{ "schema_version": "0.1", "site": "www.medicaid.gov", "scan_week": "2026-W40", "generated_at": "2026-09-30T18:09:23.233Z", "source_files": [ "docs/reports/www.medicaid.gov/2026-W40/", "data/www.medicaid.gov/findings.json", "data/www.medicaid.gov/2026-W40/summary.json" ], "summary": { "pages_known": 56276, "pages_scanned_this_week": 2696, "pages_with_known_issues": 48052, "findings": 24, "clusters": 21, "new_findings": 0, "persistent_findings": 23, "high_priority_findings": 15 }, "top_risks": [ { "finding_id": "VS-9429bb8d", "rule_id": "aria-required-children", "rule_label": "Certain ARIA roles must contain particular children", "severity": "Critical", "priority": "p1", "trend": "persistent", "pages_affected": 93, "rationale": "Critical severity; persistent across weeks", "top_url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095" }, { "finding_id": "VS-1467ea8a", "rule_id": "aria-allowed-attr", "rule_label": "Elements must only use supported ARIA attributes", "severity": "Critical", "priority": "p1", "trend": "persistent", "pages_affected": 93, "rationale": "Critical severity; persistent across weeks", "top_url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095" }, { "finding_id": "VS-0841abc2", "rule_id": "aria-input-field-name", "rule_label": "ARIA input fields must have an accessible name", "severity": "Serious", "priority": "p1", "trend": "persistent", "pages_affected": 60, "rationale": "Serious severity; persistent across weeks", "top_url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=0&q=" }, { "finding_id": "VS-33841929", "rule_id": "label-title-only", "rule_label": "Form elements should have a visible label", "severity": "Serious", "priority": "p1", "trend": "persistent", "pages_affected": 1, "rationale": "Serious severity; persistent across weeks", "top_url": "https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data" }, { "finding_id": "VS-646b1e0b", "rule_id": "sia-r66", "rule_label": "Text has enhanced contrast", "severity": "Moderate", "priority": "p2", "trend": "persistent", "pages_affected": 1273, "rationale": "affects 1273 pages; persistent across weeks", "top_url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656" }, { "finding_id": "VS-cb53cc4d", "rule_id": "sia-r111", "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)", "severity": "Moderate", "priority": "p2", "trend": "persistent", "pages_affected": 1273, "rationale": "affects 1273 pages; persistent across weeks", "top_url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656" }, { "finding_id": "VS-c18be945", "rule_id": "sia-r57", "rule_label": "Scrolling content can be accessed by keyboard", "severity": "Moderate", "priority": "p2", "trend": "persistent", "pages_affected": 1273, "rationale": "affects 1273 pages; persistent across weeks", "top_url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656" }, { "finding_id": "VS-2208081b", "rule_id": "sia-r73", "rule_label": "Text has minimum contrast ratio of 4.5:1", "severity": "Moderate", "priority": "p2", "trend": "persistent", "pages_affected": 1049, "rationale": "affects 1049 pages; persistent across weeks", "top_url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656" }, { "finding_id": "VS-f18df681", "rule_id": "region", "rule_label": "All page content should be contained by landmarks", "severity": "Moderate", "priority": "p2", "trend": "worsening", "pages_affected": 442, "rationale": "affects 442 pages; worsening trend", "top_url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095" }, { "finding_id": "VS-d5d82446", "rule_id": "landmark-one-main", "rule_label": "Document should have one main landmark", "severity": "Moderate", "priority": "p2", "trend": "worsening", "pages_affected": 441, "rationale": "affects 441 pages; worsening trend", "top_url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095" } ], "findings": [ { "finding_id": "VS-9429bb8d", "fingerprint": "d9ef25ac", "rule_id": "aria-required-children", "rule_label": "Certain ARIA roles must contain particular children", "engine": "axe-core", "tool": "axe-core", "wcag_sc": "1.3.1", "wcag_name": "Info and Relationships", "wcag_level": "A", "wcag_version": "2.0", "wcag_category": "WCAG 2.0 A", "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI", "severity": "Critical", "priority": "p1", "confidence": "high", "rationale": "Critical severity; persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 93, "affected_pages_previous": 224 }, "frequency": { "instances": 93, "pages_affected": 93, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Certain ARIA roles must contain particular children (WCAG 1.3.1)", "description": "Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 93 of 2696 scanned pages (93 instances).", "remediation_tip": "Add the child roles this container role requires (e.g. a list needs listitem children).", "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI", "expected_behavior": "Element passes axe-core rule aria-required-children (WCAG 1.3.1).", "actual_behavior": "Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 93 of 2696 scanned pages (93 instances).", "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095", "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002024", "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008" ], "html_fragments": [ { "fingerprint": "084e4684", "html": "
