A new format was announced, removing the regional Central American and Caribbean qualifiers and guaranteeing each entrant a minimum of four competitive games.

[1] The competition would determine the four CONCACAF representatives at the 2019 FIFA U-20 World Cup in Poland,[1] The United States, Mexico, Panama and Honduras qualified.

It would also determine the CONCACAF teams playing at the 2019 Pan American Games men's football tournament in Lima, Peru.

Matches were at played at four stadiums in the IMG Academy in Bradenton, Florida: Download coordinates as: The draw for the final tournament was held on 13 September 2018, 10:00 EDT (UTC−4), at the CONCACAF Headquarters in Miami, Florida, United States.

[2] However, United States declined to participate, so Mexico qualified for the North American berth.

Twelve of the Cuban players (Arturo Hector Godoy, Bruno Manuel Rendon Cardoso, Christopher Yoel Llorente Fernandez, Danny Echeverria Diaz Frank Leidam Nodarse Chavez, Geobel Perez Oquendo, Josue Vega Alvarez, Juan Manuel Andreus Milanes, Omar Perez Ramirez Omar Proenza Calderon, Rivaldo Ibarra Thompson, Rolando Aldahir Oviendo Valdez and Yandri Romero Clark.)

[13] Octavio Rodríguez, the assistant coach of the Guatemalan staff team and four players; Carlos Orellana (Guastatoya), Carlos Monterroso (Municipal), Nelso Iván García (Communications) and Luis Francisco Estrada (Siquinalá) were denied visas to participate in the tournament.