{
 "domain": "www.medicaid.gov",
 "week": "2026-W40",
 "generatedAt": "2026-09-30T18:09:17.387Z",
 "reports": [
  {
   "instance_id": "VS-00350601",
   "pattern_id": "VS-179ad9b3",
   "a11y_pattern_fingerprint": "6289c3141138c0f42775f98b28ae763a8dca8a79a47e2f6515a0d82b87159a69",
   "a11y_pattern_display_id": "A11Y-PAT-6289C3141138",
   "a11y_occurrence_fingerprint": "282c9d7f31d673c3559f5cc9b96d910ba8dcd0c22062b6be2d0f81cd3c15cb06",
   "a11y_occurrence_display_id": "A11Y-OCC-282C9D7F31D6",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=41&q=",
   "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
   "html_snippet": null,
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "frequency": {
    "instances": 64,
    "pages_affected": 30,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)",
   "description": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 30 of 2696 scanned pages (64 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=41&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=41&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=15&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=15&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=1&q=",
     "xpath": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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="
   ],
   "affected_pages": [
    "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=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=836&page=6&q=",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=2&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=1&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=26&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=0&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=42&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=13&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=40&q=",
    "https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=696&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=1&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=28&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=43&q=",
    "http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=0&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%5B0%5D=2271&limit=10&page=3&q=&sort=field_faq_date%3Adesc",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=886&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=3&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=39&q=",
    "http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=1&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=4&q="
   ],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=41&q=.",
    "Locate the element: <textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "obligation": "required",
   "handling": "review",
   "policy_source": "target",
   "policy_reason": "WCAG 2.5.8 target-size results can require manual verification of spacing, equivalent controls, and essential-size exceptions.",
   "policy_evidence": [
    "https://alfa.siteimprove.com/rules/sia-r113"
   ],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/alfa__sia-r113.csv"
  },
  {
   "instance_id": "VS-033ea34d",
   "pattern_id": "VS-f7dba940",
   "a11y_pattern_fingerprint": "50c8c661b023dbfd5affed8d5af8109b4ad0da533ce32fe85d275900c6fabcaa",
   "a11y_pattern_display_id": "A11Y-PAT-50C8C661B023",
   "a11y_occurrence_fingerprint": "c369d43cdf8e5911aa85429d72469d143c0aa5bf4e5cd2f788d1761cdc4e1efa",
   "a11y_occurrence_display_id": "A11Y-OCC-C369D43CDF8E",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16",
   "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
   "html_snippet": null,
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "frequency": {
    "instances": 120,
    "pages_affected": 120,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "description": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 120 of 2696 scanned pages (120 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7183",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6363",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7860",
     "xpath": "<a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://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"
   ],
   "affected_pages": [
    "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",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6363",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7860",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-891",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-26-011-11",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002084",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg016212",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/mcr004060",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-096-92",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt001227",
    "https://medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/crx-claim-pharmacy/file-header-record-rx",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6642",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-7319",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002053",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002050",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-50-001-4",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-79-047-47",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-8756",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-4-010-10",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-83-036-36",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002141",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/rule-8731"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16.",
    "Locate the element: <a alt=\"View Changelog, select to access the version history\" href=\"#\" class=\"text-primary btn p-0\" data-target=\"#modalChangelogHistory\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/alfa__sia-r14.csv"
  },
  {
   "instance_id": "VS-6fbb414e",
   "pattern_id": "VS-9429bb8d",
   "a11y_pattern_fingerprint": "41421730b8811402e7a4e38fdb39d1db020db07cfff56e0caa653dd8a363684f",
   "a11y_pattern_display_id": "A11Y-PAT-41421730B881",
   "a11y_occurrence_fingerprint": "e6bd5c8ce2ee6ee9e6db07f519d79882dc2eb00a414699cd75335503896e6b45",
   "a11y_occurrence_display_id": "A11Y-OCC-E6BD5C8CE2EE",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
   "xpath": ".nav",
   "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-required-children",
   "rule_label": "Certain ARIA roles must contain particular children",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 93,
    "pages_affected": 93,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "Certain ARIA roles must contain particular children (WCAG 1.3.1)",
   "description": "Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 93 of 2696 scanned pages (93 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002024",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot003255",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002190",
     "xpath": ".nav",
     "html_snippet": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot003255",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002190",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002099",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/tpl003050",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002198",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/mcr004058",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002084",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg016212",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/mcr004060",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt001227",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot003254",
    "https://medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/crx-claim-pharmacy/file-header-record-rx",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/mcr005070",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx004207",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002053",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002050",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg002028",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002104",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002141",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002097",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx003116",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/tpl006077"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095.",
    "Locate the element: .nav",
    "Confirm the axe-core finding for rule aria-required-children against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "Add the child roles this container role requires (e.g. a list needs listitem children).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/axe-core__aria-required-children.csv"
  },
  {
   "instance_id": "VS-46db8702",
   "pattern_id": "VS-d6097011",
   "a11y_pattern_fingerprint": "d58821b5f058fc07b11c10534e52b0cca73054d9199406248e792d5105fd9893",
   "a11y_pattern_display_id": "A11Y-PAT-D58821B5F058",
   "a11y_occurrence_fingerprint": "ebd595aea7077a0d875069865770605d07e66b68c32ef3cbfd80830fb87bb685",
   "a11y_occurrence_display_id": "A11Y-OCC-EBD595AEA707",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
   "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "frequency": {
    "instances": 79,
    "pages_affected": 75,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 75 of 2696 scanned pages (79 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
     "xpath": "<div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=41&q=",
     "xpath": "<ul class=\"select2-selection__rendered\" id=\"select2-edit-field-topics-container\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=15&q=",
     "xpath": "<ul class=\"select2-selection__rendered\" id=\"select2-edit-field-topics-container\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=1&q=",
     "xpath": "<ul class=\"select2-selection__rendered\" id=\"select2-edit-field-topics-container\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=836&page=6&q=",
