1
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A896&f%5B1%5D=waiver_state_facet%3A926&page=70
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A841&page=0
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8898
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A696&f%5B1%5D=state%3A851&f%5B2%5D=state%3A891&page=1670&search_api_fulltext=Prescription+Drug+VBP
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1491&f%5B1%5D=fpg_topics_facet%3A1516&f%5B2%5D=fpg_topics_facet%3A8901&page=0
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A1531&f%5B2%5D=fpg_topics_facet%3A3046&f%5B3%5D=fpg_topics_facet%3A8716&page=1
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-8-002-2
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1921&f%5B1%5D=sub_topic_faq_library_facet%3A2081&f%5B2%5D=sub_topic_faq_library_facet%3A2091&f%5B3%5D=sub_topic_faq_library_facet%3A2351&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=1

…and more — 3426 pages total ([download CSV](csv/alfa__sia-r66.csv)).

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

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

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

### Example pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A871&f%5B1%5D=topics%3A8871&page=0
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A846&f%5B1%5D=waiver_state_facet%3A991&objectId=1890019&page=0
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1516&f%5B1%5D=fpg_topics_facet%3A8601&f%5B2%5D=fpg_topics_facet%3A8716&f%5B3%5D=fpg_topics_facet%3A8861&page=4

---

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

**Bug ID:** `VS-d44f4e7d`  
**Pattern ID:** `VS-2208081b`  
**URL:** http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A871&f%5B1%5D=topics%3A8871&page=0  
**XPath / selector:** `<p class="usa-footer__contact-info margin-bottom-0">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r73` ([reference](https://alfa.siteimprove.com/rules/sia-r73))  
**Severity:** Moderate  
**Frequency:** 3961 instances; 2885 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 2885 of 6888 scanned pages (3961 instances).

### Steps to reproduce
1. Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A871&f%5B1%5D=topics%3A8871&page=0.
2. Locate the element: <p class="usa-footer__contact-info margin-bottom-0">
3. Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A871&f%5B1%5D=topics%3A8871&page=0
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A846&f%5B1%5D=waiver_state_facet%3A991&objectId=1890019&page=0
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1516&f%5B1%5D=fpg_topics_facet%3A8601&f%5B2%5D=fpg_topics_facet%3A8716&f%5B3%5D=fpg_topics_facet%3A8861&page=4
- 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=sub_topic_faq_library_facet%3A2386&f%5B3%5D=sub_topic_faq_library_facet%3A2421&page=9
- https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1856&f%5B1%5D=sub_topic_faq_library_facet%3A2456&f%5B2%5D=sub_topic_faq_library_facet%3A2491&f%5B3%5D=sub_topic_faq_library_facet%3A2531&page=3
- https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A751&f%5B1%5D=fpg_topics_facet%3A1016&f%5B2%5D=fpg_topics_facet%3A1491&f%5B3%5D=fpg_topics_facet%3A1531&f%5B4%5D=fpg_topics_facet%3A8591&f%5B5%5D=fpg_topics_facet%3A8606&f%5B6%5D=fpg_topics_facet%3A8891&page=107
- https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1896&f%5B1%5D=sub_topic_faq_library_facet%3A2001&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2011&f%5B4%5D=sub_topic_faq_library_facet%3A2091&page=84
- https://medicaid.gov/faq?f%5B0%5D=topic_faq_library_facet%3A2216&fcf=41269&page=80&sl=yes
- https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=state_waiver_status_facet%3A1601&f%5B1%5D=waiver_state_facet%3A891&page=69&sl=yes&usid=NM
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A906&f%5B1%5D=fpg_topics_facet%3A6171&f%5B2%5D=fpg_topics_facet%3A8411&f%5B3%5D=fpg_topics_facet%3A8606&page=1
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A771&f%5B2%5D=fpg_topics_facet%3A1521&f%5B3%5D=fpg_topics_facet%3A1526&f%5B4%5D=fpg_topics_facet%3A3261&f%5B5%5D=fpg_topics_facet%3A8381&f%5B6%5D=fpg_topics_facet%3A8601&f%5B7%5D=fpg_topics_facet%3A8616&f%5B8%5D=fpg_topics_facet%3A8716&f%5B9%5D=fpg_topics_facet%3A8861&page=111
- https://medicaid.gov/faq?f%5B0%5D=topic_faq_library_facet%3A2186&f%5B1%5D=topic_faq_library_facet%3A2276&f%5B2%5D=topic_faq_library_facet%3A2541&page=81
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2081&f%5B1%5D=sub_topic_faq_library_facet%3A2336&f%5B2%5D=sub_topic_faq_library_facet%3A2351&f%5B3%5D=sub_topic_faq_library_facet%3A2381&f%5B4%5D=sub_topic_faq_library_facet%3A2436&f%5B5%5D=sub_topic_faq_library_facet%3A2471&f%5B6%5D=sub_topic_faq_library_facet%3A2511&f%5B7%5D=sub_topic_faq_library_facet%3A2521&f%5B8%5D=topic_faq_library_facet%3A2271&page=10
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A936&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1511&f%5B3%5D=fpg_topics_facet%3A1526&f%5B4%5D=fpg_topics_facet%3A3261&f%5B5%5D=fpg_topics_facet%3A8381&f%5B6%5D=fpg_topics_facet%3A8891&f%5B7%5D=fpg_type_facet%3A1481&page=0
- http://medicaid.gov/faq?fcf=&fd=09%2F30%2F2013&page=83&sl=yes&td=09%2F30%2F2013&tid=2
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1851&f%5B1%5D=sub_topic_faq_library_facet%3A1921&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2106&page=1
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A896&f%5B1%5D=waiver_state_facet%3A926&page=70
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A841&page=0
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A696&f%5B1%5D=state%3A851&f%5B2%5D=state%3A891&page=1670&search_api_fulltext=Prescription+Drug+VBP
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1491&f%5B1%5D=fpg_topics_facet%3A1516&f%5B2%5D=fpg_topics_facet%3A8901&page=0
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A1531&f%5B2%5D=fpg_topics_facet%3A3046&f%5B3%5D=fpg_topics_facet%3A8716&page=1
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1921&f%5B1%5D=sub_topic_faq_library_facet%3A2081&f%5B2%5D=sub_topic_faq_library_facet%3A2091&f%5B3%5D=sub_topic_faq_library_facet%3A2351&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=1
- https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581
- https://www.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=3
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A1001&f%5B1%5D=state%3A1026&f%5B2%5D=state%3A966&f%5B3%5D=topics%3A701&page=0

