PROJECT SUMMARY Project Empowerment: Patient Navigation and Contingency Management Intervention We plan to evaluate the effectiveness of Charles R. Drew University’s (CDU) Project Empowerment navigation intervention which is a 12-month evidenced-based clinical intervention utilizing enhanced patient navigation services to address barriers causing disparities in HIV care and prevention among African Americans at Martin Luther King OASIS Medical Clinic, our community partner. The intervention offers personalized support through patient navigators (PN) to increase health literacy and to identify barriers affecting social determinants of health. This study will pair the intervention with the use of contingency management incentives in order to improve client outcomes. The specific aims of the study are to demonstrate the effectiveness of patient navigation and contingency management to: reduce client barriers, engage/retain clients in care, increase linkage to clinical care services, increase adherence to ART/PrEP, improve viral load suppression, reduce HIV transmission, and improve HIV outcomes among Blacks/African Americans. This project uses multi-level approaches as defined in the NIMHD Sexual & Gender Minority Health Disparities Research Framework. Surveying and evaluation will track measures of Social Determinants of Health identified in the PhenX Toolkit.