     "xpath": "<ul class=\"select2-selection__rendered\" id=\"select2-edit-field-topics-container\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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="
   ],
   "affected_pages": [
    "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=",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=836&page=6&q=",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=2&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002084",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg016212",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/mcr004060",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt001227",
    "https://medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/crx-claim-pharmacy/file-header-record-rx",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=1&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002053",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002050",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=26&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=0&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002141",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx003116",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=0&q=",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl004059",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/mcr002030",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cip002138",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003095",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=42&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=13&q="
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008.",
    "Locate the element: <div class=\"nav nav-tabs nav-justified\" role=\"tablist\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "possible_duplicate_of": "VS-6fbb414e",
   "possible_duplicate_pattern": "VS-9429bb8d",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/alfa__sia-r68.csv"
  },
  {
   "instance_id": "VS-1bd49362",
   "pattern_id": "VS-1467ea8a",
   "a11y_pattern_fingerprint": "ea22cf589d655040cfcc8c1a46712ee71f0b18dab4eee39e5921a225d826d913",
   "a11y_pattern_display_id": "A11Y-PAT-EA22CF589D65",
   "a11y_occurrence_fingerprint": "864fa492cd5a359d47141b72f9f2e0fcefdee8bcb25bba65edf8a02ed2f2d7f9",
   "a11y_occurrence_display_id": "A11Y-OCC-864FA492CD5A",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
   "xpath": "a[href$=\"#overview\"]",
   "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 453,
    "pages_affected": 93,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "Elements must only use supported ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 93 of 2696 scanned pages (453 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
     "xpath": "a[href$=\"#overview\"]",
     "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
     "xpath": "a[href$=\"#validvalues\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
     "xpath": "a[href$=\"#relatedrules\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#relatedrules\" role=\"link\" aria-selected=\"false\" aria-controls=\"relatedrules\" data-toggle=\"tab\">Related Rules</a>"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002024",
     "xpath": "a[href$=\"#overview\"]",
     "html_snippet": "<a class=\"nav-item nav-link active\" href=\"#overview\" role=\"link\" aria-selected=\"true\" aria-controls=\"overview\" data-toggle=\"tab\">Overview</a>"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002024",
     "xpath": "a[href$=\"#validvalues\"]",
     "html_snippet": "<a class=\"nav-item nav-link\" href=\"#validvalues\" role=\"link\" aria-selected=\"false\" aria-controls=\"validvalues\" data-toggle=\"tab\">Valid Values</a>"
    }
   ],
   "example_pages": [
    "https://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"
   ],
   "affected_pages": [
    "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",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot003255",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002190",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002099",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/tpl003050",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cip002198",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/mcr004058",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002084",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg016212",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/mcr004060",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt001227",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot003254",
    "https://medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/crx-claim-pharmacy/file-header-record-rx",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/mcr005070",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx004207",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002053",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002050",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg002028",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002104",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002141",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002097",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx003116",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/tpl006077"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095.",
    "Locate the element: a[href$=\"#overview\"]",
    "Confirm the axe-core finding for rule aria-allowed-attr against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Remove ARIA attributes that aren't allowed on this role/element.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/axe-core__aria-allowed-attr.csv"
  },
  {
   "instance_id": "VS-49a24127",
   "pattern_id": "VS-0841abc2",
   "a11y_pattern_fingerprint": "70b51177e091223540031dbf92f27a471cb9642a7bec2545d5093c064635da52",
   "a11y_pattern_display_id": "A11Y-PAT-70B51177E091",
   "a11y_occurrence_fingerprint": "17b9fc510db8b5ff925d1233c493cc0aacedef9548c09cb0e972ffdad98902f0",
   "a11y_occurrence_display_id": "A11Y-OCC-17B9FC510DB8",
   "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=0&q=",
   "xpath": "span[data-select2-id=\"select2-data-1-qmha\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
   "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-input-field-name",
   "rule_label": "ARIA input fields must have an accessible name",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 129,
    "pages_affected": 60,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "ARIA input fields must have an accessible name (WCAG 4.1.2)",
   "description": "ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 60 of 2696 scanned pages (129 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=0&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-qmha\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=0&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-i5wq\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=2&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-dc8s\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=2&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-4pw2\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=22&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-ondg\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
     "html_snippet": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\" tabindex=\"-1\" aria-disabled=\"false\">"
    }
   ],
   "example_pages": [
    "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="
   ],
   "affected_pages": [
    "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=",
    "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=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=836&page=6&q=",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=2&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=881&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=861&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=1&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=6&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=26&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=0&q=",
    "http://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%5B%5D=876&q=",
    "https://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=2271&limit=10&page=4&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8786&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=1&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=0&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=926&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=42&q=",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=0&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=13&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=956&page=15&q="
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=0&q=.",
    "Locate the element: span[data-select2-id=\"select2-data-1-qmha\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"]",
    "Confirm the axe-core finding for rule aria-input-field-name against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/axe-core__aria-input-field-name.csv"
  },
  {
   "instance_id": "VS-d55b93cc",
   "pattern_id": "VS-a48e6078",
   "a11y_pattern_fingerprint": "4e31479a6ded13f767c55899a0ecb11c41498f3083dbfe4c2f13533aecd09225",
   "a11y_pattern_display_id": "A11Y-PAT-4E31479A6DED",
   "a11y_occurrence_fingerprint": "c9e748d800d27d05e043a5bd2e63bb0d9c5e9c05459f7d3b6f82c92c242c3227",
   "a11y_occurrence_display_id": "A11Y-OCC-C9E748D800D2",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=41&q=",
   "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
   "html_snippet": null,
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r8",
   "rule_label": "Form field has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r8",
   "severity": "Moderate",
   "frequency": {
    "instances": 64,
    "pages_affected": 30,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "Form field has accessible name (WCAG 4.1.2)",