…and more — 2885 pages total ([download CSV](csv/alfa__sia-r73.csv)).

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

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

### Example pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A871&f%5B1%5D=topics%3A8871&page=0
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A846&f%5B1%5D=waiver_state_facet%3A991&objectId=1890019&page=0
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1516&f%5B1%5D=fpg_topics_facet%3A8601&f%5B2%5D=fpg_topics_facet%3A8716&f%5B3%5D=fpg_topics_facet%3A8861&page=4

---

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

**Bug ID:** `VS-80fc7ac9`  
**Pattern ID:** `VS-fbf54eba`  
**URL:** https://www.medicaid.gov/dq-atlas/landing/resources/release-notes  
**XPath / selector:** `<p>`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r74` ([reference](https://alfa.siteimprove.com/rules/sia-r74))  
**Severity:** Moderate  
**Frequency:** 91 instances; 4 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 4 of 6888 scanned pages (91 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/dq-atlas/landing/resources/release-notes.
2. Locate the element: <p>
3. Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/dq-atlas/landing/resources/release-notes
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=24
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D
- https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/medicaid-drug-rebate-program-change-request

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

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

### Example pages
- https://www.medicaid.gov/dq-atlas/landing/resources/release-notes
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=24
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D

---

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

**Bug ID:** `VS-a6b9eb19`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A871&f%5B1%5D=topics%3A8871&page=0  
**XPath / selector:** `<button class="usa-button" type="submit">`  
**WCAG SC:** 2.5.5 — Target Size (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r111` ([reference](https://alfa.siteimprove.com/rules/sia-r111))  
**Severity:** Moderate  
**Frequency:** 86674 instances; 3426 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 3426 of 6888 scanned pages (86674 instances).

### Steps to reproduce
1. Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A871&f%5B1%5D=topics%3A8871&page=0.
2. Locate the element: <button class="usa-button" type="submit">
3. Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced).

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A871&f%5B1%5D=topics%3A8871&page=0
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A846&f%5B1%5D=waiver_state_facet%3A991&objectId=1890019&page=0
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1516&f%5B1%5D=fpg_topics_facet%3A8601&f%5B2%5D=fpg_topics_facet%3A8716&f%5B3%5D=fpg_topics_facet%3A8861&page=4
- 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=sub_topic_faq_library_facet%3A2386&f%5B3%5D=sub_topic_faq_library_facet%3A2421&page=9
- https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1856&f%5B1%5D=sub_topic_faq_library_facet%3A2456&f%5B2%5D=sub_topic_faq_library_facet%3A2491&f%5B3%5D=sub_topic_faq_library_facet%3A2531&page=3
- https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A751&f%5B1%5D=fpg_topics_facet%3A1016&f%5B2%5D=fpg_topics_facet%3A1491&f%5B3%5D=fpg_topics_facet%3A1531&f%5B4%5D=fpg_topics_facet%3A8591&f%5B5%5D=fpg_topics_facet%3A8606&f%5B6%5D=fpg_topics_facet%3A8891&page=107
- https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1896&f%5B1%5D=sub_topic_faq_library_facet%3A2001&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2011&f%5B4%5D=sub_topic_faq_library_facet%3A2091&page=84
- https://medicaid.gov/faq?f%5B0%5D=topic_faq_library_facet%3A2216&fcf=41269&page=80&sl=yes
- https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=state_waiver_status_facet%3A1601&f%5B1%5D=waiver_state_facet%3A891&page=69&sl=yes&usid=NM
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A906&f%5B1%5D=fpg_topics_facet%3A6171&f%5B2%5D=fpg_topics_facet%3A8411&f%5B3%5D=fpg_topics_facet%3A8606&page=1
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A771&f%5B2%5D=fpg_topics_facet%3A1521&f%5B3%5D=fpg_topics_facet%3A1526&f%5B4%5D=fpg_topics_facet%3A3261&f%5B5%5D=fpg_topics_facet%3A8381&f%5B6%5D=fpg_topics_facet%3A8601&f%5B7%5D=fpg_topics_facet%3A8616&f%5B8%5D=fpg_topics_facet%3A8716&f%5B9%5D=fpg_topics_facet%3A8861&page=111
- https://medicaid.gov/faq?f%5B0%5D=topic_faq_library_facet%3A2186&f%5B1%5D=topic_faq_library_facet%3A2276&f%5B2%5D=topic_faq_library_facet%3A2541&page=81
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2081&f%5B1%5D=sub_topic_faq_library_facet%3A2336&f%5B2%5D=sub_topic_faq_library_facet%3A2351&f%5B3%5D=sub_topic_faq_library_facet%3A2381&f%5B4%5D=sub_topic_faq_library_facet%3A2436&f%5B5%5D=sub_topic_faq_library_facet%3A2471&f%5B6%5D=sub_topic_faq_library_facet%3A2511&f%5B7%5D=sub_topic_faq_library_facet%3A2521&f%5B8%5D=topic_faq_library_facet%3A2271&page=10
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A936&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1511&f%5B3%5D=fpg_topics_facet%3A1526&f%5B4%5D=fpg_topics_facet%3A3261&f%5B5%5D=fpg_topics_facet%3A8381&f%5B6%5D=fpg_topics_facet%3A8891&f%5B7%5D=fpg_type_facet%3A1481&page=0
- http://medicaid.gov/faq?fcf=&fd=09%2F30%2F2013&page=83&sl=yes&td=09%2F30%2F2013&tid=2
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1851&f%5B1%5D=sub_topic_faq_library_facet%3A1921&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2106&page=1
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A896&f%5B1%5D=waiver_state_facet%3A926&page=70
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A841&page=0
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8898
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A696&f%5B1%5D=state%3A851&f%5B2%5D=state%3A891&page=1670&search_api_fulltext=Prescription+Drug+VBP
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1491&f%5B1%5D=fpg_topics_facet%3A1516&f%5B2%5D=fpg_topics_facet%3A8901&page=0
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A1531&f%5B2%5D=fpg_topics_facet%3A3046&f%5B3%5D=fpg_topics_facet%3A8716&page=1
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-8-002-2
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1921&f%5B1%5D=sub_topic_faq_library_facet%3A2081&f%5B2%5D=sub_topic_faq_library_facet%3A2091&f%5B3%5D=sub_topic_faq_library_facet%3A2351&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=1

