The proportion of older people from culturally and linguistically diverse backgrounds is projected to increase significantly over the next decade, with the composition shifting from a mainly European base to include new source countries from Asia and Africa. This growth and complexity provides a range of challenges for practitioners and policy makers working in this field. The present paper draws on a multimethod scoping study designed to explore these challenges and identify practice responses. Data from a review of current literature, as well as from key informer interviews and a symposium held in Queensland, are reported in this paper and their compatibility with broader national and international studies discussed and noted. Findings highlight the particular challenges associated with service provision, developing appropriate models of aged care, and addressing social isolation. Conclusions focus on the need for a more rigorous research agenda to highlight and evaluate effective practice solutions; the need for a strengths-based approach in working with these communities, recognising the contribution made by community leaders, volunteers, and others; and the need to work in partnership to achieve ageing-well outcomes.