   "description": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 30 of 2696 scanned pages (64 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=41&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=41&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=15&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=986&page=15&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=886&page=1&q=",
     "xpath": "<span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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="
   ],
   "affected_pages": [
    "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=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=836&page=6&q=",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=2&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=1&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=26&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=0&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=0&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=42&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=13&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=941&page=1&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=40&q=",
    "https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=696&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=891&page=1&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=28&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=826&page=2&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=43&q=",
    "http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=0&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%5B0%5D=2271&limit=10&page=3&q=&sort=field_faq_date%3Adesc",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=886&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=811&page=3&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=39&q=",
    "http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=881&page=1&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=876&page=4&q="
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=41&q=.",
    "Locate the element: <span class=\"select2-selection select2-selection--multiple\" role=\"combobox\" aria-haspopup=\"true\" aria-expanded=\"false\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r8 against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Associate the form field with a label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8",
   "possible_duplicate_of": "VS-49a24127",
   "possible_duplicate_pattern": "VS-0841abc2",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/alfa__sia-r8.csv"
  },
  {
   "instance_id": "VS-c691c18c",
   "pattern_id": "VS-646b1e0b",
   "a11y_pattern_fingerprint": "c222b671df04a74389e09c0bbe0acf11c4ddc21bcede2a33817524d97a9c05e6",
   "a11y_pattern_display_id": "A11Y-PAT-C222B671DF04",
   "a11y_occurrence_fingerprint": "1b8c84f56d9a64ed61e0d9bb70740079d7fa4839bac793eaa6628d36449914c5",
   "a11y_occurrence_display_id": "A11Y-OCC-1B8C84F56D9A",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
   "xpath": "text: \"Here’s how you know\"",
   "html_snippet": null,
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "frequency": {
    "instances": 52687,
    "pages_affected": 1273,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 1273 of 2696 scanned pages (52687 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
     "xpath": "text: \"Here’s how you know\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
     "xpath": "text: \"FAQs\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
     "xpath": "text: \"Home\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": "text: \"Here's how you know \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": "text: \"\n                        4.0.37\n                    \"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "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",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16",
    "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification",
    "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2386&f%5B1%5D=sub_topic_faq_library_facet%3A2436&f%5B2%5D=sub_topic_faq_library_facet%3A2451&page=4",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A906&f%5B2%5D=fpg_topics_facet%3A1471&f%5B3%5D=fpg_topics_facet%3A1491&f%5B4%5D=fpg_topics_facet%3A3046&f%5B5%5D=fpg_type_facet%3A1476&f%5B6%5D=fpg_type_facet%3A1536&page=0",
    "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1891&f%5B1%5D=sub_topic_faq_library_facet%3A2096&page=81&sl=yes",
    "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1931&f%5B1%5D=sub_topic_faq_library_facet%3A1946&f%5B2%5D=sub_topic_faq_library_facet%3A2076&f%5B3%5D=sub_topic_faq_library_facet%3A2511&page=7",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1926&f%5B1%5D=sub_topic_faq_library_facet%3A2021&f%5B2%5D=sub_topic_faq_library_facet%3A2036&f%5B3%5D=sub_topic_faq_library_facet%3A2081&f%5B4%5D=sub_topic_faq_library_facet%3A2446&page=84",
    "https://www.medicaid.gov/faq?fcf=41254&page=3&sl=yes",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-17-005-14",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A996&objectId=3242896&page=65",
    "http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8361&f%5B0%5D=waiver_state_facet%3A731&f%5B1%5D=waiver_state_facet%3A931&page=1",
    "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%3A881&page=63",
    "https://www.medicaid.gov/faq?entry=48729&page=84",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A761&f%5B1%5D=topics%3A1496&page=1661",
    "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2031&f%5B1%5D=sub_topic_faq_library_facet%3A2356&f%5B2%5D=sub_topic_faq_library_facet%3A2511&page=2",
    "https://www.medicaid.gov/faq?fcf=41089&page=0&sl=yes",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A781&f%5B10%5D=topics%3A2726&f%5B11%5D=topics%3A3141&f%5B12%5D=topics%3A3261&f%5B13%5D=topics%3A3381&f%5B14%5D=topics%3A3791&f%5B15%5D=topics%3A7296&f%5B16%5D=topics%3A7386&f%5B17%5D=topics%3A7391&f%5B18%5D=topics%3A8496&f%5B2%5D=state%3A841&f%5B3%5D=state%3A881&f%5B4%5D=state%3A891&f%5B5%5D=state%3A941&f%5B6%5D=state%3A1006&f%5B7%5D=state%3A8296&f%5B8%5D=topics%3A761&f%5B9%5D=topics%3A936&page=0",
    "https://www.medicaid.gov/federal-policy-guidance?fcf=1190&page=111&sl=yes",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8311&page=2"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656.",
    "Locate the element: text: \"Here’s how you know\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/alfa__sia-r66.csv"
  },
  {
   "instance_id": "VS-9f176a22",
   "pattern_id": "VS-2208081b",
   "a11y_pattern_fingerprint": "e0c097b8956c24f601b45554efc6e35e8d61b38db9473bb9ebd1420dc3da3a9d",
   "a11y_pattern_display_id": "A11Y-PAT-E0C097B8956C",
   "a11y_occurrence_fingerprint": "eb0b501f56e99a63f664cc4bd09382d6c6897768d76f98e4c39baaf9ec98f875",
   "a11y_occurrence_display_id": "A11Y-OCC-EB0B501F56E9",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
   "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "frequency": {
    "instances": 1049,
    "pages_affected": 1049,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 1049 of 2696 scanned pages (1049 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "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",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "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",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2386&f%5B1%5D=sub_topic_faq_library_facet%3A2436&f%5B2%5D=sub_topic_faq_library_facet%3A2451&page=4",
     "xpath": "<p class=\"usa-footer__contact-info margin-bottom-0\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=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"
   ],
   "affected_pages": [
    "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",
    "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification",
    "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2386&f%5B1%5D=sub_topic_faq_library_facet%3A2436&f%5B2%5D=sub_topic_faq_library_facet%3A2451&page=4",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A906&f%5B2%5D=fpg_topics_facet%3A1471&f%5B3%5D=fpg_topics_facet%3A1491&f%5B4%5D=fpg_topics_facet%3A3046&f%5B5%5D=fpg_type_facet%3A1476&f%5B6%5D=fpg_type_facet%3A1536&page=0",
    "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1891&f%5B1%5D=sub_topic_faq_library_facet%3A2096&page=81&sl=yes",
    "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1931&f%5B1%5D=sub_topic_faq_library_facet%3A1946&f%5B2%5D=sub_topic_faq_library_facet%3A2076&f%5B3%5D=sub_topic_faq_library_facet%3A2511&page=7",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1926&f%5B1%5D=sub_topic_faq_library_facet%3A2021&f%5B2%5D=sub_topic_faq_library_facet%3A2036&f%5B3%5D=sub_topic_faq_library_facet%3A2081&f%5B4%5D=sub_topic_faq_library_facet%3A2446&page=84",
    "https://www.medicaid.gov/faq?fcf=41254&page=3&sl=yes",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A996&objectId=3242896&page=65",
    "http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8361&f%5B0%5D=waiver_state_facet%3A731&f%5B1%5D=waiver_state_facet%3A931&page=1",
    "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%3A881&page=63",
    "https://www.medicaid.gov/faq?entry=48729&page=84",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A761&f%5B1%5D=topics%3A1496&page=1661",
    "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2031&f%5B1%5D=sub_topic_faq_library_facet%3A2356&f%5B2%5D=sub_topic_faq_library_facet%3A2511&page=2",
    "https://www.medicaid.gov/faq?fcf=41089&page=0&sl=yes",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A781&f%5B10%5D=topics%3A2726&f%5B11%5D=topics%3A3141&f%5B12%5D=topics%3A3261&f%5B13%5D=topics%3A3381&f%5B14%5D=topics%3A3791&f%5B15%5D=topics%3A7296&f%5B16%5D=topics%3A7386&f%5B17%5D=topics%3A7391&f%5B18%5D=topics%3A8496&f%5B2%5D=state%3A841&f%5B3%5D=state%3A881&f%5B4%5D=state%3A891&f%5B5%5D=state%3A941&f%5B6%5D=state%3A1006&f%5B7%5D=state%3A8296&f%5B8%5D=topics%3A761&f%5B9%5D=topics%3A936&page=0",