…and more — 3426 pages total ([download CSV](csv/alfa__sia-r111.csv)).

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

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

### Example pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A871&f%5B1%5D=topics%3A8871&page=0
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A846&f%5B1%5D=waiver_state_facet%3A991&objectId=1890019&page=0
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1516&f%5B1%5D=fpg_topics_facet%3A8601&f%5B2%5D=fpg_topics_facet%3A8716&f%5B3%5D=fpg_topics_facet%3A8861&page=4

---

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

**Bug ID:** `VS-56ed6409`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7802  
**XPath / selector:** `.small`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `region` ([reference](https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 4646 instances; 1046 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### HTML snippet
```html
<div class="small p-1">
```

### Description
All page content should be contained by landmarks. Detected by axe-core rule region on 1046 of 6888 scanned pages (4646 instances).

### Steps to reproduce
1. Open https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7802.
2. Locate the element: .small
3. Confirm the axe-core finding for rule region.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7802
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/tpl-2-002-5
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7446
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8898
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-8-002-2
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002018
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-725
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-16-006-6
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002023
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv004066
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6734
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv005074
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002057
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002058
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6540
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002175
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7151
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-016-16
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7661
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095387

…and more — 1046 pages total ([download CSV](csv/axe-core__region.csv)).

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

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

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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7802
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789

---

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

**Bug ID:** `VS-06c2f159`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7802  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-one-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1041 instances; 1041 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### HTML snippet
```html
<html class="no-js" lang="en">
```

### Description
Document should have one main landmark. Detected by axe-core rule landmark-one-main on 1041 of 6888 scanned pages (1041 instances).

### Steps to reproduce
1. Open https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7802.
2. Locate the element: html
3. Confirm the axe-core finding for rule landmark-one-main.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7802
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/tpl-2-002-5
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7446
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8898
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-8-002-2
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002018
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-725
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-16-006-6
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002023
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv004066
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6734
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv005074
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002057
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002058
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6540
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002175
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7151
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-016-16
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7661
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095387

…and more — 1041 pages total ([download CSV](csv/axe-core__landmark-one-main.csv)).

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

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

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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7802
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789

---

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

**Bug ID:** `VS-870d5de7`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7802  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `page-has-heading-one` ([reference](https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1041 instances; 1041 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### HTML snippet
```html
<html class="no-js" lang="en">
```

### Description
Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 1041 of 6888 scanned pages (1041 instances).

### Steps to reproduce
1. Open https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7802.
2. Locate the element: html
3. Confirm the axe-core finding for rule page-has-heading-one.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7802
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/tpl-2-002-5
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7446
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8898
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-8-002-2
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv002018
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-725
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-16-006-6
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002023
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv004066
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6734
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv005074
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002057
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002058
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6540
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002175
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7151
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-016-16
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7661
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095387

…and more — 1041 pages total ([download CSV](csv/axe-core__page-has-heading-one.csv)).

