Purpose of Review <p>This paper examines the progress in narrowing the research-to-practice gap in contingency management (CM) for substance use disorders. It explores recent advancements in implementation, digital adaptations, and the integration of culturally tailored and harm-reduction approaches. Key questions include how CM can be scaled effectively while maintaining fidelity and addressing accessibility barriers.</p> Recent Findings <p>CM has shown significant efficacy across populations and settings, with large-scale implementations such as the Department of Veterans Affairs program and several state-wide initiatives. Digital CM platforms have emerged as promising tools for broadening access, leveraging remote testing and incentive delivery. Non-financial incentives and culturally responsive models have further demonstrated feasibility and acceptability in diverse contexts.</p> Summary <p>Efforts to integrate CM into routine care are gaining traction, supported by policy advancements and innovative delivery models. The findings highlight CM’s potential for public health impact while identifying areas for further research, including fidelity in digital implementation and equitable access across underserved populations.</p>