    "https://www.medicaid.gov/federal-policy-guidance?fcf=1190&page=111&sl=yes",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8311&page=2",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A761&f%5B1%5D=fpg_topics_facet%3A1516&f%5B2%5D=fpg_topics_facet%3A2826&f%5B3%5D=fpg_topics_facet%3A6171&f%5B4%5D=fpg_topics_facet%3A8591&f%5B5%5D=fpg_topics_facet%3A8711&page=111",
    "http://medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A1471&f%5B2%5D=fpg_topics_facet%3A1501&f%5B3%5D=fpg_topics_facet%3A2696&f%5B4%5D=fpg_topics_facet%3A3046&f%5B5%5D=fpg_topics_facet%3A8601&f%5B6%5D=fpg_topics_facet%3A8606&page=106",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=state_waiver_status_facet%3A1606&f%5B1%5D=waiver_state_facet%3A881&page=1",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1941&f%5B1%5D=sub_topic_faq_library_facet%3A2441&page=6",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1941&f%5B1%5D=sub_topic_faq_library_facet%3A2106&f%5B2%5D=sub_topic_faq_library_facet%3A2431&f%5B3%5D=topic_faq_library_facet%3A2536&page=6"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656.",
    "Locate the element: <p class=\"usa-footer__contact-info margin-bottom-0\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/alfa__sia-r73.csv"
  },
  {
   "instance_id": "VS-4a870020",
   "pattern_id": "VS-fbf54eba",
   "a11y_pattern_fingerprint": "4619251abedff6048e4397cd7b2486f9ce25540efa3cd6be6ab0e1143fbc7f68",
   "a11y_pattern_display_id": "A11Y-PAT-4619251ABEDF",
   "a11y_occurrence_fingerprint": "acadbdc39ef80c0621abf0f3005ff75d7ab5214d3e0f3f8121f6289207502607",
   "a11y_occurrence_display_id": "A11Y-OCC-ACADBDC39EF8",
   "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
   "xpath": "<p class=\"field-content\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "frequency": {
    "instances": 20,
    "pages_affected": 2,
    "total_pages_scanned": 2696
   },
   "likely_source": "content",
   "summary": "Link is distinguishable without relying on color (WCAG 1.4.8)",
   "description": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 2 of 2696 scanned pages (20 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=20",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=20",
     "xpath": "<p class=\"field-content\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=20"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=20"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24.",
    "Locate the element: <p class=\"field-content\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/alfa__sia-r74.csv"
  },
  {
   "instance_id": "VS-899f8753",
   "pattern_id": "VS-cb53cc4d",
   "a11y_pattern_fingerprint": "f01c95b5ed8f78ffc8718bbd2753ce49117d9a33be843f9db2918655d93cd2fb",
   "a11y_pattern_display_id": "A11Y-PAT-F01C95B5ED8F",
   "a11y_occurrence_fingerprint": "fae8d64ba062c7649ec18d75247e1f0baff815fd58072935588fec9e0fd85ac2",
   "a11y_occurrence_display_id": "A11Y-OCC-FAE8D64BA062",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
   "xpath": "<button class=\"usa-button\" type=\"submit\">",
   "html_snippet": null,
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "frequency": {
    "instances": 31073,
    "pages_affected": 1273,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 1273 of 2696 scanned pages (31073 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
     "xpath": "<button class=\"usa-button\" type=\"submit\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
     "xpath": "<a target=\"_self\" href=\"/faq\" aria-label=\"Go to Frequently Asked Questions (FAQs)\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
     "xpath": "<button class=\"usa-button usa-button-round medicaid-tooltip\" type=\"button\" aria-label=\"More information about the search\" aria-controls=\"medicaid-solr-searches-help-modal\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": "<button class=\"btn btn-outline-primary dropdown-toggle py-1 px-2\" type=\"button\" id=\"dropdownMenuButton\" data-toggle=\"dropdown\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": "<a href=\"/tmsis/dataguide/v4/\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "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",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16",
    "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification",
    "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2386&f%5B1%5D=sub_topic_faq_library_facet%3A2436&f%5B2%5D=sub_topic_faq_library_facet%3A2451&page=4",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A906&f%5B2%5D=fpg_topics_facet%3A1471&f%5B3%5D=fpg_topics_facet%3A1491&f%5B4%5D=fpg_topics_facet%3A3046&f%5B5%5D=fpg_type_facet%3A1476&f%5B6%5D=fpg_type_facet%3A1536&page=0",
    "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1891&f%5B1%5D=sub_topic_faq_library_facet%3A2096&page=81&sl=yes",
    "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1931&f%5B1%5D=sub_topic_faq_library_facet%3A1946&f%5B2%5D=sub_topic_faq_library_facet%3A2076&f%5B3%5D=sub_topic_faq_library_facet%3A2511&page=7",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1926&f%5B1%5D=sub_topic_faq_library_facet%3A2021&f%5B2%5D=sub_topic_faq_library_facet%3A2036&f%5B3%5D=sub_topic_faq_library_facet%3A2081&f%5B4%5D=sub_topic_faq_library_facet%3A2446&page=84",
    "https://www.medicaid.gov/faq?fcf=41254&page=3&sl=yes",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-17-005-14",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A996&objectId=3242896&page=65",
    "http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8361&f%5B0%5D=waiver_state_facet%3A731&f%5B1%5D=waiver_state_facet%3A931&page=1",
    "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%3A881&page=63",
    "https://www.medicaid.gov/faq?entry=48729&page=84",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A761&f%5B1%5D=topics%3A1496&page=1661",
    "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2031&f%5B1%5D=sub_topic_faq_library_facet%3A2356&f%5B2%5D=sub_topic_faq_library_facet%3A2511&page=2",
    "https://www.medicaid.gov/faq?fcf=41089&page=0&sl=yes",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A781&f%5B10%5D=topics%3A2726&f%5B11%5D=topics%3A3141&f%5B12%5D=topics%3A3261&f%5B13%5D=topics%3A3381&f%5B14%5D=topics%3A3791&f%5B15%5D=topics%3A7296&f%5B16%5D=topics%3A7386&f%5B17%5D=topics%3A7391&f%5B18%5D=topics%3A8496&f%5B2%5D=state%3A841&f%5B3%5D=state%3A881&f%5B4%5D=state%3A891&f%5B5%5D=state%3A941&f%5B6%5D=state%3A1006&f%5B7%5D=state%3A8296&f%5B8%5D=topics%3A761&f%5B9%5D=topics%3A936&page=0",
    "https://www.medicaid.gov/federal-policy-guidance?fcf=1190&page=111&sl=yes",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8311&page=2"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656.",
    "Locate the element: <button class=\"usa-button\" type=\"submit\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/alfa__sia-r111.csv"
  },
  {
   "instance_id": "VS-eacc0e48",
   "pattern_id": "VS-33841929",
   "a11y_pattern_fingerprint": "5998f9a0ee78fc48e6359915170fec69977202e64cb6c7d0efb37c3e059c5e33",
   "a11y_pattern_display_id": "A11Y-PAT-5998F9A0EE78",
   "a11y_occurrence_fingerprint": "300ee6adaffe41ab0cfbff1368d4101a204b459da907b3984d6f832af2cbdd5c",
   "a11y_occurrence_display_id": "A11Y-OCC-300EE6ADAFFE",
   "url": "https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data",
   "xpath": "select[aria-labelledby=\"filter-th-87371-1\"]",
   "html_snippet": "<select aria-labelledby=\"filter-th-87371-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by Year\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "label-title-only",
   "rule_label": "Form elements should have a visible label",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 2696
   },
   "likely_source": "content",
   "summary": "Form elements should have a visible label (WCAG criterion undetermined)",
   "description": "Form elements should have a visible label. Detected by axe-core rule label-title-only on 1 of 2696 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data",
     "xpath": "select[aria-labelledby=\"filter-th-87371-1\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87371-1\" class=\"usa-select height-1\" data-col-index=\"1\" title=\"Filter by Year\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data",
     "xpath": "select[aria-labelledby=\"filter-th-87371-2\"]",
     "html_snippet": "<select aria-labelledby=\"filter-th-87371-2\" class=\"usa-select height-1\" data-col-index=\"2\" title=\"Filter by View\">"
    }
   ],
   "example_pages": [
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data"
   ],
   "affected_pages": [
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data.",
    "Locate the element: select[aria-labelledby=\"filter-th-87371-1\"]",
    "Confirm the axe-core finding for rule label-title-only."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 15,
   "affected_pages_csv": "csv/axe-core__label-title-only.csv"
  },
  {
   "instance_id": "VS-25bf460e",
   "pattern_id": "VS-f18df681",
   "a11y_pattern_fingerprint": "fbef4ff3e32c4833d9c61a04ccc7db84d73dd7c229243df34c4072053dfeba79",
   "a11y_pattern_display_id": "A11Y-PAT-FBEF4FF3E32C",
   "a11y_occurrence_fingerprint": "d44a7e0f28b78f8b5613c073b091c63f55b2751a3b469625dbe928c10eaffa4b",
   "a11y_occurrence_display_id": "A11Y-OCC-D44A7E0F28B7",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
   "xpath": ".small",
   "html_snippet": "<div class=\"small p-1\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 1964,
    "pages_affected": 442,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 442 of 2696 scanned pages (1964 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
     "xpath": ".small",
     "html_snippet": "<div class=\"small p-1\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
     "xpath": ".justify-content-between",
     "html_snippet": "<div class=\"d-flex justify-content-between m-2 mb-2\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
     "xpath": ".font-weight-bold",
     "html_snippet": "<p class=\"font-weight-bold m-0 mr-1\">Version:</p>"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": ".small",
     "html_snippet": "<div class=\"small p-1\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": ".justify-content-between",