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

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

### Example pages
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7802
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1789

---

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

**Bug ID:** `VS-9261a047`  
**Pattern ID:** `VS-d25f622d`  
**URL:** https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581  
**XPath / selector:** `.region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 126 instances; 116 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### HTML snippet
```html
<h4 class="usa-footer__primary-link">Related Sites</h4>
```

### Description
Heading levels should only increase by one. Detected by axe-core rule heading-order on 116 of 6888 scanned pages (126 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581.
2. Locate the element: .region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4
3. Confirm the axe-core finding for rule heading-order.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581
- https://medicaid.gov/medicaid/section-1115-demonstrations/reentry-section-1115-demonstrations
- https://www.medicaid.gov/about-us/organization/adrienne-delozier
- https://medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas/performance-improvement
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/medicare-and-other-coverage-guidance
- https://www.medicaid.gov/medicaid/benefits/reentry-services-for-incarcerated-individuals/caa-2023-sections-5121-5122-juvenile-justice
- https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106686
- https://medicaid.gov/medicaid/long-term-services-supports/balancing-long-term-services-supports/homelessness-initiatives
- http://medicaid.gov/about-us/organization/jeremy-silanskis
- https://www.medicaid.gov/medicaid/enrollment-strategies
- https://www.medicaid.gov/medicaid/data-systems/medicaid-and-chip-business-information-solution/macbis-financial/medicaid-budget-and-expenditure-system-mbes/cms-21b-chip-program-budget-report
- https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/medicare-and-other-coverage-guidance
- https://www.medicaid.gov/state-overviews/stateprofile.html?state=Nevada
- https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54029
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/99266
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/103466
- https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106601
- https://www.medicaid.gov/state-overviews/stateprofile.html?state=North-Carolina
- https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/47955
- https://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/quality-of-care/investing-health-outcomes
- http://medicaid.gov/medicaid/benefits/behavioral-health-services/parity
- http://medicaid.gov/medicaid/section-1115-demonstrations/substance-use-disorder-section-1115-demonstration-opportunity
- https://www.medicaid.gov/medicaid/data-systems/health-information-exchange/fee-for-service-hie-policy
- https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information

…and more — 116 pages total ([download CSV](csv/axe-core__heading-order.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581
- https://medicaid.gov/medicaid/section-1115-demonstrations/reentry-section-1115-demonstrations
- https://www.medicaid.gov/about-us/organization/adrienne-delozier

---

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

**Bug ID:** `VS-25bdda85`  
**Pattern ID:** `VS-8806389c`  
**URL:** https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information  
**XPath / selector:** `.section`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 11 instances; 11 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### HTML snippet
```html
<aside class="section" role="complementary">
```

### Description
Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 11 of 6888 scanned pages (11 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information.
2. Locate the element: .section
3. Confirm the axe-core finding for rule landmark-unique.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information
- https://www.medicaid.gov/medicaid/benefits/prevention
- https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/measuring-and-improving-quality-home-and-community-based-services
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/home-community-based-services-during-public-health-emergencies
- https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?items_per_page=10&page=24
- https://www.medicaid.gov/style-guide/foundation/spacing
- http://medicaid.gov/medicaid/data-systems/health-information-technology
- http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources
- https://medicaid.gov/medicaid/data-systems
- http://medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/unit-rebate-calculation/unit-rebate-amount-calculation-for-single-source-or-innovator-multiple-source-drugs
- http://medicaid.gov/medicaid/benefits/prevention/resources

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

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

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

### Example pages
- https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information
- https://www.medicaid.gov/medicaid/benefits/prevention
- https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/measuring-and-improving-quality-home-and-community-based-services

---

## Contentinfo landmark should not be contained in another landmark (WCAG criterion undetermined)

**Bug ID:** `VS-04559bf6`  
**Pattern ID:** `VS-424cced9`  
**URL:** https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1961&f%5B1%5D=sub_topic_faq_library_facet%3A1996&f%5B2%5D=sub_topic_faq_library_facet%3A2016&f%5B3%5D=sub_topic_faq_library_facet%3A2346&f%5B4%5D=sub_topic_faq_library_facet%3A2521&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fd=05%2F22%2F2012&page=7&sb=-published&sl=yes&td=03%2F25%2F2019  
**XPath / selector:** `.usa-alert`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-contentinfo-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-contentinfo-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 3 instances; 3 of 6888 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W39 (4 weeks)

### HTML snippet
```html
<div class="usa-alert usa-alert--error usa-alert--slim" role="contentinfo" aria-label="Error message">
```

### Description
Contentinfo landmark should not be contained in another landmark. Detected by axe-core rule landmark-contentinfo-is-top-level on 3 of 6888 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1961&f%5B1%5D=sub_topic_faq_library_facet%3A1996&f%5B2%5D=sub_topic_faq_library_facet%3A2016&f%5B3%5D=sub_topic_faq_library_facet%3A2346&f%5B4%5D=sub_topic_faq_library_facet%3A2521&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fd=05%2F22%2F2012&page=7&sb=-published&sl=yes&td=03%2F25%2F2019.
2. Locate the element: .usa-alert
3. Confirm the axe-core finding for rule landmark-contentinfo-is-top-level.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1961&f%5B1%5D=sub_topic_faq_library_facet%3A1996&f%5B2%5D=sub_topic_faq_library_facet%3A2016&f%5B3%5D=sub_topic_faq_library_facet%3A2346&f%5B4%5D=sub_topic_faq_library_facet%3A2521&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fd=05%2F22%2F2012&page=7&sb=-published&sl=yes&td=03%2F25%2F2019
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1876&f%5B1%5D=sub_topic_faq_library_facet%3A1881&f%5B2%5D=sub_topic_faq_library_facet%3A2026&f%5B3%5D=sub_topic_faq_library_facet%3A2336&f%5B4%5D=sub_topic_faq_library_facet%3A2436&f%5B5%5D=sub_topic_faq_library_facet%3A2461&f%5B6%5D=sub_topic_faq_library_facet%3A2526&page=7
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1861&f%5B1%5D=sub_topic_faq_library_facet%3A2076&f%5B2%5D=sub_topic_faq_library_facet%3A2351&f%5B3%5D=sub_topic_faq_library_facet%3A2396&page=7