", "selectors": [ ".nav" ] } ], "url_patterns": [ { "pattern": "/tmsis/dataguide/v4/data-elements/cot002095", "count": 1 }, { "pattern": "/tmsis/dataguide/v4/data-elements/clt002024", "count": 1 }, { "pattern": "/tmsis/dataguide/v4/data-elements/prv001008", "count": 1 } ], "associated_technologies": [], "impact": { "groups": [ { "code": "WV", "group": "Without vision", "prevalence": 0.01, "percent": "1.0%", "estimatedExcluded": null }, { "code": "LV", "group": "Limited vision", "prevalence": 0.024, "percent": "2.4%", "estimatedExcluded": null }, { "code": "LCLA", "group": "Limited cognitive, language, or learning ability", "prevalence": 0.11, "percent": "11.0%", "estimatedExcluded": null } ], "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)." } }, { "finding_id": "VS-1467ea8a", "fingerprint": "fc8886ab", "rule_id": "aria-allowed-attr", "rule_label": "Elements must only use supported ARIA attributes", "engine": "axe-core", "tool": "axe-core", "wcag_sc": "4.1.2", "wcag_name": "Name, Role, Value", "wcag_level": "A", "wcag_version": "2.0", "wcag_category": "WCAG 2.0 A", "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI", "severity": "Critical", "priority": "p1", "confidence": "high", "rationale": "Critical severity; persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 93, "affected_pages_previous": 224 }, "frequency": { "instances": 453, "pages_affected": 93, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Elements must only use supported ARIA attributes (WCAG 4.1.2)", "description": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 93 of 2696 scanned pages (453 instances).", "remediation_tip": "Remove ARIA attributes that aren't allowed on this role/element.", "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI", "expected_behavior": "Element passes axe-core rule aria-allowed-attr (WCAG 4.1.2).", "actual_behavior": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 93 of 2696 scanned pages (453 instances).", "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095", "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002024", "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008" ], "html_fragments": [ { "fingerprint": "e8b33a04", "html": "Overview", "selectors": [ "a[href$=\"#overview\"]" ] }, { "fingerprint": "4b1aed0a", "html": "Valid Values", "selectors": [ "a[href$=\"#validvalues\"]" ] }, { "fingerprint": "0d0d83f3", "html": "Related Rules", "selectors": [ "a[href$=\"#relatedrules\"]" ] } ], "url_patterns": [ { "pattern": "/tmsis/dataguide/v4/data-elements/cot002095", "count": 1 }, { "pattern": "/tmsis/dataguide/v4/data-elements/clt002024", "count": 1 }, { "pattern": "/tmsis/dataguide/v4/data-elements/prv001008", "count": 1 } ], "associated_technologies": [], "impact": { "groups": [ { "code": "WV", "group": "Without vision", "prevalence": 0.01, "percent": "1.0%", "estimatedExcluded": null }, { "code": "LV", "group": "Limited vision", "prevalence": 0.024, "percent": "2.4%", "estimatedExcluded": null }, { "code": "LM", "group": "Limited manipulation/strength", "prevalence": 0.13, "percent": "13.0%", "estimatedExcluded": null } ], "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)." } }, { "finding_id": "VS-0841abc2", "fingerprint": "a3512e8b", "rule_id": "aria-input-field-name", "rule_label": "ARIA input fields must have an accessible name", "engine": "axe-core", "tool": "axe-core", "wcag_sc": "4.1.2", "wcag_name": "Name, Role, Value", "wcag_level": "A", "wcag_version": "2.0", "wcag_category": "WCAG 2.0 A", "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI", "severity": "Serious", "priority": "p1", "confidence": "high", "rationale": "Serious severity; persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 60, "affected_pages_previous": 145 }, "frequency": { "instances": 129, "pages_affected": 60, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "ARIA input fields must have an accessible name (WCAG 4.1.2)", "description": "ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 60 of 2696 scanned pages (129 instances).", "remediation_tip": null, "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI", "expected_behavior": "Element passes axe-core rule aria-input-field-name (WCAG 4.1.2).", "actual_behavior": "ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 60 of 2696 scanned pages (129 instances).", "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=0&q=", "https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=2&q=", "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=22&q=" ], "html_fragments": [ { "fingerprint": "b83690ed", "html": "", "selectors": [ "span[data-select2-id=\"select2-data-1-qmha\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]", "span[data-select2-id=\"select2-data-4-i5wq\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]", "span[data-select2-id=\"select2-data-1-dc8s\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]" ] } ], "url_patterns": [ { "pattern": "/medicaid/medicaid-state-plan-amendments", "count": 14 }, { "pattern": "/chip/state-program-information/chip-spa", "count": 6 }, { "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list", "count": 3 } ], "associated_technologies": [], "impact": { "groups": [ { "code": "WV", "group": "Without vision", "prevalence": 0.01, "percent": "1.0%", "estimatedExcluded": null }, { "code": "LV", "group": "Limited vision", "prevalence": 0.024, "percent": "2.4%", "estimatedExcluded": null }, { "code": "LM", "group": "Limited manipulation/strength", "prevalence": 0.13, "percent": "13.0%", "estimatedExcluded": null } ], "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)." } }, { "finding_id": "VS-33841929", "fingerprint": "e18c0475", "rule_id": "label-title-only", "rule_label": "Form elements should have a visible label", "engine": "axe-core", "tool": "axe-core", "wcag_sc": null, "wcag_name": null, "wcag_level": null, "wcag_version": null, "wcag_category": "Best Practice", "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI", "severity": "Serious", "priority": "p1", "confidence": "low", "rationale": "Serious severity; persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 