Neotectonic movement refers to the tectonic movement that has happened since the Cenozoic, which is the latest movement. It has the most important influence on the basins in west China, especially on the hydrocarbon accumulation in the western foreland basins. We determined the time of neotectonic movement in the Kuqa Foreland Basin, which began from the Neogene, and analyzed the patterns of movement, which were continuous and fast subsidence in the vertical direction and intense lateral compression. The structure styles are that the faulting is weakened and the folding is strengthened gradually from north to south. We studied the control of neotectonic movement on the hydrocarbon accumulation process and model in the Kuqa Foreland Basin with basin simulation technique. The largest subsidence rate of the Kuqa Foreland Basin reached 1,200 m/Ma during the neotectonic movement, leading to rapid maturing of source rock within 5 Ma and a large quantity of hydrocarbon being generated and expelled. The thick neotectonic strata can form high quality reservoirs with the proved gas and oil reserves accounting for 5% and 27% of the total reserves, respectively. 86% of the structural traps were formed in the neotectonic movement period. The faults formed during the neotectonic movement serve as important migration pathways and they exist in the region where the hydrocarbon reservoirs are distributed. Abnormally high pressure caused by the intense lateral compression, thick neotectonic strata deposition and rapid hydrocarbon generation provide driving force for hydrocarbon migration. The accumulation elements match each other well over a short period, leading to many large gas fields formed later in the Kuqa Foreland Basin.