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

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-contentinfo-is-top-level?application=axeAPI

### Example pages
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1961&f%5B1%5D=sub_topic_faq_library_facet%3A1996&f%5B2%5D=sub_topic_faq_library_facet%3A2016&f%5B3%5D=sub_topic_faq_library_facet%3A2346&f%5B4%5D=sub_topic_faq_library_facet%3A2521&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fd=05%2F22%2F2012&page=7&sb=-published&sl=yes&td=03%2F25%2F2019
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1876&f%5B1%5D=sub_topic_faq_library_facet%3A1881&f%5B2%5D=sub_topic_faq_library_facet%3A2026&f%5B3%5D=sub_topic_faq_library_facet%3A2336&f%5B4%5D=sub_topic_faq_library_facet%3A2436&f%5B5%5D=sub_topic_faq_library_facet%3A2461&f%5B6%5D=sub_topic_faq_library_facet%3A2526&page=7
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1861&f%5B1%5D=sub_topic_faq_library_facet%3A2076&f%5B2%5D=sub_topic_faq_library_facet%3A2351&f%5B3%5D=sub_topic_faq_library_facet%3A2396&page=7

---

## Document should not have more than one contentinfo landmark (WCAG criterion undetermined)

**Bug ID:** `VS-9cc6a368`  
**Pattern ID:** `VS-b465dfd7`  
**URL:** https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1961&f%5B1%5D=sub_topic_faq_library_facet%3A1996&f%5B2%5D=sub_topic_faq_library_facet%3A2016&f%5B3%5D=sub_topic_faq_library_facet%3A2346&f%5B4%5D=sub_topic_faq_library_facet%3A2521&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fd=05%2F22%2F2012&page=7&sb=-published&sl=yes&td=03%2F25%2F2019  
**XPath / selector:** `.usa-alert`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-no-duplicate-contentinfo` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-contentinfo?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 3 instances; 3 of 6888 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W39 (4 weeks)

### HTML snippet
```html
<div class="usa-alert usa-alert--error usa-alert--slim" role="contentinfo" aria-label="Error message">
```

### Description
Document should not have more than one contentinfo landmark. Detected by axe-core rule landmark-no-duplicate-contentinfo on 3 of 6888 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1961&f%5B1%5D=sub_topic_faq_library_facet%3A1996&f%5B2%5D=sub_topic_faq_library_facet%3A2016&f%5B3%5D=sub_topic_faq_library_facet%3A2346&f%5B4%5D=sub_topic_faq_library_facet%3A2521&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fd=05%2F22%2F2012&page=7&sb=-published&sl=yes&td=03%2F25%2F2019.
2. Locate the element: .usa-alert
3. Confirm the axe-core finding for rule landmark-no-duplicate-contentinfo.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1961&f%5B1%5D=sub_topic_faq_library_facet%3A1996&f%5B2%5D=sub_topic_faq_library_facet%3A2016&f%5B3%5D=sub_topic_faq_library_facet%3A2346&f%5B4%5D=sub_topic_faq_library_facet%3A2521&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fd=05%2F22%2F2012&page=7&sb=-published&sl=yes&td=03%2F25%2F2019
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1876&f%5B1%5D=sub_topic_faq_library_facet%3A1881&f%5B2%5D=sub_topic_faq_library_facet%3A2026&f%5B3%5D=sub_topic_faq_library_facet%3A2336&f%5B4%5D=sub_topic_faq_library_facet%3A2436&f%5B5%5D=sub_topic_faq_library_facet%3A2461&f%5B6%5D=sub_topic_faq_library_facet%3A2526&page=7
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1861&f%5B1%5D=sub_topic_faq_library_facet%3A2076&f%5B2%5D=sub_topic_faq_library_facet%3A2351&f%5B3%5D=sub_topic_faq_library_facet%3A2396&page=7

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

### Suggested fix
**How to fix:** Use only one contentinfo landmark (<footer> at the top level) per page.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-contentinfo?application=axeAPI

### Example pages
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1961&f%5B1%5D=sub_topic_faq_library_facet%3A1996&f%5B2%5D=sub_topic_faq_library_facet%3A2016&f%5B3%5D=sub_topic_faq_library_facet%3A2346&f%5B4%5D=sub_topic_faq_library_facet%3A2521&f1=Durable+Medical+Equipment&f2=0&f3=0&f4=0&f5=0&f6=0&fd=05%2F22%2F2012&page=7&sb=-published&sl=yes&td=03%2F25%2F2019
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1876&f%5B1%5D=sub_topic_faq_library_facet%3A1881&f%5B2%5D=sub_topic_faq_library_facet%3A2026&f%5B3%5D=sub_topic_faq_library_facet%3A2336&f%5B4%5D=sub_topic_faq_library_facet%3A2436&f%5B5%5D=sub_topic_faq_library_facet%3A2461&f%5B6%5D=sub_topic_faq_library_facet%3A2526&page=7
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1861&f%5B1%5D=sub_topic_faq_library_facet%3A2076&f%5B2%5D=sub_topic_faq_library_facet%3A2351&f%5B3%5D=sub_topic_faq_library_facet%3A2396&page=7

