; and (ii) satisfies one or more of the following criteria: (I) The hospital has a Medicaid inpatient utilization rate (as defined in subsection (b)(2)) that is not less than the mean Medicaid inpatient utilization rate for hospitals receiving Medicaid payments in the State. (II) The hospital has a low-income utilization rate (as defined in subsection (b)(3)) of not less than 25 percent. (D) Tier 4 hospitals A category of hospitals (referred to in this section as tier 4 hospitals ) in which each hospital— (i) is not described in a previous subparagraph; and (ii) satisfies the requirement described in subsection (d)(3). (3) Payment methodology requirements (A) Prioritization of hospitals In making disproportionate share hospital payments, a State methodology shall prioritize hospitals in the following order: (i) Tier 1 hospitals shall receive the highest priority. (ii) Tier 2 hospitals shall receive the second-highest priority. (iii) Tier 3 hospitals shall receive the third-highest priority. (iv) Tier 4 hospitals shall receive the fourth-highest priority. (B) Factors The methodology specifies the factors that will be considered in determining the amount of a disproportionate share hospital payment to be made to a hospital, which may include— (i) the hospital's net operating margins (including past net operating margins); (ii) past disproportionate share hospital payments to the hospital; (iii) whether the hospital was affected by a major disaster (as declared by the President under section 401 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act) in the 12 months prior to the payment