     "html_snippet": "<div class=\"d-flex justify-content-between m-2 mb-2\">"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-83-025-25",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002024",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6431",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-17-005-14",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7183",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-16-001-1",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot003255",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-6-030-30",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6363",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7860",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8618",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-23-001-2",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2083",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6447",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-886",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002190",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3164",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002099",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-084-136",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1135"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095.",
    "Locate the element: .small",
    "Confirm the axe-core finding for rule region."
   ],
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Use Drupal's region system (header, navigation, main, sidebar, footer) and map each to an HTML5 landmark element in your theme's page.html.twig.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/axe-core__region.csv"
  },
  {
   "instance_id": "VS-51b851fa",
   "pattern_id": "VS-d5d82446",
   "a11y_pattern_fingerprint": "e0548b94661fca016e56f7a6e654dc2c2889714e73bcf48c1394e8cb092b990e",
   "a11y_pattern_display_id": "A11Y-PAT-E0548B94661F",
   "a11y_occurrence_fingerprint": "d36826d7a6b0cd62f83c1746251f23066b56d05056be9f222d578a03584e54a4",
   "a11y_occurrence_display_id": "A11Y-OCC-D36826D7A6B0",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
   "xpath": "html",
   "html_snippet": "<html class=\"no-js\" lang=\"en\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 441,
    "pages_affected": 441,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "Document should have one main landmark (WCAG criterion undetermined)",
   "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 441 of 2696 scanned pages (441 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-83-025-25",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-83-025-25",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002024",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6431",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-17-005-14",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7183",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-16-001-1",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot003255",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-6-030-30",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6363",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7860",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8618",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-23-001-2",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2083",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6447",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-886",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002190",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3164",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002099",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-084-136",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1135"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule landmark-one-main."
   ],
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/axe-core__landmark-one-main.csv"
  },
  {
   "instance_id": "VS-22b482cc",
   "pattern_id": "VS-fa44f293",
   "a11y_pattern_fingerprint": "b9790a0b2b788597b7a0d3e5734ca98ab0938dac6abebd5b0d1acff5de0a5e31",
   "a11y_pattern_display_id": "A11Y-PAT-B9790A0B2B78",
   "a11y_occurrence_fingerprint": "47bf6ec0a56fbc025931ebfea3137e27bc080245bb4dad759a8abb5bc7965e7e",
   "a11y_occurrence_display_id": "A11Y-OCC-47BF6EC0A56F",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
   "xpath": "html",
   "html_snippet": "<html class=\"no-js\" lang=\"en\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 441,
    "pages_affected": 441,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "Page should contain a level-one heading (WCAG criterion undetermined)",
   "description": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 441 of 2696 scanned pages (441 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-83-025-25",
     "xpath": "html",
     "html_snippet": "<html class=\"no-js\" lang=\"en\">"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-83-025-25",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002024",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6431",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-17-005-14",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7183",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-16-001-1",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot003255",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-6-030-30",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6363",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7860",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8618",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/exp-23-001-2",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2083",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6447",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-886",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002190",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-3164",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/cip002099",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-084-136",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1135"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002095.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule page-has-heading-one."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/axe-core__page-has-heading-one.csv"
  },
  {
   "instance_id": "VS-eed0d6cd",
   "pattern_id": "VS-d25f622d",
   "a11y_pattern_fingerprint": "e5d214b56fa3da3785f6361eeb506a7f9c1cce92e62af432b2964b8da05cd738",
   "a11y_pattern_display_id": "A11Y-PAT-E5D214B56FA3",
   "a11y_occurrence_fingerprint": "e5a8e16793c7db3ceacff20d78b1a46158c4491f1cc528542b5d8f68ee273801",
   "a11y_occurrence_display_id": "A11Y-OCC-E5A8E16793C7",
   "url": "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification",
   "xpath": ".field--name-field-resources-list > h3",
   "html_snippet": "<h3>Related Links</h3>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 49,
    "pages_affected": 43,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 43 of 2696 scanned pages (49 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification",
     "xpath": ".field--name-field-resources-list > h3",
     "html_snippet": "<h3>Related Links</h3>"
    },
    {
     "url": "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "http://medicaid.gov/medicaid/data-systems/health-information-technology/health-disparities",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54038",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    },
    {
     "url": "http://medicaid.gov/state-overviews/stateprofile.html?state=Pennsylvania",
     "xpath": ".region-footer-first > .usa-footer__primary-content.usa-footer__primary-content--collapsible > h4",
     "html_snippet": "<h4 class=\"usa-footer__primary-link\">Related Sites</h4>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "http://medicaid.gov/state-overviews/stateprofile.html?state=Pennsylvania",
    "http://medicaid.gov/medicaid/benefits/reentry-services-for-incarcerated-individuals/additional-resources",
    "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification/good-faith-effort-exemption-requests-home-health-care-services",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54030",
    "http://medicaid.gov/about-us/contact-us",
    "https://www.medicaid.gov/medicaid/benefits/telehealth/telehealth-terms",
    "https://www.medicaid.gov/medicaid/data-systems/health-information-exchange/section-1115-demonstration-hie-policy",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/49452",
    "https://medicaid.gov/medicaid/data-systems/health-information-exchange/fee-for-service-hie-policy",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106396",
    "https://medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas/quality-measurement/promoting-community-integration-through-long-term-services-and-supports-quality-measures",
    "https://medicaid.gov/chip/chip-managed-care",
    "https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106781",
    "https://www.medicaid.gov/medicaid/data-systems",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
    "https://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19",
    "https://www.medicaid.gov/medicaid/data-systems/health-information-exchange/managed-care-organization-hie-policy",
    "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification/evv-compliance-status-for-personal-care-services-state-or-territory",
    "https://medicaid.gov/about-us/organization/brent-weaver",
    "https://medicaid.gov/medicaid/data-systems/health-information-exchange",
    "https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106876",
    "http://medicaid.gov/medicaid/benefits/reentry-services-for-incarcerated-individuals/reentry-section-1115-demonstration-opportunity"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification.",
    "Locate the element: .field--name-field-resources-list > h3",
    "Confirm the axe-core finding for rule heading-order."