---

## Main landmark should not be contained in another landmark (WCAG criterion undetermined)

**Bug ID:** `VS-fa9f06a1`  
**Pattern ID:** `VS-ff3ceb19`  
**URL:** https://www.medicaid.gov/style-guide/foundation/spacing  
**XPath / selector:** `.style-guide-page > .grid-gap-sm.grid-row > main`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-main-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 6888 pages affected
  
**History:** first seen 2026-W28, last seen 2026-W39 (9 weeks)

### HTML snippet
```html
<main id="content" class="grid-col-12 desktop:grid-col-9" role="main">
```

### Description
Main landmark should not be contained in another landmark. Detected by axe-core rule landmark-main-is-top-level on 1 of 6888 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/style-guide/foundation/spacing.
2. Locate the element: .style-guide-page > .grid-gap-sm.grid-row > main
3. Confirm the axe-core finding for rule landmark-main-is-top-level.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/style-guide/foundation/spacing

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

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI

---

## Document should not have more than one main landmark (WCAG criterion undetermined)

**Bug ID:** `VS-99949cfd`  
**Pattern ID:** `VS-cd69be3a`  
**URL:** https://www.medicaid.gov/style-guide/foundation/spacing  
**XPath / selector:** `.main-content`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-no-duplicate-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 6888 pages affected
  
**History:** first seen 2026-W28, last seen 2026-W39 (9 weeks)

### HTML snippet
```html
<main id="content" class="main-content grid-col-12" role="main">
```

### Description
Document should not have more than one main landmark. Detected by axe-core rule landmark-no-duplicate-main on 1 of 6888 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/style-guide/foundation/spacing.
2. Locate the element: .main-content
3. Confirm the axe-core finding for rule landmark-no-duplicate-main.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/style-guide/foundation/spacing

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

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI

---

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

**Bug ID:** `VS-97f0ffca`  
**Pattern ID:** `VS-4fac2f41`  
**URL:** http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=  
**XPath / selector:** `span[data-select2-id="select2-data-1-vomy"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `aria-allowed-role` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 304 instances; 145 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

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

### Description
ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 145 of 6888 scanned pages (304 instances).

### Steps to reproduce
1. Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=.
2. Locate the element: span[data-select2-id="select2-data-1-vomy"] > .selection > .select2-selection.select2-selection--multiple[role="combobox"] > .select2-search.select2-search--inline > textarea
3. Confirm the axe-core finding for rule aria-allowed-role.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=976&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=27&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=6&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=831&page=26&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=8&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=806&page=36&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=3&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=736&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=866&page=21&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=54&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=846&page=12&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=976&page=7&q=
- https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=2&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=901&page=5&q=
- http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=991&q=
- https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=0&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=946&page=1&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=776&page=19&q=
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=26&q=
- http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=961&page=2&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=911&page=46&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=7&q=
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=49&q=
- https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=2&q=

…and more — 145 pages total ([download CSV](csv/axe-core__aria-allowed-role.csv)).

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

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

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

### Example pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=841&page=1&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=976&q=
- https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=27&q=

---

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

**Bug ID:** `VS-542a9245`  
**Pattern ID:** `VS-c18be945`  
**URL:** http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A871&f%5B1%5D=topics%3A8871&page=0  
**XPath / selector:** `text: "  Feedback  "`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 26121 instances; 3425 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3425 of 6888 scanned pages (26121 instances).