15, "affected_pages_current": 1, "affected_pages_previous": null }, "frequency": { "instances": 2, "pages_affected": 1, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Form elements should have a visible label (WCAG criterion undetermined)", "description": "Form elements should have a visible label. Detected by axe-core rule label-title-only on 1 of 2696 scanned pages (2 instances).", "remediation_tip": null, "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI", "expected_behavior": "Element passes axe-core rule label-title-only.", "actual_behavior": "Form elements should have a visible label. Detected by axe-core rule label-title-only on 1 of 2696 scanned pages (2 instances).", "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data" ], "html_fragments": [ { "fingerprint": "50034708", "html": "", "selectors": [ "select[aria-labelledby=\"filter-th-87371-2\"]" ] } ], "url_patterns": [ { "pattern": "/medicaid/prescription-drugs/state-drug-utilization-data", "count": 1 } ], "associated_technologies": [], "impact": { "groups": [], "summary": "Not captured by automated scan — requires manual testing." } }, { "finding_id": "VS-646b1e0b", "fingerprint": "afad441e", "rule_id": "sia-r66", "rule_label": "Text has enhanced contrast", "engine": "alfa", "tool": "Siteimprove Alfa", "wcag_sc": "1.4.6", "wcag_name": "Contrast (Enhanced)", "wcag_level": "AAA", "wcag_version": "2.0", "wcag_category": "WCAG 2.x AAA", "rule_url": "https://alfa.siteimprove.com/rules/sia-r66", "severity": "Moderate", "priority": "p2", "confidence": "high", "rationale": "affects 1273 pages; persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 1273, "affected_pages_previous": 3426 }, "frequency": { "instances": 52687, "pages_affected": 1273, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Text has enhanced contrast (WCAG 1.4.6)", "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 1273 of 2696 scanned pages (52687 instances).", "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).", "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66", "expected_behavior": "Element passes Siteimprove Alfa rule sia-r66 (WCAG 1.4.6).", "actual_behavior": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 1273 of 2696 scanned pages (52687 instances).", "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656", "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806", "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18" ], "html_fragments": [], "url_patterns": [ { "pattern": "/faq", "count": 9 }, { "pattern": "/medicaid/medicaid-state-plan-amendments", "count": 4 }, { "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list", "count": 4 } ], "associated_technologies": [], "impact": { "groups": [], "summary": "Not captured by automated scan — requires manual testing." } }, { "finding_id": "VS-cb53cc4d", "fingerprint": "1738fa81", "rule_id": "sia-r111", "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)", "engine": "alfa", "tool": "Siteimprove Alfa", "wcag_sc": "2.5.5", "wcag_name": "Target Size (Enhanced)", "wcag_level": "AAA", "wcag_version": "2.1", "wcag_category": "WCAG 2.x AAA", "rule_url": "https://alfa.siteimprove.com/rules/sia-r111", "severity": "Moderate", "priority": "p2", "confidence": "high", "rationale": "affects 1273 pages; persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 1273, "affected_pages_previous": 3426 }, "frequency": { "instances": 31073, "pages_affected": 1273, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)", "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 1273 of 2696 scanned pages (31073 instances).", "remediation_tip": null, "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111", "expected_behavior": "Element passes Siteimprove Alfa rule sia-r111 (WCAG 2.5.5).", "actual_behavior": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 1273 of 2696 scanned pages (31073 instances).", "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656", "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806", "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18" ], "html_fragments": [], "url_patterns": [ { "pattern": "/faq", "count": 9 }, { "pattern": "/medicaid/medicaid-state-plan-amendments", "count": 4 }, { "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list", "count": 4 } ], "associated_technologies": [], "impact": { "groups": [], "summary": "Not captured by automated scan — requires manual testing." } }, { "finding_id": "VS-c18be945", "fingerprint": "8634e2fd", "rule_id": "sia-r57", "rule_label": "Scrolling content can be accessed by keyboard", "engine": "alfa", "tool": "Siteimprove Alfa", "wcag_sc": null, "wcag_name": null, "wcag_level": null, "wcag_version": null, "wcag_category": "Undetermined", "rule_url": "https://alfa.siteimprove.com/rules/sia-r57", "severity": "Moderate", "priority": "p2", "confidence": "high", "rationale": "affects 1273 pages; persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 1273, "affected_pages_previous": 3425 }, "frequency": { "instances": 10728, "pages_affected": 1273, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)", "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 1273 of 2696 scanned pages (10728 instances).", "remediation_tip": null, "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57", "expected_behavior": "Element passes Siteimprove Alfa rule sia-r57.", "actual_behavior": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 1273 of 2696 scanned pages (10728 instances).", "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656", "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806", "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18" ], "html_fragments": [], "url_patterns": [ { "pattern": "/faq", "count": 9 }, { "pattern": "/medicaid/medicaid-state-plan-amendments", "count": 4 }, { "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list", "count": 4 } ], "associated_technologies": [], "impact": { "groups": [], "summary": "Not captured by automated scan — requires manual testing." } }, { "finding_id": "VS-2208081b", "fingerprint": "40bbca09", "rule_id": "sia-r73", "rule_label": "Text has minimum contrast ratio of 4.5:1", "engine": "alfa", "tool": "Siteimprove Alfa", "wcag_sc": "1.4.8", "wcag_name": "Visual Presentation", "wcag_level": "AAA", "wcag_version": "2.0", "wcag_category": "WCAG 2.x AAA", "rule_url": "https://alfa.siteimprove.com/rules/sia-r73", "severity": "Moderate", "priority": "p2", "confidence": "high", "rationale": "affects 1049 pages; persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 1049, "affected_pages_previous": 2885 }, "frequency": { "instances": 1049, "pages_affected": 1049, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)", "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 1049 of 2696 scanned pages (1049 instances).", "remediation_tip": null, "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73", "expected_behavior": "Element passes Siteimprove Alfa rule sia-r73 (WCAG 1.4.8).", "actual_behavior": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 1049 of 2696 scanned pages (1049 instances).", "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656", "https://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1956&f%5B1%5D=sub_topic_faq_library_facet%3A1981&f%5B2%5D=sub_topic_faq_library_facet%3A2031&f%5B3%5D=sub_topic_faq_library_facet%3A2086&page=4", "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A751&f%5B1%5D=topics%3A856&f%5B2%5D=topics%3A7411&page=7" ], "html_fragments": [], "url_patterns": [ { "pattern": "/faq", "count": 11 }, { "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list", "count": 5 }, { "pattern": "/medicaid/medicaid-state-plan-amendments", "count": 4 } ], "associated_technologies": [], "impact": { "groups": [], "summary": "Not captured by automated scan — requires manual testing." } }, { "finding_id": "VS-f18df681", "fingerprint": "09987718", "rule_id": "region", "rule_label": "All page content should be contained by landmarks", "engine": "axe-core", "tool": "axe-core", "wcag_sc": null, "wcag_name": null, "wcag_level": null, "wcag_version": null, "wcag_category": "Best Practice", "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI", "severity": "Moderate", "priority": "p2", "confidence": "high", "rationale": "affects 442 pages; worsening trend", "trend": { "status": "worsening", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 442, "affected_pages_previous": 1046 }, "frequency": { "instances": 1964, "pages_affected": 442, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)", "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 442 of 2696 scanned pages (1964 instances).", "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.", "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI", "expected_behavior": "Element passes axe-core rule region.", "actual_behavior": "All page content should be contained by landmarks. Detected by axe-core rule region on 442 of 2696 scanned pages (1964 instances).", "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095", "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806", "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18" ], "html_fragments": [ { "fingerprint": "b8db5cfb", "html": "
", "selectors": [ ".small" ] }, { "fingerprint": "658adb3f", "html": "
", "selectors": [ ".justify-content-between" ] }, { "fingerprint": "ffcbeb49", "html": "

Version:

", "selectors": [ ".font-weight-bold" ] } ], "url_patterns": [ { "pattern": "/tmsis/dataguide/v4/data-elements/cot002095", "count": 1 }, { "pattern": "/tmsis/dataguide/v4/validation-rules/rule-2806", "count": 1 }, { "pattern": "/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18", "count": 1 } ], "associated_technologies": [], "impact": { "groups": [], "summary": "Not captured by automated scan — requires manual testing." } }, { "finding_id": "VS-d5d82446", "fingerprint": "3627341e", "rule_id": "landmark-one-main", "rule_label": "Document should have one main landmark", "engine": "axe-core", "tool": "axe-core", "wcag_sc": null, "wcag_name": null, "wcag_level": null, "wcag_version": null, "wcag_category": "Best Practice", "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI", "severity": "Moderate", "priority": "p2", "confidence": "high", "rationale": "affects 441 pages; worsening trend", "trend": { "status": "worsening", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 441, "affected_pages_previous": 1041 }, "frequency": { "instances": 441, "pages_affected": 441, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Document should have one main landmark (WCAG criterion undetermined)", "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 441 of 2696 scanned pages (441 instances).", "remediation_tip": "Each page should have exactly one
