This document begins by dispelling several misperceptions about American Indians that are especially pernicious to older American Indians living in cities, and then goes on to discuss what is known about urban American Indian elders and the implications for planning and service delivery for Area Agencies on Aging and contractor agencies. It notes that the life expectancy and longevity of American Indians remains below that of the general U.S. population; that Title VI of the Older Americans Act was designed to provide support services to older American Indians living on reservations, but that nearly half of American Indians over age 25 live not on reservations, but in cities; and that the older Indian urban population should be served by Title III programs. Examples are given that illustrate why chronological age is not a clear indicator of health status in American Indians. Socioeconomic and health profiles of older urban American Indians are given. A small study on nutrition of urban elders is reported that shows that, although elderly urban American Indians do not suffer from malnutrition as their reservation peers do, they have below the recommended levels in total food energy, vitamin A, and calcium intakes. A low utilization of mental health services among elderly American Indians is discussed, and support services needed by urban American Indians are considered. Problems and solutions in providing services to this population are presented. Several relevant data tables are included. (NB)