### Steps to reproduce
1. Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A871&f%5B1%5D=topics%3A8871&page=0.
2. Locate the element: text: "  Feedback  "
3. Confirm the Siteimprove Alfa finding for rule sia-r57.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A871&f%5B1%5D=topics%3A8871&page=0
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A846&f%5B1%5D=waiver_state_facet%3A991&objectId=1890019&page=0
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1516&f%5B1%5D=fpg_topics_facet%3A8601&f%5B2%5D=fpg_topics_facet%3A8716&f%5B3%5D=fpg_topics_facet%3A8861&page=4
- 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=sub_topic_faq_library_facet%3A2386&f%5B3%5D=sub_topic_faq_library_facet%3A2421&page=9
- https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1856&f%5B1%5D=sub_topic_faq_library_facet%3A2456&f%5B2%5D=sub_topic_faq_library_facet%3A2491&f%5B3%5D=sub_topic_faq_library_facet%3A2531&page=3
- https://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A751&f%5B1%5D=fpg_topics_facet%3A1016&f%5B2%5D=fpg_topics_facet%3A1491&f%5B3%5D=fpg_topics_facet%3A1531&f%5B4%5D=fpg_topics_facet%3A8591&f%5B5%5D=fpg_topics_facet%3A8606&f%5B6%5D=fpg_topics_facet%3A8891&page=107
- https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1896&f%5B1%5D=sub_topic_faq_library_facet%3A2001&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2011&f%5B4%5D=sub_topic_faq_library_facet%3A2091&page=84
- https://medicaid.gov/faq?f%5B0%5D=topic_faq_library_facet%3A2216&fcf=41269&page=80&sl=yes
- https://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=state_waiver_status_facet%3A1601&f%5B1%5D=waiver_state_facet%3A891&page=69&sl=yes&usid=NM
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A906&f%5B1%5D=fpg_topics_facet%3A6171&f%5B2%5D=fpg_topics_facet%3A8411&f%5B3%5D=fpg_topics_facet%3A8606&page=1
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A741&f%5B1%5D=fpg_topics_facet%3A771&f%5B2%5D=fpg_topics_facet%3A1521&f%5B3%5D=fpg_topics_facet%3A1526&f%5B4%5D=fpg_topics_facet%3A3261&f%5B5%5D=fpg_topics_facet%3A8381&f%5B6%5D=fpg_topics_facet%3A8601&f%5B7%5D=fpg_topics_facet%3A8616&f%5B8%5D=fpg_topics_facet%3A8716&f%5B9%5D=fpg_topics_facet%3A8861&page=111
- https://medicaid.gov/faq?f%5B0%5D=topic_faq_library_facet%3A2186&f%5B1%5D=topic_faq_library_facet%3A2276&f%5B2%5D=topic_faq_library_facet%3A2541&page=81
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2081&f%5B1%5D=sub_topic_faq_library_facet%3A2336&f%5B2%5D=sub_topic_faq_library_facet%3A2351&f%5B3%5D=sub_topic_faq_library_facet%3A2381&f%5B4%5D=sub_topic_faq_library_facet%3A2436&f%5B5%5D=sub_topic_faq_library_facet%3A2471&f%5B6%5D=sub_topic_faq_library_facet%3A2511&f%5B7%5D=sub_topic_faq_library_facet%3A2521&f%5B8%5D=topic_faq_library_facet%3A2271&page=10
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A936&f%5B1%5D=fpg_topics_facet%3A1021&f%5B2%5D=fpg_topics_facet%3A1511&f%5B3%5D=fpg_topics_facet%3A1526&f%5B4%5D=fpg_topics_facet%3A3261&f%5B5%5D=fpg_topics_facet%3A8381&f%5B6%5D=fpg_topics_facet%3A8891&f%5B7%5D=fpg_type_facet%3A1481&page=0
- http://medicaid.gov/faq?fcf=&fd=09%2F30%2F2013&page=83&sl=yes&td=09%2F30%2F2013&tid=2
- http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1851&f%5B1%5D=sub_topic_faq_library_facet%3A1921&f%5B2%5D=sub_topic_faq_library_facet%3A2006&f%5B3%5D=sub_topic_faq_library_facet%3A2106&page=1
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A896&f%5B1%5D=waiver_state_facet%3A926&page=70
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A841&page=0
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8898
- https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A696&f%5B1%5D=state%3A851&f%5B2%5D=state%3A891&page=1670&search_api_fulltext=Prescription+Drug+VBP
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1491&f%5B1%5D=fpg_topics_facet%3A1516&f%5B2%5D=fpg_topics_facet%3A8901&page=0
- http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A1531&f%5B2%5D=fpg_topics_facet%3A3046&f%5B3%5D=fpg_topics_facet%3A8716&page=1
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-8-002-2
- https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1921&f%5B1%5D=sub_topic_faq_library_facet%3A2081&f%5B2%5D=sub_topic_faq_library_facet%3A2091&f%5B3%5D=sub_topic_faq_library_facet%3A2351&f%5B4%5D=sub_topic_faq_library_facet%3A2531&page=1

…and more — 3425 pages total ([download CSV](csv/alfa__sia-r57.csv)).

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

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

### Example pages
- http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A871&f%5B1%5D=topics%3A8871&page=0
- https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A846&f%5B1%5D=waiver_state_facet%3A991&objectId=1890019&page=0
- https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A1516&f%5B1%5D=fpg_topics_facet%3A8601&f%5B2%5D=fpg_topics_facet%3A8716&f%5B3%5D=fpg_topics_facet%3A8861&page=4

---

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

**Bug ID:** `VS-eeb1193d`  
**Pattern ID:** `VS-aa242c2d`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r87` ([reference](https://alfa.siteimprove.com/rules/sia-r87))  
**Severity:** Moderate  
**Frequency:** 543 instances; 543 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 543 of 6888 scanned pages (543 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r87.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8898
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-8-002-2
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002023
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv004066
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv005074
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6540
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-016-16
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7661
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003089
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3006
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-9220
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/tpl006075
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/tpl-5-008-8
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1871
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-2-009-9
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6967
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1746
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-26-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002153
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002074
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-18-001-3

…and more — 543 pages total ([download CSV](csv/alfa__sia-r87.csv)).

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8898
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-8-002-2

---

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

**Bug ID:** `VS-94d21bc6`  
**Pattern ID:** `VS-7118fead`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r61` ([reference](https://alfa.siteimprove.com/rules/sia-r61))  
**Severity:** Moderate  
**Frequency:** 539 instances; 539 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 539 of 6888 scanned pages (539 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r61.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8898
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-8-002-2
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002023
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv004066
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv005074
- https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6540
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-016-16
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7661
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003089
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3006
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-9220
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/tpl006075
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/tpl-5-008-8
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1871
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-2-009-9
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6967
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1746
- https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-26-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002153
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002074
- https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-18-001-3

…and more — 539 pages total ([download CSV](csv/alfa__sia-r61.csv)).

