The State of West Virginia Department of Human Services (DoHS) Bureau for Behavioral Health (BBH) will utilize the State Opioid Response (SOR) grant to address the statewide opioid and stimulant use crisis by expanding evidence-based prevention, early intervention, treatment, and recovery management activities for Opioid Use Disorder (OUD). This includes increasing access to medication for opioid use disorder (MOUD) in conjunction with counseling as well as contingency management (CM) with community reinforcement approach (CRA). SOR funds will be utilized to address the state's OUD and stimulant use disorder continuum of care by using the hub-and-spoke model to increase MOUD and CM expertise and developing an array of identification, engagement, treatment, and MOUD-friendly recovery services. BBH will organize an advisory council focused on best practices in contingency management treatment. The advisory council will initiate a plan to develop a standardized contingency management best practices and ethical principles application manual, this effort will be accelerated to full implementation. The document will assist in monitoring the implementation of CM at each SOR funded facility. On a monthly basis required data points will be reported to the Bureau of Behavioral Health and the Office of Drug Control Policy, quarterly site visits will be conducted and guidance on implementation will be provided in real-time. Priority will be placed on high-risk populations, geographic areas hardest hit by the opioid crisis, and areas of need as identified by collected data. Between populations of focus there are behavioral health inequities in programming available, access, and quality in services received. To increase behavioral health equity, BBH will collaborate with other state agencies to create a plan of addressing gaps in behavioral health care management among vulnerable populations. Focus groups, data driven analysis and coordination with Herbert Henderson Office of Minority Affairs (HHOMA) will be the avenues utilized to gain insight regarding needs for the expansion of quality OUD services. Known treatment and recovery barriers, such as transportation to and from SUD services, will be addressed statewide with the expansion of community partnerships. Strategic social marketing and outreach will address the public, personal, and professional stigma which negatively impacts individuals seeking treatment.