The 2018–19 CAF Confederation Cup qualifying rounds were played from 27 November 2018 to 20 January 2019.
[1] A total of 70 teams competed in the qualifying rounds to decide the 16 places in the group stage of the 2018–19 CAF Confederation Cup.
[2] The draw for the preliminary round and first round was held on 3 November 2018 in Rabat, Morocco, and was officially announced by the CAF on 9 November due to a special situation with the transitional calendar.
[3][4][5] The entry round of the 55 teams entered into the draw was determined by their performances in the CAF competitions for the previous five seasons (CAF 5-year ranking points shown in parentheses).
In the qualifying rounds, each tie was played on a home-and-away two-legged basis.
If the aggregate score was tied after the second leg, the away goals rule would be applied, and if still tied, extra time would not be played, and the penalty shoot-out would be used to determine the winner (Regulations III.
[1] The bracket of the draw was announced by the CAF on 9 November 2018.
USM Bel Abbès won 4–1 on aggregate.
DC Motema Pembe won 5–2 on aggregate.
Cercle Mbéri Sportif won 4–3 on penalties.
Al-Ittihad won on walkover after Miracle Club withdrew prior to the second leg.
Asante Kotoko won on walkover after the Cameroonian Football Federation was not able to confirm the engagement of Eding Sport by the CAF deadline.
Mukura Victory Sports won 5–4 on penalties.
The draw for the play-off round was held on 28 December 2018, 18:00 CAT (UTC+2), at the Nile Ritz-Carlton in Cairo, Egypt.
[10][11] The winners of the Confederation Cup first round were drawn against the losers of the Champions League first round, with the teams from the Confederation Cup hosting the second leg.
The 15 winners of the play-off round advanced to the group stage to join Étoile du Sahel, who advanced directly to the group stage as the winners of the first round with the best CAF 5-year ranking.