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-79-013-13
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8898
- https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-8-002-2

---

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

**Bug ID:** `VS-af0f7675`  
**Pattern ID:** `VS-e05344b9`  
**URL:** https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088  
**XPath / selector:** `@aria-selected="true"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18))  
**Severity:** Moderate  
**Frequency:** 576 instances; 117 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 117 of 6888 scanned pages (576 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088.
2. Locate the element: @aria-selected="true"
3. Confirm the Siteimprove Alfa finding for rule sia-r18.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002023
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/prv004066
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv005074
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095377
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003089
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/tpl006075
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt002153
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002074
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt001004
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl003047
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot002135
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003074
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv004070
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/prv007094
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/elg010147
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002051
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095380
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002046
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003073
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot003169
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx001002
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002086
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/mcr003050

…and more — 117 pages total ([download CSV](csv/alfa__sia-r18.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002088
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/clt002127
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002023

---

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

**Bug ID:** `VS-c2e4a8e7`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6734  
**XPath / selector:** `td`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 77 instances; 65 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### HTML snippet
```html
<td valign="top" colspan="7" class="dataTables_empty">No data available in table</td>
```

### Description
Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 65 of 6888 scanned pages (77 instances).

### Steps to reproduce
1. Open https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6734.
2. Locate the element: td
3. Confirm the deprecated-html finding for rule presentational-attr.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6734
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-016-16
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1128
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1462
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-774
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6939
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3093
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095380
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7314
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/rule-2289
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6942
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8140
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/tpl003036
- https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot003266
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003096
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2503
- https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/elg006108
- https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx001003
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7934
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7770
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-6-028-2
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-942
- https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8810
- https://medicaid.gov/tmsis/dataguide/v3/data-elements/cot002118
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2571

…and more — 65 pages total ([download CSV](csv/deprecated-html__presentational-attr.csv)).

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

### Suggested fix
Not captured by automated scan — requires manual testing.

### Example pages
- https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6734
- https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-22-016-16
- https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1128

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-559c9eac`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581  
**XPath / selector:** `<h4 class="usa-footer__primary-link">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 63 instances; 58 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (16 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 58 of 6888 scanned pages (63 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581.
2. Locate the element: <h4 class="usa-footer__primary-link">
3. Confirm the Siteimprove Alfa finding for rule sia-r53.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581
- https://www.medicaid.gov/about-us/organization/adrienne-delozier
- https://medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas/performance-improvement
- http://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/medicare-and-other-coverage-guidance
- https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106686
- http://medicaid.gov/about-us/organization/jeremy-silanskis
- https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/medicare-and-other-coverage-guidance
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/99266
- https://www.medicaid.gov/state-overviews/stateprofile.html?state=North-Carolina
- https://www.medicaid.gov/medicaid/quality-of-care/investing-health-outcomes
- https://www.medicaid.gov/medicaid/data-systems/health-information-exchange/fee-for-service-hie-policy
- https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/101026
- http://medicaid.gov/about-us/Center-for-Medicaid-and-CHIP-Services
- https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/98996
- https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/100911
- https://www.medicaid.gov/medicaid/benefits/prevention
- https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/measuring-and-improving-quality-home-and-community-based-services
- https://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/state-letters
- https://medicaid.gov/state-overviews/stateprofile.html?state=North-Dakota
- https://www.medicaid.gov/medicaid/long-term-services-supports/workforce-initiative/overviews-of-workforce-challenges-and-effective-improvement-strategies
- https://www.medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas/performance-improvement
- https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54051
- https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/170861
- https://www.medicaid.gov/about-us/organization/alina-czekai

…and more — 58 pages total ([download CSV](csv/alfa__sia-r53.csv)).

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

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

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

### Example pages
- https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/entry/46581
- https://www.medicaid.gov/about-us/organization/adrienne-delozier
- https://medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas/performance-improvement

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-7277ff1d`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** https://www.medicaid.gov/dq-atlas/landing/resources/release-notes  
**XPath / selector:** `<h2 data-cy="section-header" class="section-header ng-star-inserted">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (15 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 2 of 6888 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/dq-atlas/landing/resources/release-notes.
2. Locate the element: <h2 data-cy="section-header" class="section-header ng-star-inserted">
3. Confirm the Siteimprove Alfa finding for rule sia-r78.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/dq-atlas/landing/resources/release-notes
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D

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

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

### Example pages
- https://www.medicaid.gov/dq-atlas/landing/resources/release-notes
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D

---

## Keyboard trap does not exist (WCAG criterion undetermined)

**Bug ID:** `VS-69326594`  
**Pattern ID:** `VS-4c341c77`  
**URL:** https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D  
**XPath / selector:** `<p class="selected-states-header">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r85` ([reference](https://alfa.siteimprove.com/rules/sia-r85))  
**Severity:** Moderate  
**Frequency:** 67 instances; 1 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (12 weeks)

### Description
Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 1 of 6888 scanned pages (67 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D.
2. Locate the element: <p class="selected-states-header">
3. Confirm the Siteimprove Alfa finding for rule sia-r85.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D

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

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85

---

## Element role is consistent with ARIA landmark (WCAG criterion undetermined)

**Bug ID:** `VS-6fca39a3`  
**Pattern ID:** `VS-e5ec42f0`  
**URL:** https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D  
**XPath / selector:** `<p _ngcontent-ng-c2822395467="" class="title core-set">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r72` ([reference](https://alfa.siteimprove.com/rules/sia-r72))  
**Severity:** Moderate  
**Frequency:** 195 instances; 1 of 6888 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W39 (14 weeks)

### Description
Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 1 of 6888 scanned pages (195 instances).

### Steps to reproduce
1. Open https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D.
2. Locate the element: <p _ngcontent-ng-c2822395467="" class="title core-set">
3. Confirm the Siteimprove Alfa finding for rule sia-r72.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicaid.gov/medicaid/quality-of-care/core-set-data-dashboard/main?focusStates=%5B%22LA%22%5D

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

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r72