landmark.", "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI", "expected_behavior": "Element passes axe-core rule landmark-one-main.", "actual_behavior": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 441 of 2696 scanned pages (441 instances).", "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095", "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806", "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18" ], "html_fragments": [ { "fingerprint": "c30e96bb", "html": "", "selectors": [ "html" ] } ], "url_patterns": [ { "pattern": "/tmsis/dataguide/v4/data-elements/cot002095", "count": 1 }, { "pattern": "/tmsis/dataguide/v4/validation-rules/rule-2806", "count": 1 }, { "pattern": "/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18", "count": 1 } ], "associated_technologies": [], "impact": { "groups": [], "summary": "Not captured by automated scan — requires manual testing." } }, { "finding_id": "VS-fa44f293", "fingerprint": "a01b2a6c", "rule_id": "page-has-heading-one", "rule_label": "Page should contain a level-one heading", "engine": "axe-core", "tool": "axe-core", "wcag_sc": null, "wcag_name": null, "wcag_level": null, "wcag_version": null, "wcag_category": "Best Practice", "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI", "severity": "Moderate", "priority": "p2", "confidence": "high", "rationale": "affects 441 pages; worsening trend", "trend": { "status": "worsening", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 441, "affected_pages_previous": 1041 }, "frequency": { "instances": 441, "pages_affected": 441, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Page should contain a level-one heading (WCAG criterion undetermined)", "description": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 441 of 2696 scanned pages (441 instances).", "remediation_tip": null, "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI", "expected_behavior": "Element passes axe-core rule page-has-heading-one.", "actual_behavior": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 441 of 2696 scanned pages (441 instances).", "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095", "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806", "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18" ], "html_fragments": [ { "fingerprint": "c30e96bb", "html": "", "selectors": [ "html" ] } ], "url_patterns": [ { "pattern": "/tmsis/dataguide/v4/data-elements/cot002095", "count": 1 }, { "pattern": "/tmsis/dataguide/v4/validation-rules/rule-2806", "count": 1 }, { "pattern": "/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18", "count": 1 } ], "associated_technologies": [], "impact": { "groups": [], "summary": "Not captured by automated scan — requires manual testing." } }, { "finding_id": "VS-aa242c2d", "fingerprint": "9bf7674d", "rule_id": "sia-r87", "rule_label": "First focusable element is link to main content", "engine": "alfa", "tool": "Siteimprove Alfa", "wcag_sc": null, "wcag_name": null, "wcag_level": null, "wcag_version": null, "wcag_category": "Undetermined", "rule_url": "https://alfa.siteimprove.com/rules/sia-r87", "severity": "Moderate", "priority": "p2", "confidence": "high", "rationale": "affects 224 pages; persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 224, "affected_pages_previous": 543 }, "frequency": { "instances": 224, "pages_affected": 224, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "First focusable element is link to main content (WCAG criterion undetermined)", "description": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 224 of 2696 scanned pages (224 instances).", "remediation_tip": null, "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87", "expected_behavior": "Element passes Siteimprove Alfa rule sia-r87.", "actual_behavior": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 224 of 2696 scanned pages (224 instances).", "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806", "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18", "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16" ], "html_fragments": [], "url_patterns": [ { "pattern": "/tmsis/dataguide/v4/validation-rules/rule-2806", "count": 1 }, { "pattern": "/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18", "count": 1 }, { "pattern": "/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16", "count": 1 } ], "associated_technologies": [ { "technology": "DataTables", "lift": 5.1, "pages_with_both": 21 }, { "technology": "Popper", "lift": 5.1, "pages_with_both": 21 }, { "technology": "Bootstrap", "lift": 5.1, "pages_with_both": 21 } ], "impact": { "groups": [], "summary": "Not captured by automated scan — requires manual testing." } }, { "finding_id": "VS-7118fead", "fingerprint": "0d932ac9", "rule_id": "sia-r61", "rule_label": "Form field label is visible", "engine": "alfa", "tool": "Siteimprove Alfa", "wcag_sc": null, "wcag_name": null, "wcag_level": null, "wcag_version": null, "wcag_category": "Undetermined", "rule_url": "https://alfa.siteimprove.com/rules/sia-r61", "severity": "Moderate", "priority": "p2", "confidence": "high", "rationale": "affects 222 pages; persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 222, "affected_pages_previous": 539 }, "frequency": { "instances": 222, "pages_affected": 222, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Form field label is visible (WCAG criterion undetermined)", "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 222 of 2696 scanned pages (222 instances).", "remediation_tip": null, "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61", "expected_behavior": "Element passes Siteimprove Alfa rule sia-r61.", "actual_behavior": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 222 of 2696 scanned pages (222 instances).", "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806", "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18", "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16" ], "html_fragments": [], "url_patterns": [ { "pattern": "/tmsis/dataguide/v4/validation-rules/rule-2806", "count": 1 }, { "pattern": "/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18", "count": 1 }, { "pattern": "/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16", "count": 1 } ], "associated_technologies": [ { "technology": "DataTables", "lift": 5.1, "pages_with_both": 21 }, { "technology": "Popper", "lift": 5.1, "pages_with_both": 21 }, { "technology": "Bootstrap", "lift": 5.1, "pages_with_both": 21 } ], "impact": { "groups": [], "summary": "Not captured by automated scan — requires manual testing." } }, { "finding_id": "VS-f7dba940", "fingerprint": "477d8088", "rule_id": "sia-r14", "rule_label": "Accessible name of link or button matches visible label", "engine": "alfa", "tool": "Siteimprove Alfa", "wcag_sc": "2.5.3", "wcag_name": "Label in Name", "wcag_level": "A", "wcag_version": "2.1", "wcag_category": "WCAG 2.1 A", "rule_url": "https://alfa.siteimprove.com/rules/sia-r14", "severity": "Moderate", "priority": "p2", "confidence": "high", "rationale": "affects 120 pages; persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 120, "affected_pages_previous": 284 }, "frequency": { "instances": 120, "pages_affected": 120, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)", "description": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 120 of 2696 scanned pages (120 instances).", "remediation_tip": null, "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14", "expected_behavior": "Element passes Siteimprove Alfa rule sia-r14 (WCAG 2.5.3).", "actual_behavior": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 120 of 2696 scanned pages (120 instances).", "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16", "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008", "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7183" ], "html_fragments": [], "url_patterns": [ { "pattern": "/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16", "count": 1 }, { "pattern": "/tmsis/dataguide/v4/data-elements/prv001008", "count": 1 }, { "pattern": "/tmsis/dataguide/v3/validation-rules/rule-7183", "count": 1 } ], "associated_technologies": [ { "technology": "DataTables", "lift": 5.1, "pages_with_both": 10 }, { "technology": "Popper", "lift": 5.1, "pages_with_both": 10 }, { "technology": "Bootstrap", "lift": 5.1, "pages_with_both": 10 } ], "impact": { "groups": [ { "code": "WV", "group": "Without vision", "prevalence": 0.01, "percent": "1.0%", "estimatedExcluded": null }, { "code": "WS", "group": "Without speech", "prevalence": 0.005, "percent": "0.5%", "estimatedExcluded": null } ], "summary": "Affects Without vision (1.0%), Without speech (0.5%)." } }, { "finding_id": "VS-d6097011", "fingerprint": "b46c5395", "rule_id": "sia-r68", "rule_label": "Presentational children of an element are not focusable", "engine": "alfa", "tool": "Siteimprove Alfa", "wcag_sc": "1.3.1", "wcag_name": "Info and Relationships", "wcag_level": "A", "wcag_version": "2.0", "wcag_category": "WCAG 2.0 A", "rule_url": "https://alfa.siteimprove.com/rules/sia-r68", "severity": "Moderate", "priority": "p2", "confidence": "high", "rationale": "persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 75, "affected_pages_previous": 183 }, "frequency": { "instances": 79, "pages_affected": 75, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)", "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 75 of 2696 scanned pages (79 instances).", "remediation_tip": null, "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68", "expected_behavior": "Element passes Siteimprove Alfa rule sia-r68 (WCAG 1.3.1).", "actual_behavior": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 75 of 2696 scanned pages (79 instances).", "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008", "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=41&q=", "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=15&q=" ], "html_fragments": [], "url_patterns": [ { "pattern": "/medicaid/medicaid-state-plan-amendments", "count": 7 }, { "pattern": "/chip/state-program-information/chip-spa", "count": 2 }, { "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list", "count": 2 } ], "associated_technologies": [ { "technology": "DataTables", "lift": 3.64, "pages_with_both": 5 }, { "technology": "Popper", "lift": 3.64, "pages_with_both": 5 }, { "technology": "Bootstrap", "lift": 3.64, "pages_with_both": 5 } ], "impact": { "groups": [ { "code": "WV", "group": "Without vision", "prevalence": 0.01, "percent": "1.0%", "estimatedExcluded": null }, { "code": "LV", "group": "Limited vision", "prevalence": 0.024, "percent": "2.4%", "estimatedExcluded": null }, { "code": "LCLA", "group": "Limited cognitive, language, or learning ability", "prevalence": 0.11, "percent": "11.0%", "estimatedExcluded": null } ], "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)." } }, { "finding_id": "VS-e05344b9", "fingerprint": "9d7a222a", "rule_id": "sia-r18", "rule_label": "aria attribute is permitted for element role", "engine": "alfa", "tool": "Siteimprove Alfa", "wcag_sc": null, "wcag_name": null, "wcag_level": null, "wcag_version": null, "wcag_category": "Undetermined", "rule_url": "https://alfa.siteimprove.com/rules/sia-r18", "severity": "Moderate", "priority": "p3", "confidence": "high", "rationale": "persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 46, "affected_pages_previous": 117 }, "frequency": { "instances": 223, "pages_affected": 46, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)", "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 46 of 2696 scanned pages (223 instances).", "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.", "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18", "expected_behavior": "Element passes Siteimprove Alfa rule sia-r18.", "actual_behavior": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 46 of 2696 scanned pages (223 instances).", "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008", "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002084", "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg016212" ], "html_fragments": [], "url_patterns": [ { "pattern": "/tmsis/dataguide/v4/data-elements/prv001008", "count": 1 }, { "pattern": "/tmsis/dataguide/v3/data-elements/crx002084", "count": 1 }, { "pattern": "/tmsis/dataguide/v4/data-elements/elg016212", "count": 1 } ], "associated_technologies": [ { "technology": "DataTables", "lift": 5.1, "pages_with_both": 5 }, { "technology": "Popper", "lift": 5.1, "pages_with_both": 5 }, { "technology": "Bootstrap", "lift": 5.1, "pages_with_both": 5 } ], "impact": { "groups": [], "summary": "Not captured by automated scan — requires manual testing." } }, { "finding_id": "VS-d25f622d", "fingerprint": "98ff321a", "rule_id": "heading-order", "rule_label": "Heading levels should only increase by one", "engine": "axe-core", "tool": "axe-core", "wcag_sc": null, "wcag_name": null, "wcag_level": null, "wcag_version": null, "wcag_category": "Best Practice", "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI", "severity": "Moderate", "priority": "p3", "confidence": "high", "rationale": "persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 43, "affected_pages_previous": 116 }, "frequency": { "instances": 49, "pages_affected": 43, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Heading levels should only increase by one (WCAG criterion undetermined)", "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 43 of 2696 scanned pages (49 instances).", "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.", "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI", "expected_behavior": "Element passes axe-core rule heading-order.", "actual_behavior": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 43 of 2696 scanned pages (49 instances).", "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification", "http://medicaid.gov/medicaid/data-systems/health-information-technology/health-disparities", "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54038" ], "html_fragments": [ { "fingerprint": "61ec0d64", "html": "

Related Links

", "selectors": [ ".field--name-field-resources-list > h3" ] }, { "fingerprint": "07a7ab9b", "html": "

Related Sites

", "selectors": [ ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4" ] } ], "url_patterns": [ { "pattern": "/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/{id}", "count": 3 }, { "pattern": "/state-resource-center/disaster-response-toolkit/federal-disaster-resources/{id}", "count": 3 }, { "pattern": "/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification", "count": 1 } ], "associated_technologies": [], "impact": { "groups": [], "summary": "Not captured by automated scan — requires manual testing." } }, { "finding_id": "VS-179ad9b3", "fingerprint": "0e001fcc", "rule_id": "sia-r113", "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)", "engine": "alfa", "tool": "Siteimprove Alfa", "wcag_sc": "2.5.8", "wcag_name": "Target Size (Minimum)", "wcag_level": "AA", "wcag_version": "2.2", "wcag_category": "WCAG 2.2 AA", "rule_url": "https://alfa.siteimprove.com/rules/sia-r113", "severity": "Moderate", "priority": "p3", "confidence": "high", "rationale": "persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 30, "affected_pages_previous": 69 }, "frequency": { "instances": 64, "pages_affected": 30, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)", "description": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 30 of 2696 scanned pages (64 instances).", "remediation_tip": null, "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113", "expected_behavior": "Element passes Siteimprove Alfa rule sia-r113 (WCAG 2.5.8).", "actual_behavior": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 30 of 2696 scanned pages (64 instances).", "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=41&q=", "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=15&q=", "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=1&q=" ], "html_fragments": [], "url_patterns": [ { "pattern": "/medicaid/medicaid-state-plan-amendments", "count": 15 }, { "pattern": "/chip/state-program-information/chip-spa", "count": 5 }, { "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list", "count": 4 } ], "associated_technologies": [], "impact": { "groups": [ { "code": "LM", "group": "Limited manipulation/strength", "prevalence": 0.13, "percent": "13.0%", "estimatedExcluded": null }, { "code": "LR", "group": "Limited reach", "prevalence": 0.02, "percent": "2.0%", "estimatedExcluded": null }, { "code": "LV", "group": "Limited vision", "prevalence": 0.024, "percent": "2.4%", "estimatedExcluded": null } ], "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)." } }, { "finding_id": "VS-a48e6078", "fingerprint": "2ccef0fa", "rule_id": "sia-r8", "rule_label": "Form field has accessible name", "engine": "alfa", "tool": "Siteimprove Alfa", "wcag_sc": "4.1.2", "wcag_name": "Name, Role, Value", "wcag_level": "A", "wcag_version": "2.0", "wcag_category": "WCAG 2.0 A", "rule_url": "https://alfa.siteimprove.com/rules/sia-r8", "severity": "Moderate", "priority": "p3", "confidence": "high", "rationale": "persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 30, "affected_pages_previous": 69 }, "frequency": { "instances": 64, "pages_affected": 30, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Form field has accessible name (WCAG 4.1.2)", "description": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 30 of 2696 scanned pages (64 instances).", "remediation_tip": "Associate the form field with a label.", "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8", "expected_behavior": "Element passes Siteimprove Alfa rule sia-r8 (WCAG 4.1.2).", "actual_behavior": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 30 of 2696 scanned pages (64 