   ],
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Drupal Views and blocks can insert headings at arbitrary levels. In the Views UI, set \"Title tag\" for each display. For block titles, configure the heading level in the block's layout settings.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/axe-core__heading-order.csv"
  },
  {
   "instance_id": "VS-eea592cb",
   "pattern_id": "VS-8806389c",
   "a11y_pattern_fingerprint": "94e0218b7fbdaffcb5b21134c4dc8c71ab5a17513897ab7889e76550a460aa19",
   "a11y_pattern_display_id": "A11Y-PAT-94E0218B7FBD",
   "a11y_occurrence_fingerprint": "dc70d9f3e7ef0a6b9ef2601997619b8fef9afe9778d53d268d6e93427cf42f57",
   "a11y_occurrence_display_id": "A11Y-OCC-DC70D9F3E7EF",
   "url": "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification",
   "xpath": ".section",
   "html_snippet": "<aside class=\"section\" role=\"complementary\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 12,
    "pages_affected": 12,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)",
   "description": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 12 of 2696 scanned pages (12 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "http://medicaid.gov/about-us/contact-us",
     "xpath": "#block-medicaidandyoufaqblock",
     "html_snippet": "<div id=\"block-medicaidandyoufaqblock\" role=\"complementary\" aria-labelledby=\"block-title\">"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/data-systems",
     "xpath": ".landing-page-blue-ribbon > aside",
     "html_snippet": "<aside class=\"grid-container\" role=\"complementary\">"
    },
    {
     "url": "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    },
    {
     "url": "https://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19",
     "xpath": ".section",
     "html_snippet": "<aside class=\"section\" role=\"complementary\">"
    }
   ],
   "example_pages": [
    "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification",
    "http://medicaid.gov/about-us/contact-us",
    "https://www.medicaid.gov/medicaid/data-systems"
   ],
   "affected_pages": [
    "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification",
    "http://medicaid.gov/about-us/contact-us",
    "https://www.medicaid.gov/medicaid/data-systems",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
    "https://medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19",
    "https://medicaid.gov/medicaid/data-systems/health-information-exchange",
    "http://medicaid.gov/medicaid/data-systems/health-information-technology",
    "https://www.medicaid.gov/medicaid/benefits/hospice-benefits",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=20",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-of-care-performance-measurement/adult-medicaid-quality-grants",
    "https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification",
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification.",
    "Locate the element: .section",
    "Confirm the axe-core finding for rule landmark-unique."
   ],
   "remediation_tip": "When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. \"Primary\" and \"Footer\" navigation) so screen-reader users can tell them apart.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/axe-core__landmark-unique.csv"
  },
  {
   "instance_id": "VS-af061246",
   "pattern_id": "VS-4fac2f41",
   "a11y_pattern_fingerprint": "44e44f381813fde1e95320292a6d11e478b46130f7f6666f9a38423da582edc1",
   "a11y_pattern_display_id": "A11Y-PAT-44E44F381813",
   "a11y_occurrence_fingerprint": "4517fb9d4953bba12203f97ba864e77fa02b12782f6a88cd8b42b7d5cdc7cc07",
   "a11y_occurrence_display_id": "A11Y-OCC-4517FB9D4953",
   "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=0&q=",
   "xpath": "span[data-select2-id=\"select2-data-1-qmha\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
   "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-allowed-role",
   "rule_label": "ARIA role should be appropriate for the element",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 129,
    "pages_affected": 60,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "ARIA role should be appropriate for the element (WCAG criterion undetermined)",
   "description": "ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 60 of 2696 scanned pages (129 instances).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=0&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-qmha\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=0&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-i5wq\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=2&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-dc8s\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=861&page=2&q=",
     "xpath": "span[data-select2-id=\"select2-data-4-4pw2\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    },
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=716&page=22&q=",
     "xpath": "span[data-select2-id=\"select2-data-1-ondg\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
     "html_snippet": "<textarea class=\"select2-search__field\" type=\"search\" tabindex=\"0\" autocorrect=\"off\" autocapitalize=\"none\" spellcheck=\"false\" role=\"searchbox\" aria-autocomplete=\"list\" autocomplete=\"off\" aria-label=\"S"
    }
   ],
   "example_pages": [
    "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="
   ],
   "affected_pages": [
    "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=",
    "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=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=836&page=6&q=",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=816&page=2&q=",
    "https://www.medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B%5D=881&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B%5D=861&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=746&page=1&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=6&q=",
    "https://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=971&page=26&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=0&q=",
    "http://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%5B%5D=876&q=",
    "https://medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_topic%5D%5Bin%5D%5B0%5D=2271&limit=10&page=4&q=&sort=field_faq_date%3Adesc",
    "https://www.medicaid.gov/faq?filter%5Bfield_faq_date%5D%5Bgte%5D=&filter%5Bfield_faq_date%5D%5Blte%5D=&filter%5Bfield_faq_sub_topic%5D%5Bin%5D%5B%5D=8786&filter%5Bfield_faq_topic%5D%5Bin%5D%5B%5D=8696&limit=10&q=&sort=field_faq_date%3Adesc",
    "https://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=711&page=1&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=926&page=0&q=",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?filter%5Bfield_state%5D%5Bin%5D%5B%5D=926&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=681&page=42&q=",
    "http://medicaid.gov/chip/state-program-information/chip-spa?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=726&page=0&q=",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=1001&page=13&q=",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=956&page=15&q="
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/medicaid-state-plan-amendments?filter%5Bfield_state%5D%5Bin%5D%5B0%5D=781&page=0&q=.",
    "Locate the element: span[data-select2-id=\"select2-data-1-qmha\"] > .selection > .select2-selection.select2-selection--multiple[role=\"combobox\"] > .select2-search.select2-search--inline > textarea",
    "Confirm the axe-core finding for rule aria-allowed-role."
