Financial Incentives, Randomization With Stepped Treatment Trial

Inclusion Criteria: * Be HIV-infected. * Recent significant alcohol consumption as determined by a PEth greater than 20 ng/ml. * Able to provide informed consent. * Meet any of the following criteria for unhealthy alcohol use: * At-risk Drinking - greater than 14 drinks per week or greater than 4 drinks per occasion in men and greater than 7 drinks per week or greater than 3 drinks per occasion in women and those over 65.161 * Medical condition impacted by alcohol as evidenced by one of the following: 1) detectable HIV viral load (\>200 copies/ml),) tobacco use disorder and smoking more than 5 cigarettes per day, 3) detectable HCV virus, 4) liver fibrosis with a FIB-4 \>1.45) Patient Health Questionnaire (PHQ-9, validated measure for depression) score greater than 9, or 6) current (at least 30 day supply in the past 60 days) prescription for a psychoactive medication that interacts with alcohol-including benzodiazepines, opioids, antipsychotics, antidepressants, sleeping medications and muscle relaxants. * Alcohol Use Disorder - Meet DSM-5 criteria for alcohol use disorder, not in remission Exclusion Criteria: No subject may: * Be acutely suicidal, or with a psychiatric condition that affects his/her ability to provide informed consent or participate in counseling interventions (e.g. psychotic, dementia, delusional). * Be currently enrolled in formal treatment for alcohol (excluding mutual-help, e.g. Alcoholics Anonymous) * Have medical conditions that would preclude comp…