The report discusses the participation of elderly American Indians in Federal entitlement programs and describes the Reservation Access Project, which was funded to increase by 100% the number of Indian elderly served and to develop a model for delivery services. The first section provides an introduction, organizational history of the National Indian Council on Aging, an overview of the elderly Indian and background information on the Access Project. The second section describes the Access Project, its purpose, program variables, program implementation, and method used in selecting the four project sites. The four reservations (Jicarilla, Pine Ridge, Papago, and Siletz) are described in terms of their history, culture, government, tribal economy, climate, transportation, community facilities, population, and socioeconomic characteristics. Findings indicate: Access identified 1,386 Indian elderly age 55+ during the 12-month project (1980-81); a significant level of involvement of elders in some programs and a need for improvement in others; and in the development of the model, some long held beliefs were proven erroneous, while others surfaced which ran counter to popularly-held ideas with the Indian community. Eight recommendations provide suggestions which deal with the enhancement of services to Indian elderly. Appendices include the site selection rating scale, a contract form, and 22 statistical tables. (AH)