   ],
   "remediation_tip": "Remove or change the ARIA role — it isn't allowed on this element type.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/axe-core__aria-allowed-role.csv"
  },
  {
   "instance_id": "VS-e61eb469",
   "pattern_id": "VS-c18be945",
   "a11y_pattern_fingerprint": "950ad6e472d0a3d13d08b0256e775cf1055f2e07b82bfa3856cbb7008e1635fe",
   "a11y_pattern_display_id": "A11Y-PAT-950AD6E472D0",
   "a11y_occurrence_fingerprint": "c1ed3eaea6fe8fa07c5b34c5956bc80559cfa94cba8df81a1470457b507c081f",
   "a11y_occurrence_display_id": "A11Y-OCC-C1ED3EAEA6FE",
   "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
   "xpath": "text: \"  Feedback  \"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "frequency": {
    "instances": 10728,
    "pages_affected": 1273,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 1273 of 2696 scanned pages (10728 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656",
     "xpath": "text: \"  Feedback  \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": "text: \"\n                An official website of the United States government\n                \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": "text: \"Version:\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": "text: \"\n                        4.0.37\n                    \"",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18",
     "xpath": "text: \"\n                An official website of the United States government\n                \"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "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",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16",
    "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification",
    "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2386&f%5B1%5D=sub_topic_faq_library_facet%3A2436&f%5B2%5D=sub_topic_faq_library_facet%3A2451&page=4",
    "https://www.medicaid.gov/federal-policy-guidance?f%5B0%5D=fpg_topics_facet%3A856&f%5B1%5D=fpg_topics_facet%3A906&f%5B2%5D=fpg_topics_facet%3A1471&f%5B3%5D=fpg_topics_facet%3A1491&f%5B4%5D=fpg_topics_facet%3A3046&f%5B5%5D=fpg_type_facet%3A1476&f%5B6%5D=fpg_type_facet%3A1536&page=0",
    "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1891&f%5B1%5D=sub_topic_faq_library_facet%3A2096&page=81&sl=yes",
    "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1931&f%5B1%5D=sub_topic_faq_library_facet%3A1946&f%5B2%5D=sub_topic_faq_library_facet%3A2076&f%5B3%5D=sub_topic_faq_library_facet%3A2511&page=7",
    "https://www.medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A1926&f%5B1%5D=sub_topic_faq_library_facet%3A2021&f%5B2%5D=sub_topic_faq_library_facet%3A2036&f%5B3%5D=sub_topic_faq_library_facet%3A2081&f%5B4%5D=sub_topic_faq_library_facet%3A2446&page=84",
    "https://www.medicaid.gov/faq?fcf=41254&page=3&sl=yes",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-17-005-14",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?f%5B0%5D=waiver_state_facet%3A996&objectId=3242896&page=65",
    "http://medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8361&f%5B0%5D=waiver_state_facet%3A731&f%5B1%5D=waiver_state_facet%3A931&page=1",
    "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%3A881&page=63",
    "https://www.medicaid.gov/faq?entry=48729&page=84",
    "http://medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A761&f%5B1%5D=topics%3A1496&page=1661",
    "http://medicaid.gov/faq?f%5B0%5D=sub_topic_faq_library_facet%3A2031&f%5B1%5D=sub_topic_faq_library_facet%3A2356&f%5B2%5D=sub_topic_faq_library_facet%3A2511&page=2",
    "https://www.medicaid.gov/faq?fcf=41089&page=0&sl=yes",
    "https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=state%3A716&f%5B1%5D=state%3A781&f%5B10%5D=topics%3A2726&f%5B11%5D=topics%3A3141&f%5B12%5D=topics%3A3261&f%5B13%5D=topics%3A3381&f%5B14%5D=topics%3A3791&f%5B15%5D=topics%3A7296&f%5B16%5D=topics%3A7386&f%5B17%5D=topics%3A7391&f%5B18%5D=topics%3A8496&f%5B2%5D=state%3A841&f%5B3%5D=state%3A881&f%5B4%5D=state%3A891&f%5B5%5D=state%3A941&f%5B6%5D=state%3A1006&f%5B7%5D=state%3A8296&f%5B8%5D=topics%3A761&f%5B9%5D=topics%3A936&page=0",
    "https://www.medicaid.gov/federal-policy-guidance?fcf=1190&page=111&sl=yes",
    "https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list?entry=8311&page=2"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments?f%5B0%5D=topics%3A3046&f%5B1%5D=topics%3A7426&page=1656.",
    "Locate the element: text: \"  Feedback  \"",
    "Confirm the Siteimprove Alfa finding for rule sia-r57."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/alfa__sia-r57.csv"
  },
  {
   "instance_id": "VS-7233315f",
   "pattern_id": "VS-aa242c2d",
   "a11y_pattern_fingerprint": "9bbfd94bd90376189a5c933a4d16c8a76c606598a68b0d2e61eecf739964bd9d",
   "a11y_pattern_display_id": "A11Y-PAT-9BBFD94BD903",
   "a11y_occurrence_fingerprint": "7ad6f752afa42089a9ff75ca4c84e56f001443d862667f17e84af464e88de1b0",
   "a11y_occurrence_display_id": "A11Y-OCC-7AD6F752AFA4",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "frequency": {
    "instances": 224,
    "pages_affected": 224,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "First focusable element is link to main content (WCAG criterion undetermined)",
   "description": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 224 of 2696 scanned pages (224 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-17-005-14",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-17-005-14",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7183",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6363",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7860",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8618",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2083",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-886",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-891",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-26-011-11",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-001-1",
    "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-1-017-18",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2805",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2888",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002084",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6909",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg016212",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2815",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/mcr004060",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-805",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-096-92",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt001227"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r87."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/alfa__sia-r87.csv"
  },
  {
   "instance_id": "VS-ead0f39f",
   "pattern_id": "VS-7118fead",
   "a11y_pattern_fingerprint": "d71a88e83b9226ce1c0d790a0f6c20a91532d96068ebea7e887804b7fc25ae3d",
   "a11y_pattern_display_id": "A11Y-PAT-D71A88E83B92",
   "a11y_occurrence_fingerprint": "9566f1960349592cd55273007bf4711206f6c23fb920531e7b469ea1f6714e29",
   "a11y_occurrence_display_id": "A11Y-OCC-9566F1960349",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "frequency": {
    "instances": 222,
    "pages_affected": 222,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 222 of 2696 scanned pages (222 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-1-004-18",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/ffs-9-019-16",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-17-005-14",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-17-005-14",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7183",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6363",
    "https://medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-7860",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8618",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2083",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-886",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-891",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mis-26-011-11",
    "https://medicaid.gov/tmsis/dataguide/v4/data-quality-measures/el-15-001-1",
    "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/el-1-017-18",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-2805",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2888",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002084",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6909",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg016212",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2815",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/mcr004060",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-805",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-quality-measures/mcr-12-096-92",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt001227"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2806.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r61."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/alfa__sia-r61.csv"
  },
  {
   "instance_id": "VS-52dc8da7",
   "pattern_id": "VS-e05344b9",
   "a11y_pattern_fingerprint": "1f096d7d348a6e73ae969784c8c1abde5919a38d6f373291c1b3cdfd860d9c27",
   "a11y_pattern_display_id": "A11Y-PAT-1F096D7D348A",
   "a11y_occurrence_fingerprint": "eeb898b07201965e1df07c02af7c980ef4399b6ab55ccba8adb085afea9de687",
   "a11y_occurrence_display_id": "A11Y-OCC-EEB898B07201",
   "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
   "xpath": "@aria-selected=\"true\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "frequency": {
    "instances": 223,
    "pages_affected": 46,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)",
   "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 46 of 2696 scanned pages (223 instances).",
   "examples": [
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
     "xpath": "@aria-selected=\"true\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002084",
     "xpath": "@aria-selected=\"true\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002084",
     "xpath": "@aria-selected=\"false\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/mcr004060",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/clt001227",
    "https://medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/crx-claim-pharmacy/file-header-record-rx",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cot002053",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx002050",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/cip002141",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx003116",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/tpl004059",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/mcr002030",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cip002138",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx003095",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/mcr004059",
    "https://medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/crx-claim-pharmacy",
    "https://medicaid.gov/tmsis/dataguide/v4/file-segment-layouts/mcr-managed-care-plan-information/managed-care-location-and-contact-info",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/tpl001005",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/ftx095372",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg011164",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002025",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/crx003134",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/ftx006231",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002164",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cot001004"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/prv001008.",
    "Locate the element: @aria-selected=\"true\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r18."
