A total of eight women's teams qualified to compete at the games. The host nation (Peru) received automatic qualification. The top two teams at the 2018 Central American and Caribbean Games and 2018 South American Games also qualified. The top two teams not yet qualified from the 2017 Pan American Cup (after the results from the above two tournaments are taken into account) also qualified. If Canada and/or the United States have not qualified still, a playoff between the nations and the third-ranked at the Pan American Cups will take place. If both nations do qualify, the playoff will be not necessary and the third placed team at each Pan American Cup will qualify.