instances).", "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=41&q=", "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=15&q=", "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=1&q=" ], "html_fragments": [], "url_patterns": [ { "pattern": "/medicaid/medicaid-state-plan-amendments", "count": 15 }, { "pattern": "/chip/state-program-information/chip-spa", "count": 5 }, { "pattern": "/medicaid/section-1115-demo/demonstration-and-waiver-list", "count": 4 } ], "associated_technologies": [], "impact": { "groups": [ { "code": "WV", "group": "Without vision", "prevalence": 0.01, "percent": "1.0%", "estimatedExcluded": null }, { "code": "LV", "group": "Limited vision", "prevalence": 0.024, "percent": "2.4%", "estimatedExcluded": null }, { "code": "LM", "group": "Limited manipulation/strength", "prevalence": 0.13, "percent": "13.0%", "estimatedExcluded": null } ], "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)." } }, { "finding_id": "VS-04a9d28c", "fingerprint": "02cfba82", "rule_id": "presentational-attr", "rule_label": "Presentational attribute (use CSS)", "engine": "deprecated-html", "tool": "deprecated-html", "wcag_sc": null, "wcag_name": null, "wcag_level": null, "wcag_version": null, "wcag_category": "Undetermined", "rule_url": null, "severity": "Moderate", "priority": "p3", "confidence": "high", "rationale": "Moderate severity on 29 pages", "trend": { "status": "improving", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 29, "affected_pages_previous": 65 }, "frequency": { "instances": 36, "pages_affected": 29, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)", "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 29 of 2696 scanned pages (36 instances).", "remediation_tip": null, "suggested_fix": "Not captured by automated scan — requires manual testing.", "expected_behavior": "Element passes deprecated-html rule presentational-attr.", "actual_behavior": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 29 of 2696 scanned pages (36 instances).", "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "https://medicaid.gov/tmsis/dataguide/v4/data-elements/tpl003050", "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8425", "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8735" ], "html_fragments": [ { "fingerprint": "95a33b85", "html": "No data available in table", "selectors": [ "td" ] }, { "fingerprint": "fd2c7be6", "html": "No data available in table", "selectors": [ "td" ] }, { "fingerprint": "8febe8a4", "html": "No data available in table", "selectors": [ "td" ] } ], "url_patterns": [ { "pattern": "/tmsis/dataguide/v4/data-elements/tpl003050", "count": 1 }, { "pattern": "/tmsis/dataguide/v4/validation-rules/rule-8425", "count": 1 }, { "pattern": "/tmsis/dataguide/v4/validation-rules/rule-8735", "count": 1 } ], "associated_technologies": [], "impact": { "groups": [], "summary": "Not captured by automated scan — requires manual testing." } }, { "finding_id": "VS-f054f4a4", "fingerprint": "5fa3b5a6", "rule_id": "sia-r53", "rule_label": "Headings are structured hierarchically", "engine": "alfa", "tool": "Siteimprove Alfa", "wcag_sc": null, "wcag_name": null, "wcag_level": null, "wcag_version": null, "wcag_category": "Undetermined", "rule_url": "https://alfa.siteimprove.com/rules/sia-r53", "severity": "Moderate", "priority": "p3", "confidence": "high", "rationale": "persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 19, "affected_pages_previous": 58 }, "frequency": { "instances": 22, "pages_affected": 19, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Headings are structured hierarchically (WCAG criterion undetermined)", "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 19 of 2696 scanned pages (22 instances).", "remediation_tip": "Use headings in a logical, non-skipping order.", "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53", "expected_behavior": "Element passes Siteimprove Alfa rule sia-r53.", "actual_behavior": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 19 of 2696 scanned pages (22 instances).", "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "representative_urls": [ "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification", "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54038", "http://medicaid.gov/state-overviews/stateprofile.html?state=Pennsylvania" ], "html_fragments": [], "url_patterns": [ { "pattern": "/resources-for-states/disaster-response-toolkit/federal-disaster-resources", "count": 2 }, { "pattern": "/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification", "count": 1 }, { "pattern": "/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/{id}", "count": 1 } ], "associated_technologies": [], "impact": { "groups": [], "summary": "Not captured by automated scan — requires manual testing." } }, { "finding_id": "VS-8806389c", "fingerprint": "ffb2ae06", "rule_id": "landmark-unique", "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c", "engine": "axe-core", "tool": "axe-core", "wcag_sc": null, "wcag_name": null, "wcag_level": null, "wcag_version": null, "wcag_category": "Best Practice", "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI", "severity": "Moderate", "priority": "p3", "confidence": "high", "rationale": "persistent across weeks", "trend": { "status": "persistent", "first_observed": "2026-W24", "last_observed": "2026-W40", "weeks_observed": 17, "affected_pages_current": 12, "affected_pages_previous": 11 }, "frequency": { "instances": 12, "pages_affected": 12, "total_pages_scanned": 2696 }, "on_key_page": false, "summary": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)", "description": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 12 of 2696 scanned pages (12 instances).", "remediation_tip": "When a landmark role/type repeats (e.g. two