   ],
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/alfa__sia-r18.csv"
  },
  {
   "instance_id": "VS-55739e10",
   "pattern_id": "VS-04a9d28c",
   "a11y_pattern_fingerprint": "56a6becbcfff85f715f09e97b699bae8f9e5cd3dd97d00e80e5669888e67d9c0",
   "a11y_pattern_display_id": "A11Y-PAT-56A6BECBCFFF",
   "a11y_occurrence_fingerprint": "1526029f7677e215d59a859fdfc8373057a30f7a934ad3ff79f328573878bcfd",
   "a11y_occurrence_display_id": "A11Y-OCC-1526029F7677",
   "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/tpl003050",
   "xpath": "td",
   "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine_key": "deprecated-html",
   "tool": "deprecated-html",
   "rule_url": null,
   "severity": "Moderate",
   "frequency": {
    "instances": 36,
    "pages_affected": 29,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/tpl003050",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"6\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/data-elements/tpl003050",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"2\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8425",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-8735",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>"
    },
    {
     "url": "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-414",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\" colspan=\"7\" class=\"dataTables_empty\">No data available in table</td>"
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-414",
    "https://www.medicaid.gov/tmsis/dataguide/v4/data-elements/cot002104",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/exp-16-006-19",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-6786",
    "https://medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-18-001-1",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/all-14-001-1",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/cip002165",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1861",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-2000",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-elements/clt002095",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7741",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/clt002065",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/crx002177",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/mcr003035",
    "https://www.medicaid.gov/tmsis/dataguide/v3/data-quality-measures/mis-11-020-20",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-7031",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-887",
    "https://medicaid.gov/tmsis/dataguide/v4/data-elements/elg011160",
    "https://www.medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-1067",
    "https://medicaid.gov/tmsis/dataguide/v3/data-elements/crx002070",
    "https://www.medicaid.gov/tmsis/dataguide/v3/validation-rules/rule-1579",
    "https://medicaid.gov/tmsis/dataguide/v4/validation-rules/rule-6350"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicaid.gov/tmsis/dataguide/v4/data-elements/tpl003050.",
    "Locate the element: td",
    "Confirm the deprecated-html finding for rule presentational-attr."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/deprecated-html__presentational-attr.csv"
  },
  {
   "instance_id": "VS-63682834",
   "pattern_id": "VS-f054f4a4",
   "a11y_pattern_fingerprint": "c6dfadc50d60204371f1c14c94b0e0372241924b136e4f7643cd27f8cfcdcf44",
   "a11y_pattern_display_id": "A11Y-PAT-C6DFADC50D60",
   "a11y_occurrence_fingerprint": "7f1840b53e7e59996e0eb0d37d53e25b580ea878e97eddf8087c40897973dee2",
   "a11y_occurrence_display_id": "A11Y-OCC-7F1840B53E7E",
   "url": "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification",
   "xpath": "<h3>",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "frequency": {
    "instances": 22,
    "pages_affected": 19,
    "total_pages_scanned": 2696
   },
   "likely_source": "template",
   "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).",
   "examples": [
    {
     "url": "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/entry/54038",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/state-overviews/stateprofile.html?state=Pennsylvania",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    },
    {
     "url": "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification/good-faith-effort-exemption-requests-home-health-care-services",
     "xpath": "<h4 class=\"usa-footer__primary-link\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "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"
   ],
   "affected_pages": [
    "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",
    "http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification/good-faith-effort-exemption-requests-home-health-care-services",
    "http://medicaid.gov/about-us/contact-us",
    "https://www.medicaid.gov/medicaid/data-systems/health-information-exchange/section-1115-demonstration-hie-policy",
    "https://medicaid.gov/resources-for-states/innovation-accelerator-program/functional-areas/quality-measurement/promoting-community-integration-through-long-term-services-and-supports-quality-measures",
    "https://www.medicaid.gov/medicaid/data-systems",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=24",
    "https://www.medicaid.gov/medicaid/data-systems/health-information-exchange/managed-care-organization-hie-policy",
    "https://medicaid.gov/about-us/organization/brent-weaver",
    "https://medicaid.gov/state-resource-center/disaster-response-toolkit/federal-disaster-resources/106876",
    "http://medicaid.gov/medicaid/data-systems/health-information-technology",
    "https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/technical-assistance-develop-evidence-based-continuum-of-crisis-care",
    "https://www.medicaid.gov/medicaid/prescription-drugs/branded-prescription-drug-fee-program/communication/108006",
    "https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources?page=20",
    "https://www.medicaid.gov/medicaid/quality-of-care/quality-of-care-performance-measurement/adult-medicaid-quality-grants",
    "https://www.medicaid.gov/new-notable?page=87",
    "https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/electronic-visit-verification.",
    "Locate the element: <h3>",
    "Confirm the Siteimprove Alfa finding for rule sia-r53."
   ],
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W40",
   "weeks_seen": 17,
   "affected_pages_csv": "csv/alfa__sia-r53.csv"
  }
 ],
 "policy": {
  "suppression": {
   "patterns": 0,
   "pages": 0,
   "occurrences": 0,
   "entries": []
  }
 }
}